1 / 11

Steven Saunders, MS, Director, HIV Prevention DHSTS, NJDOH

DHSTS HIV TESTING ANNUAL MEETING April 28 , 2014 HIV Prevention Patient Navigators: Linkage to Care on the Same or Next Business Day. Steven Saunders, MS, Director, HIV Prevention DHSTS, NJDOH. HIV Prevention Patient Navigator (HPPN) Program. First Place Winner 2013 ASTHO Vision Award.

niesha
Télécharger la présentation

Steven Saunders, MS, Director, HIV Prevention DHSTS, NJDOH

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DHSTS HIV TESTING ANNUAL MEETINGApril 28, 2014HIV Prevention Patient Navigators: Linkage to Care on the Same or Next Business Day Steven Saunders, MS, Director, HIV Prevention DHSTS, NJDOH

  2. HIV Prevention Patient Navigator (HPPN) Program First Place Winner 2013 ASTHO Vision Award

  3. HPPN Program Target Population • HIV incidence driven by two distinct PLWH populations: 1. Unaware of their HIV infections 2. Aware, but not in HIV care and on ARVs • Targets specific population of HIV+s not on ARVs, not at-risk, HIV -s or all PLWH, the targets of past HIV prevention efforts.

  4. HPPN Program Target Population (cont’d) • HIV+s not on ARVs account for nearly all remaining HIV transmission. • They are a relatively small, finite number. • Nearly all of whom are potentially reachable by a comprehensive prevention with positives strategy such as the HPPNP.

  5. Eight HIV Prevention Patient Navigator Programs in New Jersey Rutgers NJ Medical School in Newark St. Michael’s Medical Center in Newark Jersey City Medical Center in Jersey City Jersey Shore University Medical Center in Neptune Atlanticare Regional Medical Center in Atlantic City Cooper Health System in Camden St. Joseph’s Hospital and Medical Center in Paterson Trinitas Regional Medical Center in Elizabeth

  6. HIV Prevention Patient Navigator Program is Patient Centered Provides “concierge service” for initially positive patients identified in other community settings Testing and linkage to care may be incentivized Ensure or facilitate immediate, accompanied patient transportation to HIV clinic where seen by RN/PA/MD Direct cell phone line to Navigator shared among all MOA signatories and NJ AIDS/STD Hotline Works with CBOs to assist in re-engagement

  7. Patient Navigator Core Functions Provide 2nd rapid test for patients testing + on their 1st rapid test at CBOs or other non RTA test sites – same or next business day Immediately enroll confirmed +s into care sees Nurse or Doctor for initial work-up CD4, VL on same day as 2nd rapid test - If p24 Ag+, or symptomatic (AHI or AIDS) MD must see that day too. Partner Services for new and existing clinic patients using Contact Elicitation and Social Networking Re-engagement of HIV practice patients lost to care Treatment adherence and prevention counseling Local Linkage to Care Collaborative Point Person and MOA Manager

  8. Patient Navigator Additional Functions Conduct RTA walk-in testing and link positives to care Provide 2nd rapid test to in-patients who test positive on initial screening, and link them to care prior to discharge Conduct 2nd rapid test for 1st test positive patients identified by DHSTS PS staff and link positives to care Link HIV positive NJ AIDS/STD Hotline callers to care Link released inmates to care - prison discharge planners Advocate for routine (hospital-wide) HIV screening

  9. Additional Linkage Partners • New Jersey AIDS/STD Hotline • HIV+ callers linked to Navigator cell phones via 3-way • 23 out-of-care individuals linked to care Jan-June 2013 • RW Part B MAI Pre-release Discharge Planners • Six grantees cover 11 of 13 state prisons • Collectively provide discharge planning services to 206 pre-release HIV+ inmates annually • DOH Partner Services staff • Linked 20 HIV+ to Navigators in 2013

  10. HIV Prevention Patient Navigator Outcomes for 2013 Majority of new patients (1106) seen were African American (61%) and male (64%); 22% were Hispanic; 15% were 18-25 years old; majority were 36-55 (49%), largest single age group was 46-55 (27%) 67 2nd (R2R) rapid HIV tests conducted; 96% positive (4% discordant) and all +s (100%) enrolled in care 821 other HIV tests (RTA) conducted, 44 positive (5%) and 84% enrolled in care and 245 partners/social contacts tested, 10 (4%) positive 521 re-engaged in care; 639 total linked to care

  11. HIV Prevention Patient Navigator Outcomes for 2013 (cont’d) • 1690 Treatment Adherence sessions for HIV patients • 1592 prevention with positives counseling sessions for HIV patients • 17,725 condoms distributed to HIV patients • 482 HIV patients were linked back out to community-based prevention services

More Related