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Enhancing HIV Care with Michigan's Laboratory Data Management System

Learn how we use HIV laboratory data for improved care, linkage analysis, and community viral load assessment in Michigan. Explore the uses of genotypes and data management techniques. Presented at the CSTE HIV Surveillance Coordinator’s Workshop in 2012.

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Enhancing HIV Care with Michigan's Laboratory Data Management System

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  1. Using HIV Laboratory Data in Michigan Elizabeth Hamilton, PhD, MPH CSTE HIV Surveillance Coordinator’s Workshop June 3, 2012 Omaha, NE

  2. Outline How we manage and use HIV laboratory data Enahanced Linkage to Care Analysis Demo of Michigan’s HIV Laboratory Management System (LMS)

  3. HIV Lab Management • Electronic • HL7 (imported every 30 mins) • Other formats (.csv, .txt) • Manually uploaded, ~1/week • Paper • Entered directly into LMS

  4. Uses of HIV Laboratory Data Unmet Need Analyses Use of genotypes to detect actively transmitting clusters to enhance or direct PS Enhanced Linkage to Care Future – assessing community viral load

  5. Enhanced Linkage to Care • Requested by our Prevention Partners to verify their CTS data • 1st and 2nd visit • Median VL at 1st visit • By care facility • Demographic Characteristics • Similar to CDC NHAS Indicator Analysis

  6. CDC/MDCH Methodology Comparison • Same test types/LOINC codes • eHARS status flag • CDC – A & M • MDCH – A & W • Variable completion • CDC – drops those with missing result • MDCH – eHARS workaround for entering undet. VL on CRF results in a missing result

  7. Michigan’s LMS Elizabeth Hamilton, PhD, MPH HIV Epidemiologist & Manager HIV Surveillance & Body Art Facility Licensing Unit hamiltone2@michigan.gov 517/335-8247 http://beta.mihealth.org/hivlms/home?iv-user=hamiltone2

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