Routine HIV screening following the new CDC guidelines Clinical Protocol at GWU ED Jeremy Brown MD Dept of Emergency Medicine

Slides:

Advertisements

Similar presentations

Emmanuel M. Makasa MD, MPH

Advertisements

Implementation Issues for Employer Plans Steve Wojcik Vice President, Public Policy National Business Group on Health Washington,

Martin E. Gutierrez, MD Recruitment Experience in a Phase 0 Trial of ABT-888, an Inhibitor of Poly (ADP- ribose) Polymerase (PARP), in Patients With Advanced.

Frank Svec, MD, PhD Clinical Professor of Medicine Tulane University School of Medicine New Orleans, Louisiana Kevan Chambers Announcer Medscape Diabetes.

Clinical Alliances and Partnerships Raul A. Romaguera, DMD, MPH Division of HIV/AIDS Prevention Centers for Disease Control and Prevention March 11, 2004.

Perspectives on Outreach from the NYC Department of Health and Mental Hygiene Benjamin Tsoi, MD, MPH Bureau of HIV/AIDS Prevention and Control NYC Department.

Uninsured now 15% 24 million 17% 30 million 18% 32 million 20% 37 million 19% 36 million 16% 29 million Insured now 85% 138 million.

Assessing the Training Needs of Managed Care Providers: Implications for STD Clinical Training Targeting this Hard-to- Reach Group by the Eastern Quadrant.

Implementing screening for acute HIV infection in STD clinics already using rapid HIV antibody testing, New York City, 2007 Kathleen D. Gallagher, MPH.

Eligible Women and Participation in the Women’s Health Network Ellen M. Kramer ScD RD April 7, 2005.

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

A controlled trial was conducted in the medical ICU of an 820-bed, tertiary care, academic medical center. Phase 1 (P1) was a 3-month period of standard.

1 Medicaid Expansion Estimates Demographics and Cost April 24, 2013.

Joanne Armstrong, MD 1,2 Haleh Sangi-Haghpeykar, PhD 1 Alice Shen, MD 1 1. Baylor College of Medicine Houston, Texas 2. Dept Women’s Health, Aetna Chlamydia.

Rapid HIV Testing in an Emergency Department Cook County Bureau of Health Services Chicago, Illinois Centers for Disease Control and Prevention (Cooperative.

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

Poster Presentation 40th Annual Meeting of IDSA Chicago, Illinois October 26, 2002 Presenting Author: Sabrina Kendrick, MD (312)

“Some Employers Are Offering Free Drugs” By: Milt Freudenheim New York Times, Feb. 21 st, 2007 Presented by: Arjun Sondhi.

Health Care Coverage and Access for Men, JAMA, June 23, 2015.

Oral Presentation 2002 National STD Prevention Conference San Diego, California March 6, 2002 Presenting Author: Karen Kroc (312)

Epidemiology of Stroke Dexter L. Morris, PhD, MD Department of Emergency Medicine University of North Carolina School of Medicine Chapel Hill, NC.

STD Testing Protocols, STD Testing, and Discussion of Sexual Behaviors in HIV Clinics in Los Angeles County Melanie M. Taylor MD, MPH Los Angeles County.

Asthma: Shared Medical Appointments

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

HIV Screening in an Urban Emergency Department The Highland Hospital Experience Douglas White, MD Alameda County Medical Center - Highland Hospital Oakland,

Use of Network Analysis During a Tuberculosis Investigation Outbreak Investigation Section Surveillance and Epidemiology Branch Division of Tuberculosis.

Agency for Healthcare Research and Quality Advancing Excellence in Health Care Provision of Preventive Services in the Complex Patient AHRQ.

Universal HIV Testing Closing the Gap Peter A. Leone, MD Associate Professor of Medicine University of North Carolina Medical Director, NC HIV/STD Prevention.

Gonorrhea in New York City Epidemiology, Disease Control Activities, and Challenges Presented by: Julia A. Schillinger, MD, MSc CAPT USPHS Bureau of STD.

Implementing a Rapid HIV Testing Guideline for L&D NNEPQIN April 30, 2007.

Willingness to use HIV prevention strategies to conceive with an HIV-positive partner: opinions from HIV-negative women in serodifferent relationships.

Interamerican College of Physicians and Surgeons.

John W. Hogan, M.D Howard University College of Medicine.

Public State Initiatives in Colorectal Screening: The Colorado Experience Tim Byers MD MPH University of Colorado School of Medicine

Case 1: 23-year-old Male Student Clinical Director, Division of Infectious Diseases Brigham and Women’s Hospital Professor of Medicine Harvard Medical.

How Does a MAP Work? ● Uninsured patients are screened by MAP caseworker for income eligibility.

HIV TESTING IN DRUG ABUSE TREATMENT James L. Sorensen, Ph.D. University of California, San Francisco and San Francisco General Hospital Presentation at.

Routine Opt-Out HIV Testing Texas STD Clinics James H. Lee, Senior Public Health Advisor HIV/STD Program Texas Department of State Health Services.

Copyright © 2008 Delmar Learning. All rights reserved. Chapter 15 Medicaid.

Results Compliance with Breast Cancer Screening Guidelines in the HIV Clinic: A Quality Improvement Tool E. Patrozou M.D., E. Christaki M.D., L. Hicks.

CDC Guidelines for Use of QuantiFERON ® -TB Gold Test Philip LoBue, MD Centers for Disease Control and Prevention Division of Tuberculosis Elimination.

Trends in utilization of services associated with introduction of drug coverage for Cholinesterase Inhibitors (ChEI) Malcolm Maclure, ScD, Professor Wendy.

Bridging the Gaps and Enhancing Interprofessional Integration Process of Integrating Evidence (PIE) for CAM Educators Jason Busse, DC, PhD McMaster University.

Kow-Tong Chen, M.D., Ph.D., Hsiao-Ling Chang, Ph.D., Chu-Tzu Chen, M.P.H., and Ying-An Chen, M.P.H. Volume 23, Number 3, 2009 AIDS PATIENT CARE and STDs.

Marion County Women’s Health Issues Virginia A. Caine, M.D. Director, Marion County Public Health Department Associate Professor, Indiana University School.

HIV/STD/TB SECTION Center for Public Health Practice HIV TEST CONSENT LAWS IN OREGON Sean Schafer, MD MPH Medical Epidemiologist Josh Ferrer STD/HIV Prevention.

Background  The CDC recommends universal and routine HIV screening in all healthcare settings, including hospitals [MMWR 52(15), ; 2003].  The.

“INSURING THE UNINSURED” A Medical Student Run Project in a Medical Student Run Free Clinic for Improving Access to Care in an Urban Minority Buffalo,

2013 QHP Eligible Uninsured Better Health Together.

American Public Health Association Annual Meeting Atlanta 2001 Alabama’s Children’s Health Insurance Program (CHIP): Access to Care for Children With.

Analyzing the Geospatial Imbalance of the Primary Care Physician Labor Supply in the Contiguous United States By Russ Frith University of W. Florida Capstone.

2013 QHP Eligible Uninsured Cowlitz Family Health Center.

A Universal Testing Programme for Blood Borne Viruses in an Urban Emergency Department – a call for widespread ED testing in Ireland S O’Connell 1, D Lillis.

Reducing Readmissions Providing Home Health Services to the vulnerable population.

High prevalence rate of Trichomoniasis Vaginalis in an urban HIV clinic Debbie Mohammed, DrPH, MS, MPH, AACRN Prerak Shukla, MBBS Maria Szabela, MD Jihad.

PrEP Update: The science, new tools, and next steps Dawn K. Smith MD, MS, MPH Division of HIV/AIDS Prevention, CDC “The findings and conclusions in this.

Janet Lin, MD, MPH, Sweta Basnet, MS, Sara Baghikar, MD, Cammeo Mauntel-Medici, MPH, Sara Heinert, MPH University of Illinois at Chicago, College of Medicine,

HIV Testing in Acute Care Settings Rich Rothman, MD, PhD, FACEP CDC, DHHS, OraSure Technologies, Abbott  Historical.

Diane M. Janowicz, MD Assistant Professor of Clinical Medicine Indiana University School of Medicine Indianapolis, Indiana Persistent Challenges of HIV.

2013 QHP Eligible Uninsured Tacoma-Pierce County Health Department.

CONCLUSIONS New Jersey’s Emergency Department HIV testing sites report higher seroprevalence than non-ED testing sites. Since University Hospital began.

Opt-Out HIV Testing in U.S. Tuberculosis Clinics: A Survey of Current Practice and Perceived Barriers Adrian Gardner MD, MPH Assistant Professor of Clinical.

Lessons Learned from the District of Columbia's Initiative to Implement Routine Screening for HIV American Public Health Association Washington, D.C. November.

The CARE Initiative New Positives Known Positives

Behavioral Sciences and Social Medicine

Sangeeta Lamba, MD, Tammie E. Quest, MD Annals of Emergency Medicine

A Comparison of Patient and Staff Attitudes About Emergency Department–Based HIV Testing in 2 Urban Hospitals Carrie R. Hecht, MD, Michael D. Smith,

Kuo-Chen Cheng, MD Annals of Emergency Medicine

Caring for the Expanding Patient Population: Treating the Recently Incarcerated

Presentation transcript:

Routine HIV screening following the new CDC guidelines Clinical Protocol at GWU ED Jeremy Brown MD Dept of Emergency Medicine

Program began on 9/12/06 As of 10/1/06 the numbers are as follows:

1003 patients eligible for screening 580 patients accepted –432 have DC area ZIPs 423 declined

999 negatives 4 positives Occult HIV Rate at GWU ED= 0.7%

4 Positive Cases All Male 3 African-America 1 Caucasian 1 unknown ZIP 3 ZIPs all within DC Ages: 24, 34, 34, 55 Insurance: Medicaid, BC/BS, Uninsured Discount, one unknown Follow up: Two unknown, own physician in Greater DC area, Whitman Walker

Next Phase Continuing screening for as long as there is a supply of test kits Analysis of data and epidemiology within the Greater DC area (School of Public Health, Division of Infectious Disease) 16 point patient survey on attitudes towards HIV screening –Understanding why people decline HIV screening –Increasing the numbers of those who accept HIV screening