Rapid, Rapid Point of Care HIV Testing STD/HIV/TB Section March 17, 2016

Rapid, Rapid Point of Care Algorithm/Revised Forms – Peggy Darrett-Brewer (1 hour) Surveillance Reporting – Adrianna DiStaolo (10 minutes) Disease Investigation Coaching/Expectation – Sandy Johnson (10 minutes) Evaluation Web Reporting – Kathy Melaas (10 minutes) Giving Confirmed Positive Results – Rob Yaeger Expectations of Pilot Test Sites – Peggy Darrett-Brewer(20 minutes) Check-off for Rapid, Rapid Point of Care Testing – Peggy Darrett-Brewer Rapid, Rapid Point of Care HIV Testing Today’s Agenda

Rapid, Rapid Point of Care HIV Testing What’s new… Peggy Darrett-Brewer HIV Testing Coordinator

Client Consent Testing Logs Provider Agreements and Expectations Rapid, Rapid Point of Care HIV Testing What’s new…

Client Consent What’s new…  Explain the process  Window Period

 Explain results  Next steps Client Consent What’s new…

Testing Log

Check-off  ALERE 4 TH generation rapid HIV test training  INSTI RAPID HIV test training  Submit a written rapid, rapid point of care protocol  Provider agreements signed and submitted to HIV testing coordinator  Revised forms submitted to HIV testing coordinator  Start date that is on or before April 8th

Provider Agreements and Expectations

Release of Information

Adrianna DiStaolo Surveillance Reporting STD/HIV/TB Section

How can I report a case of HIV?  Our report form can be found at: reportable/forms/hivform.pdf reportable/forms/hivform.pdf  Fill out all data elements available to you  Please fax this form to for all suspect or confirmed cases  ATTN: HIV Surveillance  Any questions about report form call Adrianna at or Sue at

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Sandy Johnson Disease Investigator Partner and Care Link Services STD/HIV/TB Section

Partner Services Introduction  Disease Investigators, who are we and what do we do?  How introduce disease investigation to your patient/client.

Examples of Partner Services Interviews

How can you help?  By collecting the following data that will be entered on the Minnesota Department of Health’s Surveillance Form:  Partner’s Name (first, last and nicknames)  Partner’s address with city and state if available  Partner’s phone numbers (mobile, home, work etc.)  Partner’s race age, sex, and DOB  Date of last exposure  Partner’s physical description (height, weight, eye color, hair style/color.  Any additional locating or identifying information that the patient may have

Contact Information  Sandy Johnson - Disease Investigator 

EvaluationWeb: Reporting Positive Results Kathy Melaas HIV Testing/Evaluation Web Data Manager

When you have a positive result, you are required to notify MDH two ways – EvaluationWeb and HIV Case Report:

HIV is a reportable disease in Minnesota.

Enter the positive test in EvaluationWeb, and make note of the last six digits of the auto-assigned unique Form ID number. This is the first line of the test form you see when you open a new form for data entry.

Choose “Yes, Show HIV Test 2” if a second rapid or confirmatory blood draw test is done during the same session.

Complete information about HIV Test 2

FOR POSITIVE CASES ONLY: The mandated, name-based HIV case report can be downloaded from Include the 6-digit EvalWeb unique form ID (in the Other Locating field). Fax the form to MDH at If you have questions about completing the form, you can call Adrianna DiStaolo or Sue Bedard-Johnson

Rob Yaeger Giving Confirmed Positive Results STD/HIV/TB Section

Pre-Loading Testing Technology Immediate Confirmation – INSTI Test Window Period

Pre-Loading Prevention Counseling Next steps Connection to services Support

Are you ready for the results of your test?

1 st Alere Rapid Test: Non-Reactive Window Period Risk Reduction Plan STD/Hep Testing No INSTI Test

1 st Alere Rapid Test - Reactive Antigen & Anti-Body Reactive Do INSTI Rapid Test

INSTI Rapid Test HIV Infection Confirmed Medical Care & Support Services Partner Notification Reactive

Antigen & Anti-Body Reactive Reactive

Blood Draw Confirmation 1 st Test Antigen & Antibody Reactive INSTI Test Non-Reactive

No INSTI Test Blood Draw Confirmation 1 st Test Antibody Only Reactive

1 st Test Antigen Only Reactive No INSTI Test Blood Draw Confirmation

Antigen & Anti-Body Reactive Reactive

Christine Jones Prevention & Capacity Building Unit Supervisor Pilot Site Expectations STD/HIV/TB Section

HIV Testing Goals  Re-evaluate your testing goal as stated in your 2016 Prevention Grantee Work Plan. Keeping in mind:  4 th Gen increased processing time  If patient is identified as a confirmed positive, consider the time it takes to link and verify HIV primary care NOTE: It is important to target high risk individuals.

Pilot Objectives  We will be looking at if, and how many, acute infections are identified  Determine if rapid, rapid point of care testing’s is cost effective  Improve on linkage to care by confirming positives in an outreach settings

Check-off for Rapid, Rapid Point of Care Testing Peggy Darrett-Brewer

Check-off for Rapid, Rapid Point of Care Testing  4 th Generation Training  INSTI Training  Written Rapid, Rapid Point of Care Protocol  Provider Agreements signed and submitted to MDH  Revised Forms Submitted  Within established date range when will Pilot Site Begin

Any Questions?

Thank you! Rapid, Rapid Point of Care Algorithm, Point of Care Testing – Peggy Darrett-Brewer, , Surveillance Reporting – Adrianna DiStaolo, , Disease Investigation – Sandy Johnson, , Evaluation Web Reporting – Kathy Melaas, , Giving Confirmed Positive Results – Rob Yaeger, ,