San Francisco Department of Public Health SPNS Grantee Meeting November 15th, 2016

mSurvey Demonstration Create a survey Let’s choose a topic Surf the wisdom of the crowd Deploy a survey See Live results mSurvey convos (if bug is fixed…c’est la vie) One-on-one SMS text messaging Help us choose a topic: Text YUCKYUM2 to (617) 826-9932 (10 minutes) You will need to prepare a live demonstration of your technology (or portion of the technology). We also ask that you prepare PPT screen shots as a back-up The ETAC will provide adaptors for Android and iPhones to facilitate live demonstrations directly from smartphone devices.

Implementation Status Timeline Piloting instruments, intervention and protocols: December 2016 Enrollment: January 2017 Recruitment Identified ~50 potential participants Target sample size: 120 participants Monthly enrollment target:10-20 participants (2 slides, 2 minutes each) What is your time (start date or anticipated start date) Number of participants enrolled Monthly enrollment targets

Implementation Status IRB Approval in November 2016, minor modification under review Anticipate IRB approval by December 2016 Access to ARIES approved November 2016; re-training pending Access to eCW and LCR approved November 2016; training pending Digital Navigator has participated in on-going training HIV care & treatment, HIV engagement and retention, motivational interviewing, insurance and benefits, and substance abuse/mental health Digital Navigator is fully integrated with LINCS (Linkage Integration Navigation, and Comprehensive Services) Developing partnerships with HIV clinics and testing sites throughout San Francisco Please provide a brief description of where you are in the implementation process. E.G. IRB approval, staff trainings, implementation protocols, pilot intervention, participation of youth advisory groups, community partnerships, technology development.

Implementation Challenges IRB approval timeline – system-wide delays due to staffing and outsourcing Expected date of resolution: December 2016 Piloting and bug fixes Expected date of resolution: November-December 2016 What challenges have you experienced preparing for implementation? What are your steps for overcoming your challenges?

Recruitment Strategies Integrate with the LINCS to facilitate warm handoff referrals for those newly diagnosed with HIV and those out of care. Cast a wide net in the public health system Institute MOUs with HIV testing and care sites (2 slides, 2 minutes) Please provide a brief description of where you are in your recruitment. Recruitment materials completed, reviewed by potential groups and/or youth advisory groups Partnerships with recruitment sites

Casting A Wide Public Health Net San Francisco Aids Foundation Native American Health Center Maxine Hall Health Center Mission Neighborhood Resource Center – Clinica Esperanza Jail Health Services UCSF 360 Clinic API Wellness SFAF- Positive Force St. Mary’s Medical Center Castro-Mission Health Center San Francisco City Clinic Assisted Care/After Care (ACAC) Clinic Huckleberry Youth Services Larkin Street Youth Services Cole Street Clinic South of Market Health Center Glide Foundation Southeast Health Center Stop AIDS Project/Positive Living for US (PLUS) Shanti Project Dolores Street Community Services SFGH – Ward 86 Tom Waddell Urban Health Center Demonstration of any technological recruitment tools From which potential pools are you recruiting participants? How many participants in each pool are estimated to be eligible? Anywhere in the public health system that These are all of the clinics that we have contacted, make sure to group them or categorize them into reached, send us #, Integration with LINCS –main strategy All active clients Work with all data to care navigators people who are at clinics with viral load or newly dx Generating reports Working with contact specialist when these people are coming into the clinic next LINCS – work wi everybody out of care being navigated to care Referring Partners Jail Health Services (~1) ACAC Clinic (~37) St. Mary’s Medical Center (~1) Maxine Hall Health Center (~2) API Wellness (~5) UCSF 360 Clinic (~8) LINCS DPH Clinics SFGH – Ward 86 Tom Waddell Urban Health Center Castro-Mission Health Center San Francisco City Clinic

Recruitment Strategies Integrate with the LINCS to facilitate warm handoff referrals for those newly diagnosed with HIV and those out of care Cast a wide net in the public health system Institute MOUs with HIV testing and care sites Leverage HIV surveillance data-to-care opportunities Work directly with data-to-care navigators Use surveillance data to target best partnerships Activate clinical leadership Work directly with panel managers and contact specialists to identify potential participants STAY ENCOURAGED, MOTIVATED and FULL OF HOPE! (2 slides, 2 minutes) Please provide a brief description of where you are in your recruitment. Recruitment materials completed, reviewed by potential groups and/or youth advisory groups Partnerships with recruitment sites

Recruitment Challenges Creating a sense of urgency and maintaining follow-up among referral partners Expected resolution steps: IRB approval MOUs Continue to expand and create new partnerships and opportunities to network Utilize data-to-care strategies Onsite enrollment Constant communication and never-ending perseverance and determination And LOTS of smiles! What challenges have you experienced with recruitment strategies? What are your steps for overcoming your challenges. This is what we’ve done and this is what we’re doing next

Questions? Discussion.

THANK YOU! Erin Wilson Erin.Wilson@sfdph.org Sean Arayasirikul Sean.Arayasirikul@sfdph.org Dillon Trujillo dillon.trujillo@sfdph.org