Delgado Personal Health Center in New Orleans Stand-alone STD clinic Sees 40 patients/day and 9000/year Nurses have standing orders to Epi-treat patients.

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Presentation transcript:

Delgado Personal Health Center in New Orleans Stand-alone STD clinic Sees 40 patients/day and 9000/year Nurses have standing orders to Epi-treat patients who come in with symptoms based on syndromic assessment Hand-entered data extraction of information from medical records into Access database Patient information matched to Laboratory Information Management System (STARLIMS) and Medicaid Billing database (COMPASS) information Work with HIV/AIDS program to obtain results of rapid HIV tests from their database

Implementation of supplemental patient questionnaire Changes to patient exam form at clinic Cooperation from clinic staff to complete forms Obtaining results of Rapid HIV tests Missing and/or miscategorized lab information Discrepancies of information between sources Data entry errors making matching difficult Time-consuming data cleaning and matching process

Updated and implemented exam form at clinic to obtain necessary data elements Implemented supplementary form for necessary data elements Created mechanisms for obtaining information needed for required data elements and for matching information from different sources

Sampling Fraction: Population of Orleans Parish (2008)= 311,353 GC morbidity for Orleans Parish (2008)= 1242 Sample size = 240 Sampling fraction= (240/1242)*100= 19.3% Adjusted sampling fraction= 40% to account for refusals and loss-to-follow-up. Assumes estimate of 100 cases per month.

Original plan of using PRISM is on hold until fully operational Loss-to-Follow-up of patients due to missing or incorrect contact information Significant amount of OOJs due to amount of patients from surrounding parishes being seen at facilities in Orleans parish

No refusals to participate: All patients who were able to be reached by telephone completed an interview 1 st round of calls: Dataset of 53 patients for one month time period with sampling threshold of /53= No phone number listed 20/40 = Disconnected/wrong number 6/40= No answer: Attempt #1 1/40= Rescheduled 6/40= Completed interviews

Analyze data and translate knowledge gained into policies and practice supporting community-based programs that target change at multiple levels including awareness-raising strategies Expand methodology to other high-morbidity sites