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

2. 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

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

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

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

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

7. Testing Log

8. 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

9. Provider Agreements and Expectations

10. Release of Information

11. Adrianna DiStaolo Surveillance Reporting STD/HIV/TB Section

12. How can I report a case of HIV?  Our report form can be found at: http://www.health.state.mn.us/divs/idepc/dtopics/ reportable/forms/hivform.pdf http://www.health.state.mn.us/divs/idepc/dtopics/ reportable/forms/hivform.pdf  Fill out all data elements available to you  Please fax this form to 651-201-4040 for all suspect or confirmed cases  ATTN: HIV Surveillance  Any questions about report form call Adrianna at 651-201-4043 or Sue at 651-201-4006

13. Page 1

14. Page 1 Continued

15. Page 2

16. Page 2 Continued

17. Page 3

18. Page 4

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

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

21. Examples of Partner Services Interviews

22. 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

23. Contact Information  Sandy Johnson - Disease Investigator  651-201-4019

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

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

26. HIV is a reportable disease in Minnesota.

27. 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.

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

29. Complete information about HIV Test 2

31. FOR POSITIVE CASES ONLY: The mandated, name-based HIV case report can be downloaded from http://www.health.state.mn.us/hiv http://www.health.state.mn.us/hiv Include the 6-digit EvalWeb unique form ID (in the Other Locating field). Fax the form to MDH at 651-201-4040. If you have questions about completing the form, you can call Adrianna DiStaolo 651-201-4043 or Sue Bedard-Johnson 651-201-4006.

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

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

34. Pre-Loading Prevention Counseling Next steps Connection to services Support

35. Are you ready for the results of your test?

36. 1 st Alere Rapid Test: Non-Reactive Window Period Risk Reduction Plan STD/Hep Testing No INSTI Test

37. 1 st Alere Rapid Test - Reactive Antigen & Anti-Body Reactive Do INSTI Rapid Test

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

39. Antigen & Anti-Body Reactive Reactive

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

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

42. 1 st Test Antigen Only Reactive No INSTI Test Blood Draw Confirmation

43. Antigen & Anti-Body Reactive Reactive

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

45. 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.

46. 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

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

48. 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

49. Any Questions?

50. Thank you! Rapid, Rapid Point of Care Algorithm, Point of Care Testing – Peggy Darrett-Brewer, 651-201-4011, peggy.darrett-brewer@state.mn.us Surveillance Reporting – Adrianna DiStaolo, 651-201-4043, adrianna.distaolo@state.mn.us Disease Investigation – Sandy Johnson, 651-201-4019, sandy.johnson@state.mn.us Evaluation Web Reporting – Kathy Melaas, 651-201-4001, kathy.melaas@state.mn.us Giving Confirmed Positive Results – Rob Yaeger, 651-201-4046, rob.yaeger@state.mn.us http://www.health.state.mn.us/divs/idepc/diseases/hiv/grantee/index.html http://www.health.state.mn.us/divs/idepc/diseases/hiv/grantee/index.html