1. CFP Information Call: Addressing Policy Barriers for State and Local Health Departments when Implementing the PCSI Strategy Audio Instructions: 800-273-7043, pass code: 748147

2. Welcome to the webinar Audio Instructions: 1-800-273-7043, code 748147 Please press*6 to mute your line Please do not put your phone on hold

3. Agenda for the Call Overview of NNPHI’s Cooperative Agreement and Project Opportunity Overview of Project Concept and Scope of Work CFP key items Questions & Answers

4. NNPHI’s COAG and Project Opportunity Umbrella Cooperative Agreement Leadership support for NNPHI Partnership with OSTLTS Collaboration with national partners: NPHPSP Collaboration with numerous CDC CIOs 2012 Innovations in Public Health Policy Competition Addressing Policy Barriers for State and Local Health Departments when Implementing PCSI

5. Project Concept and Scope of Work Gustavo Aquino Associate Director for Program Integration National Center for HIV, Hepatitis, STD and TB Prevention, CDC

6. Project Concept Program Collaboration and Service Integration (PCSI) is a cross cutting goal of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) to strengthen collaborative work across disease areas and integrate services that are provided by related programs. As the PCSI strategy is being implemented by state and local health departments, various policy challenges are being encountered.

7. Project Scope of Work Developing a national inventory of public health laws and policies by jurisdiction that effects the delivery of holistic, integrated prevention services. Examples Public Health Reporting Permissible Disclosure Data Confidentiality Protecting Public Health Policies on surveillance data use and data security and confidentiality Compatibility of state law/policy with recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea, and Chlamydial Infection

8. Project Scope of Work Developing a summary by jurisdiction that highlights strategies, recommendations and best practices that were used to address these specific public health laws and policies (e.g. legal changes or policy changes).

9. Local Example Assessing the legal challenges of data sharing across HIV, TB, STD and viral hepatitis within the NYC Department of Health and Mental Hygiene (DOHMH) Jennifer Fuld PCSI Coordinator Division of Disease Control New York City Department of Health and Mental Hygiene

10. Current NYC PCSI Initiative 3 year CDC funded demonstration grant Year 1: Oct 2010 – Sept 2011 Conducted Needs Assessment –Reviewed epi data –Interviewed DOHMH staff –Interviewed community providers Formed PCSI committees Developed PCSI Plan Years 2 & 3: Oct 2011 – Sept 2013 Implement PCSI Plan –Data Sharing –Training/Education –Service Integration Build internal partners & external stakeholders Evaluate activities Years 4+: Oct 2013 onwards Ensure sustainability of internal collaborations Build on & continue PCSI activities

11. NYC Commissioner of Health Division of Disease Control General Counsel Division of Health Care Access and Improvement OVHC Public Health Lab Bureau of Communicable Disease Bureau of TB Bureau of STD Bureau of HIV Bureau of Immunization Confidentiality Officer/Chief Privacy Officer Correctional Health Viral hepatitis surveillance Surveillance of other infectious diseases Hepatitis A and B Vaccines Perinatal Hepatitis B Program Adult Immunization Coalition Hepatitis C testing Hepatitis A, B and C training Hepatitis B and C Community Task Forces HIV surveillance HIV Testing Care and tx Field services Prevention HIV training center PPG, Planning council STD surveillance Public STD clinics – STD and HIV testing Care and tx Field services STD HIV Prevention Training Center Syphilis Action Group Division of Mental Hygiene Bureau of Drug and Alcohol Prevention, Care and Treatment PCIP Division of Informatics TB surveillance TB testing TB care and case management Field services HIV testing Hep testing for active cases *Partial NYC DOHMH org chart highlighting current PCSI PCSI

12. PCSI Data Sharing To link/match records from disease surveillance registries to conduct retrospective epidemiologic analyses (de-identified aggregate data) To share identifying information about individual cases, or person-level surveillance data, across programs for case management – Co-infection information at person level – Locating information – Demographics – Risk factors

13. Disease First NY SurveillanceState LawDate of Passage AmendedNYC LawDate of Passage Amended TB1897Pub. Health Law § 2221 19531956Health Code § 11.21 19911993, 2008, 2010 Viral Hepatitis 1952Pub. Health Law § 18 (General provision) 19861987, 1990, 1991, 1992, 1998, 1999, 2004, 2010 Health Code § 11.11 19911993, 2008 STDs1912Pub. Health Law § 2306 19801992, 2010Health Code § 11.11 19911993, 2008 HIV/AIDS1989Pub. Health Law § 2135 19982010N/A New York State and City Confidentiality Laws

14. Developed out of PCSI needs assessment – Staff need clarification on current laws and policies – Distinguish state and local law—statutes, regulations and rules from internal DOHMH policies regarding use of surveillance data – Identify issues of access vs. use – Provide opportunity for discussion to increase data sharing Limited to – PCSI diseases HIV/AIDS, STD (syphilis, chlamydia, gonorrhea) TB, hepatitis B & C – Surveillance data – Sharing internally (within DOHMH) Project Background

15. Scope of Project Collaboration with NYC DOHMH Chief Privacy Officer/General Counsel Identify data sharing needs within DOHMH PCSI programs Review history of laws and regulations Analyze current NYS and NYC laws and impact on data sharing Recommend changes to increase data sharing Serve as a springboard for data sharing conversations across programs

16. The CFP: Key Items Up to $115,500 is available for the project and the project period is September 1,2012-May 31,2013 Proposals are due by close of business (Central Time), August 24 th, 2012 All questions should be directed to Tiffanie Sherrer at tsherrer@nnphi.org. Please do not contact CDC staff directly. The selected NNPHI member will be notified by the end of August PHIs with experience in law and policy analysis related to permissible disclosure, data confidentiality and reportable disease are strongly encouraged to apply

17. Please visit the “Funding Opportunities” page of the NNPHI website Tiffanie Sherrer tsherrer@nnphi.org Questions?