1. ORAQUICK RAPID HIV TEST Medical Center of Louisiana Cynthia Eicher, MHS MT(ASCP)SBB Denise Friloux, RN, BSN, CIC

2. Getting Started: Who was at the table: Laboratory Leadership Registration IT Patient Billing Emergency Room Leadership (RN and MD) HOP clinic leadership Infection Control

3. Timeline Pre implementation Meetings – Nov 2007 Planning Meetings Nov- January 2007 Kick Off – 02/12/07 in ED Biweekly check in meetings for refinement Modifications – oral fluid specimens added 4/16/08 Overall – 3 months from contemplation to implementation

4. ED Approach Promoted at triage Collected in the E.D. Processed in the Blood Bank Posted in CLIQ Results delivered and need for f/u with Western Blot if initial oral fluid positive Infection Control f/u with WB results counseling

5. HOP clinic Significant others only Clinician offers Quick registration process Health educators perform the test If positive, Western Blot drawn and sent to the lab Infection Control f/u with WB results counseling

6. Considerations Laboratory oversight Training and education of staff Notification of results and follow up Patient referral information Oversight of quality

7. QuarterConfirmed Reactive % PosBloodOral Fluid Total ORAQs Initial Reactive % Pos 02/12/08- 03/31/0872.59270 82.97 04/01/08- 06/30/08402.33301411*1741543.10 Total472.3460014112011623.08 *oral fluid specimens began 04/16/08 Statistics

8. Feb. 12 – June 30 2008 TOTALS # Patients Notified of Western Blot (WB) result 51 # Patients With Confirmed Positive 47 # New Diagnosis31 (66%) % Confirmed Patients Notified 84% (44/47) # Evidence of follow-up care 37 (28 MCL + 9 Other) No evidence of follow- up care7 INFECTION PREVENTION & CONTROL STATS: PATIENT FOLLOW-UP STATUS

9. Successes MCL has higher seropositivity (2.34%) than any other OPH-sponsored testing site (highest 1.5%) and all other HIV testing sites (overall.91%) in the metropolitan area. We are offering a service to our patients and helping people with HIV get into care.

10. Acknowledgments Louisiana Office of Public Health HIV/AIDS Program – CDC funded: Fall 2007 for 3 years Blood Bank staff Infection Control Staff Lab Core Group staff Emergency and HOP staff MCL and HQ Registration staff MCL and HQ IT staff Michael Heath – OraSure Technologies

11. GET TESTED!!!