1. Colleen Brody, Program Supervisor II Pristeen Rickett, Disease Intervention Specialist Elizabeth “Page” Brockwell, Service Chief

2. Surveillance Based Partner Services Surveillance Based Data to Care

5. 476 non-jail labs have been assigned 67 were not offered PS 50 accepted PS 301 declined PS 12 were unable to locate 46 are still open

6. HIV DispositionsNumber 1 - Previously Tested Positive 16 2 - Previously Negative, New Positive 2 3 - Previously Negative, Still Negative 34 4 - Previously Negative, Not Re-Tested 1 6 - Not Previously Tested, New Negative 4 8 - Test History Unknown, New Positive 1 9 - Test History Unknown, New Negative 3 10 - Test History Unknown, Not Tested Now 1 G - Insufficient Information to Begin Investigation 5 H - Unable to locate 15 J - Located/Refused Examination 5 K - Out of Jurisdiction 3 M - Notified of Exposure, Agrees to seek testing, Results Unknown 15 Q - Initial Contact Made but No Health Info Shared 5 STILL OPEN 19 Total 129

7. Developing a DIS program Staffing issues Documentation issues Database issues

8. 17 th Street Testing, Treatment & Care Cases are assigned to DIS on a rotational bases or as the clinic Officer of the Day DIS reviews the medical record DIS contacts the patient to return to clinic for results DIS discloses the results when the patient returns to the clinic An Interview is done Partner Services and Linkage to Care is offered

9. Outside Providers DIS contacts the provider DIS contacts the patient An interview is done Partner Services and Linkage to Care is offered

10. Acceptance of Partner Services Acceptance of Linkage To Care Planting the seed

11. Obtaining information from providers Confirming if the results have been disclosed Approaching someone newly diagnosed, addressing stigma, shame and fear Anonymous partners Patient insured and fearful Patient not ready

12. Created a letter for providers Enlisted help from our Medical Director and Surveillance staff Developed an Access Database Hosted various staff trainings Presentations to local planning groups, testing sites, and CBOs Creation of a Linkage to Care Network Evolution of the Outreach Team

14. The list had 1141 people! To make list more manageable, we used data to target the most impacted populations in Orange County Priority 1 – African Americans Priority 2 – Hispanic males in Santa Ana Priority 3 – Hispanic males in Anaheim This brought the number down to 418

15. Case is assigned to Outreach team Outreach staff collaborates on daily outreach assignments based on location, time, and previous relationship if applicable Outreach worker reviews referral and any previous information available Outreach worker contacts last providers and/or DIS for client information Outreach worker contacts client

16. Once a client is located the following takes place: Complete a Barriers Assessment Incentives are offered when applicable Community resources are provided as needed Motivational interviewing to ready client for care Appointment assistance provided Linkage to care referral offered Close out of client done with outcome in ARIES Database

17. Planting the seeds Increase in amount of information available Increase in amount of people being reached

18. Deciding on priorities Staffing issues Old information/no information Learning new databases Collaborating with community medical providers New collaborative role with DIS Evolution of outreach to targeted outreach No previous relationship with outreach individuals in many cases Lack of diverse resources for care

19. Communication and collaboration with Surveillance is imperative Figure out what information you need to collect Know where you will you put that information and how will it be tracked Build relationships with your community partners so that they are aware of what is going on and can inform clients Keep getting great trainings for staff to build their skills

20. Colleen Brody Program Supervisor II, Disease Investigation Unit Email: cbrody@ochca.com Telephone: 714.834.7833cbrody@ochca.com Pristeen Rickett Disease Invention Specialist, Disease Investigation Unit Email: Prickett@ochca.com Telephone: 714.834.8615Prickett@ochca.com Elizabeth “Page” Brockwell Service Chief, Case Management & Outreach Email: ebrockwell@ochca.com Telephone: 714.834.7883ebrockwell@ochca.com