1. Using HIV Laboratory Data in Michigan Elizabeth Hamilton, PhD, MPH CSTE HIV Surveillance Coordinator’s Workshop June 3, 2012 Omaha, NE

2.  How we manage and use HIV laboratory data  Enahanced Linkage to Care Analysis  Demo of Michigan’s HIV Laboratory Management System (LMS) Outline

3.  Electronic  HL7 (imported every 30 mins)  Other formats (.csv,.txt)  Manually uploaded, ~1/week  Paper  Entered directly into LMS HIV Lab Management

5.  Unmet Need Analyses  Use of genotypes to detect actively transmitting clusters to enhance or direct PS  Enhanced Linkage to Care  Future – assessing community viral load Uses of HIV Laboratory Data

6.  Requested by our Prevention Partners to verify their CTS data  1 st and 2 nd visit  Median VL at 1 st visit  By care facility  Demographic Characteristics  Similar to CDC NHAS Indicator Analysis Enhanced Linkage to Care

10. CDC/MDCH Methodology Comparison  Same test types/LOINC codes  eHARS status flag  CDC – A & M  MDCH – A & W  Variable completion  CDC – drops those with missing result  MDCH – eHARS workaround for entering undet. VL on CRF results in a missing result

11. Elizabeth Hamilton, PhD, MPH HIV Epidemiologist & Manager HIV Surveillance & Body Art Facility Licensing Unit hamiltone2@michigan.gov 517/335-8247 http://beta.mihealth.org/hivlms/home?iv- user=hamiltone2 Michigan’s LMS