North Carolina State Bridge Counselor Dee Simmons Public Health Advisor
SBC & spbc State Bridge Counselor (6) Special Populations Bridge Counselor (3)
What do we do ? Assist in linking newly diagnosed clients into care Locate, re-engage and link out of care /lost to care clients Identify and address client barriers to care Verify Care Status Make appropriate client referrals
Referral Process North Carolina Electronic Disease Surveillance System (NCEDSS) Referrals from Disease Intervention Specialist (DIS) Referrals from SPBC Prison Releasee Referrals from SBC Regions / SBC Transfer
Referral Process CAREWare Referrals from ID Providers / Network of Care Referrals from CAREWare Providers
Referral process NC ECHO (North Carolina Engagement in Care Database for HIV Outreach) 8,778 client records (Out of Care) Ehars (Enhanced HIV/AIDS Reporting System) HMAP (HIV Medication Assistance Program) formerly ADAP Medicaid NCEDSS CAREWare
Barriers to care Stigma Transportation Fear Lack of Support/Family Care Denial/Depression No Insurance/Under Insured Poverty Concern about side effects of medication Job Conflict/Time off Work Inconveniently located medical services Substance Abuse Mental Health Unstable Housing Conflicting Urgencies
QUESTIONS ?
Dee Simmons CDC Public Health Advisor Division of Public Health, Communicable Disease Branch North Carolina Department of Health and Human Service 919-755-3142 office line (direct) 919-733-2030, ext. 3142 office demeatrice.simmons@dhhs.nc.gov