Transition to the New CDC Recommendations: Putting it into Practice Shelley Miller, MS TRAINING 3, Family Planning Council June 14, 2007 OPA HIV Grantee.

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Presentation transcript:

Transition to the New CDC Recommendations: Putting it into Practice Shelley Miller, MS TRAINING 3, Family Planning Council June 14, 2007 OPA HIV Grantee Meeting

There is no one right way …

Integration … by a Nurse Practitioner Georgetown, DE : Rural State Health Department Clinic flow … clients in/out within 1 hour (family planning visit, including Rapid HIV testing) HIV is just part of the comprehensive visit and risk assessment Approximately ½ of all clients test

Integration: By an Agency Baltimore Maryland, Baltimore City Health Department: Health Teen and Young Adult Program Commitment to staff training HIV Testing Consent form sits at reception along with medical history and other required forms Expectation that clients will test, conventional or Rapid From 4/1/06 – 3/31/07 there were 2150 clients seen, and 1431 HIV tests performed (66%)

Integration: By a Grantee Philadelphia, PA Family Planning Council, Inc. (FPC) 27 provider agencies, with a total of 83 health centers Agencies receive on-going data on their testing numbers, and will be audited at time of site visits.

FPC Developed a Policy which includes the following language: (pending Board approval) “ Voluntary and confidential HIV Testing is an integral part of family planning services: therefore, all family planning sites must be equipped to provide routine on-site confidential testing, education/counseling, and referral … In addition, screening for HIV infection must be offered routinely to all patients minimally once a year.”

Some Tips: –“Triage” high-risk clients for more extensive counseling –Use open-ended questions to access the client’s knowledge –Perform all blood work simultaneously in order to prevent unnecessary needle sticks –If performing rapid testing, let test process while physical exam is being given –Cross train staff

More tips … –Eliminate staff biases: around age, race, gender and sexual orientation –Know your state laws, and be creative –Revise agency policies and procedures to reflect –Create a culture where there is an expectations for testing. Look at theories around organizational change

Utilize your Regional Training Centers For Technical Assistance Training Support Collaborations with AIDS ETC’s and STD/HIV Prevention Training Centers

WE CAN DO IT! Thank you …