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Resources to Improve Private-Sector Providers Chlamydia Screening Practices Gale R Burstein, MD, MPH, FAAP Erie County Department of Health Buffalo, NY.

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Presentation on theme: "Resources to Improve Private-Sector Providers Chlamydia Screening Practices Gale R Burstein, MD, MPH, FAAP Erie County Department of Health Buffalo, NY."— Presentation transcript:

1 Resources to Improve Private-Sector Providers Chlamydia Screening Practices Gale R Burstein, MD, MPH, FAAP Erie County Department of Health Buffalo, NY

2 Outreach Strategy “If the people do not come to you, go to the people.”

3 How to find “the people”? Professional medical specialty organizations State and local chapters Medical institutions specialty departments i.e. General Hospital pediatrics department Academic institutions specialty departments i.e. University of Florida pediatrics department

4 What to do when you find them? Continuing medical educational programs Medical specialty organization and office-based presentations Consider train-the-trainer Hospital-based, grand rounds may not reach target groups Provide technical assistance, including providing tools, information, and resources

5 www.stdhivtraining.org/educ/training_module/index.html

6 www.stdhivtraining.org/educ/training_module/tools.html

7 www.mass.gov/dph/cdc/std/guidelines/chlamydia_toolkit.pdf

8 The Massachusetts Experience: Chlamydia Toolkit and Training Contents of Tool Kit: Background Chlamydia trachomatis Confidentiality/HIPAA Making your Office Teen Friendly Cultural Issues Sexual History Taking Providing Prevention Counseling Screening and Treatment Partner Management Referral resources and practice management tools www.mass.gov/dph/cdc/std/guidelines/chlamydia_toolkit.pdf

9 Toolkit: User Friendly!

10 Toolkit Content  Confidentiality and the teen friendly office Office atmosphere, plans for contact information, charting, HIPAA, billing

11 Toolkit Content Sexual history taking How to take a history, how to interview alone, reinforcing confidentiality

12 Toolkit Content  Screening and treatment guidelines Preferred testing and treatment approaches

13 Professional Medical Organizations American Academy of Pediatrics www.aap.org Society for Adolescent Medicine www.adolescenthealth.org American Medical Association www.ama-assn.org American College of Obstetricians and Gynecologists www.acog.org

14 American Academy of Pediatrics www.aap.org National pediatricians professional medical organization 60,000 members (45% <40 years old) 59 chapters in US and 7 chapters in Canada* Provide educational, advocacy, research, and networking opportunities Publish clinical guidelines and policy statements *See handouts for chapter contacts

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16 AAP Policy Statements Adolescent Assault Victim Needs: A Review of Issues and a Model Protocol. Pediatrics 1996;98:991-1001. Adolescents and HIV Infection: The Role of the Pediatrician in Prevention and Intervention. Pediatrics 2001;107:188-90. Care of the Adolescent Sexual Assault Victim. Pediatrics 2001;107:1476-1479. Condom Use by Adolescents. Pediatrics 2001;107:1463-9. Contraception and Adolescents. Pediatrics 1999;104:1161-6. HIV Screening. Pediatrics 1999;104:128. www.aappolicy.aappublications.org

17 AAP Section on Adolescent Health Tools in Development AAP Reproductive health coding/billing fact sheet AAP Brochure explaining and endorsing confidential adolescent health care Brochure and script for offices to download and modify to explain their confidentiality policies Hutchinson, et al. Changing parental opinions about teen privacy through education. Pediatrics. 2005;116:966-71. www.aap.org/sections/adol AAP Contact: Karen Smith Email: ksmith@aap.orgksmith@aap.org Phone: 1-847-434-4000

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19 www.ama-assn.org/ama/pub/category/1980.html

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21 Parent Package www.ama-assn.org/ama/pub/category/7833.html

22 American College of Obstetricians and Gynecologists www.acog.org National OBGYN professional medical organization 49,000 members 20 districts divided into 83 sections Provide educational, advocacy, research, and networking opportunities Publish clinical guidelines and policy statements

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28 More Tools

29 Adolescent and Sexual Health Specialty Organizations Guttmacher Institute www.guttmacher.org Adolescent Health Work Group www.ahwg.net American Social Health Association http://www.ashastd.org

30 The Guttmacher Institute www.guttmacher.org

31 http://www.guttmacher.org/statecenter/spibs/spib_MASS.pdf

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33 Adolescent Health Work Group Adolescent Provider Toolkit A GUIDE FOR TREATING TEEN PATIENTS The Adolescent Provider Toolkit is a collection of resources for health care providers who work with adolescents. The Toolkit incorporates adolescent health care best practices and includes resources for providers, parents, and teens. The Toolkit modules contain screening tools, brief office interventions and counseling guidelines, community resources and referrals, tip sheets for teens and parents, health education materials for teens and their adult caregivers, and literature and internet resources. www.ahwg.net

34 Adolescent Health Work Group Available Toolkits Adolescent Health Care 101: The Basics Update to Website Links in Adolescent Health Care 101 Sexual Health Body Basics Understanding Confidentiality and Minor Consent in California: An Adolescent Provider Toolkit First Revised Edition

35 www.ahwg.net/resources/toolkit.htm

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41 NYSDOH Adolescent Health Questionnaire and Provider Response Guide Provide a standardized mechanism to identify adolescents engaging in risk behaviors promote discussions between adolescents and health professionals Available in English or Spanish Lower reading level and brief (16 questions) Available at: www.urmc.rochester.edu/gchas/div/adol/leah/resources.HTM

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44 Conclusion Many available strategies, tools and resources for health departments to use to interface with private-sector providers Get the foot in the door Let’s get started!!!

45 Questions

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