LinkedIn




Hot Topics


NYC Health: How to Obtain Zika Virus Testing at the NYC Public Health Laboratory (2-12-2016)

Posted February 12, 2016

2016 DOHMH Advisory #4: How to Obtain Zika Virus Testing at the New York City Public Health Laboratory

Please share with your colleagues in Obstetrics/Gynecology, Maternal/Fetal Medicine, Internal Medicine, Family Medicine, Emergency Medicine, Urgent Care, Pediatrics, Neonatology, Infectious Disease, and Neurology.

  • The guidance below only applies for residents of New York City (NYC).
  • Providers do not need pre-approval from the NYC Health Department to test NYC residents for Zika virus who are:
    • Pregnant women who traveled to an area with Zika virus transmission* during their pregnancy
    • Non-pregnant persons who developed Zika compatible symptoms within 4 weeks of travel to an area with Zika virus transmission*
  • Providers can submit specimens directly to the NYC Public Health Laboratory for patients who meet testing criteria. Submitters must follow the attached laboratory guidelines (See the Zika Virus Provider page at http://www1.nyc.gov/site/doh/providers/reporting-and-services.page)
  • Providers should continue to call the Health Department through the Provider Access Line (1-866-692-3641) to report NYC patients who meet the following criteria:
    • Microcephaly or intracranial calcifications diagnosed prenatally or at birth if the mother traveled to an area with Zika virus transmission* while pregnant
    • Persons with Guillain-Barré syndrome who recently traveled to an area with Zika virus transmission*
  • Providers who are unable to arrange testing and specimen transport through their affiliated hospital laboratories can call the Provider Access Line for assistance with specimen transport during business hours

To read the NYC DOHMH Dear Colleague Letter, please click here.

NYS Zika Virus Information Line: 1-888-364-4723

 

^ Return to Top


HepCure: Free Hepatitis C App Available for Patients and Providers to Connect and Cure (2-12-2016)

Posted February 12, 2016

The Centers for Disease Control and Prevention estimate that more than half of all people living with hepatitis C in the U.S. are unaware of their infection and only 9% have been successfully treated and cured, despite the availability of well-tolerated curative treatments for the past several years…The HepCure initiative aims to expand the number of health care providers treating HCV infection, improve provider knowledge of HCV disease management, enhance patient engagement in the HCV treatment process, and improve the quality and outcome of HCV treatment. [READ MORE]

 

^ Return to Top


Despite Progress, Persistent Disparities Prolong HIV Epidemic Among African Americans (2-12-2016)

Posted February 12, 2016

“African Americans living with HIV are less likely than white or Latino Americans to receive consistent, ongoing medical care, according to a new Centers for Disease Control and Prevention (CDC) report published today in Morbidity and Mortality Weekly Report (MMWR). Despite the promising sign of declining HIV diagnoses over the past decade, these findings demonstrate yet another persistent disparity that prolongs the epidemic among African Americans.”

For more information, view the CDC press release.

 

^ Return to Top


Johns Hopkins Approved to Perform First HIV-Positive to HIV-Positive Organ Transplants in U.S. (2-9-2016)

Posted February 9, 2016

http://www.hopkinsmedicine.org/news/media/releases/johns_hopkins_is_first_and_only_center_in_the_united_states_approved_for_hiv_positive_to_hiv_positive_organ_transplants

Additional Resources:

 

^ Return to Top


NYS Clinical Education: New Learning Module, This Month in HIV & Clinical Update (2-9-2016)

Posted February 9, 2016

New Learning Module

The Clinical Education Initiative is pleased to announce the availability of a new learning module.

February – This Month in HIV Webinar: Providers, Patients, and Pain: Assessing Pain Management in the Patient with HIV

Wednesday, February 17, 2016
12:00pm-1:00pm
Speaker: Karina Gritsenko, MD

Learning objectives:

  1. Describe the occurrence and severity of pain in patients with HIV/AIDS
  2. Discuss physiological and psychological consequences of HIV/AIDS and antiretroviral therapy
  3. Review various analgesics that may show efficacy in managing pain in patients with HIV/AIDS

Registration is required to view this webinar. To register, please visit http://thismonthinhiv-painmanagement.eventzilla.net/

Clinical Update for the Primary Care Provider

Thursday, March 31, 2016
Amsterdam, NY
9:00am – 12:00pm
St. Mary’s Healthcare, Amsterdam
Carondelet Pavilion Auditorium
380 Guy Park Ave. Amsterdam, New York 12010

This free event will focus on the current epidemiological trends, updates on prevention and care best practices, and NYSDOH guidance on HIV & HCV, as well as therapeutic regimens and monitoring plans.

On-line registration is required as space will be limited. To register, please visit http://updateonprephepatitisc.eventzilla.net/

 

^ Return to Top


An Update from HEALTHQUAL International (2-8-2016)

Posted February 8, 2016

Namibia’s Inaugural Consumer Training on Quality

Introducing Zimbabwe’s Quality Management Program Guide

A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa. [PubMed]

 

^ Return to Top


FDA Hepatitis Update: Changes to the Daklinza (daclatasvir) label expand indication (2-5-2016)

Posted February 5, 2016

On February 5, 2016, FDA approved changes to the DAKLINZA (daclatasvir) label to expand the indication to include HCV genotype 1 infection and expand dosage recommendations to the following populations and to revise dosage recommendations for HCV genotype 3 subjects with compensated (Child-Pugh A) cirrhosis:

  • HCV genotype 1 and 3 subjects co-infected with HIV-1
  • HCV genotype 1 and 3 post-transplant subjects
  • HCV genotype 1 subjects with compensated (Child-Pugh A) cirrhosis and decompensated (Child-Pugh B or C) cirrhosis
  • HCV genotype 3 subjects with decompensated (Child-Pugh B or C) cirrhosis

Additionally, drug-drug interaction data regarding DAKLINZA coadministration with buprenorphine/naloxone, darunavir/ritonavir, dolutegravir, or lopinavir/ritonavir were included in the label.

To read the complete FDA Hepatitis Update, please visit http://content.govdelivery.com/accounts/USFDA/bulletins/134cc5e

 

^ Return to Top


Register for the Voluntary NYS HCV Provider Directory (2-5-2016)

Posted February 5, 2016

The AIDS Institute Viral Hepatitis Section is excited to announce the launch of the NYS HCV Provider Directory. The purpose of the directory is to provide the public and other providers with a listing of HCV care and treatment providers within the State. The directory is an expansion of the existing HIV Provider Directory re-launched last year by the AIDS Institute.

Participation in this directory is voluntary. The information is compiled through provider self-identification, and includes physicians, nurse practitioners, physician assistants, and doctors of osteopathic medicine with the experience in HCV care and treatment and who meet the NYSDOH definition of an experienced HCV provider.

 

^ Return to Top


NYC Health: Testing and Reporting Persons with Possible Zika Virus Infection (2-5-2016)

Posted February 5, 2016

2016 DOHMH Advisory #3: Testing and Reporting Persons with Possible Zika Virus Infection

Please share with your colleagues in Obstetrics/Gynecology, Internal Medicine, Family Medicine, Emergency Medicine, Urgent Care, Pediatrics, Infectious Disease, and Neurology:

  • Health care providers should offer laboratory testing for Zika virus to:
    • All persons who develop compatible symptoms during or within 2 weeks of travel to an area with Zika virus transmission.
    • Pregnant women who traveled to an area with Zika virus transmission while pregnant.
    • Neonates with microcephaly or intracranial calcifications born to women who traveled to an area with Zika virus transmission while pregnant.
    • All persons who traveled to an area with Zika virus transmission who present with Guillian-Barré syndrome.
  • Providers should report to the New York City Health Department (1-866-692-3641) all cases of microcephaly or intracranial calcifications diagnosed prenatally or at birth whose mothers traveled to an area with Zika virus transmission while pregnant.
  • Providers should refer to the guidance below to collect and submit specimens to the New York City Public Health Laboratory for testing.

To read the NYC DOHMH Dear Colleague Letter, please click here.

NYS Zika Virus Information Line: 1-888-364-4723

 

^ Return to Top


HIV Training NY: AIDS Institute's Peer Worker Certification Process Begins February 18 (2-5-2016)

Posted February 5, 2016

AIDS Institute to Begin Accepting Applications for Peer Certification on February 18

The AIDS Institute is pleased to announce that beginning February 18, 2016, eligible individuals may begin the application process for becoming recognized as an AIDS Institute Certified Peer Worker.

The requirements for achieving certification are as follows:

  • Direct lived experience of HIV, HCV, or accessing harm reduction services
  • Complete foundational training or submit a personal experience statement
  • Complete 90 hours of training from the AIDS Institute Peer Worker Course Catalog
  • Agree to abide by the AIDS Institute Peer Worker Code of Ethics
  • Successfully complete 500 hours of practicum or work experience delivering peer services
  • Submit a supervisor’s practicum/work experience evaluation form
  • Pass a knowledge test

To assist prospective certified Peer Workers with understanding the process and requirements for certification and to demonstrate how to begin an application, the AIDS Institute is offering a webinar as follows:

Title: Webinar: Overview of AIDS Institute Peer Worker Certification: Process, Requirements and Application.

Date: Thursday, February 18th, noon to 1:30 pm with ample time for Q&A.

A complete description of the webinar can be found below. Individuals seeking certification, as well as their supervisors, are strongly encouraged to attend this webinar.

Link to register for the webinar: http://hivtrainingny.org/Account/LogOn?crs=1788

Information about the AIDS Institute’s Peer Certification Initiative is available at: http://hivtrainingny.org/Home/PeerCertification

Individuals may visit this site to begin their application for certification on or after February 18th.

__________________________________________________________________________

To register for any course, click on the appropriate registration link and enter your account log-in information.If you do not have an account with hivtrainingny.org, you will need to sign up for one prior to registering for a course. For help in registering, please contact the NYSDOH AIDS Institute’s HIV Education and Training Program at (518) 474-3045.

 

^ Return to Top


HIV Training NY: Connect your Clients to Care with New Linkage and Retention Cards (2-4-2016)

Posted February 4, 2016

Linkage and retention cards: A new outreach tool for non-physician HIV providers

Linking HIV-positive patients to care and keeping them in care are key elements of New York State’s Ending the Epidemic campaign. If you’re a non-physician HIV services provider involved in this process, the New York State Department of Health AIDS Institute (AI) has new tools for you.

The AI has just developed a series of “linkage and retention” cards designed to help outreach workers, case managers, and peer workers get HIV-positive clients into their first health care appointment – or retain clients in care by helping them keep their appointments.

Why Get Into HIV Care? This card uses simple language to explain the importance of getting into care immediately after diagnosis and the benefits of care. It includes spaces to write in details about the first health care appointment. There’s also a generic version, Why Get into Health Care?, which omits any reference to HIV for clients who may be concerned about carrying paperwork that refers specifically to HIV.

Why Stay in HIV Care? This card is designed for HIV-positive clients who have missed appointments or dropped out of care. It emphasizes the effectiveness of HIV antiretroviral treatment and the importance of staying in care. The card also includes spaces to write in details about appointments. The generic version, Why Stay in Health Care?, again omits any reference to HIV for clients who may be concerned about carrying paperwork that refers specifically to HIV.

The 5″ x 9″ cards are printed in tear-off pads of 50 each, with a Spanish translation on the reverse side of each card. The pads can be ordered from the NYSDOH website at: https://www.health.ny.gov/diseases/aids/general/publications/index.htm. They also can be downloaded as PDFs from the website.

 

^ Return to Top


NYS Zika Virus Information Line: 1-888-364-4723 (2-3-2016)

Posted February, 3, 2016

This is the NYS Zika virus information line which is available from 9:00 am to 6:00 pm ET.

 

^ Return to Top


HIV Training NY: New Webinar: Take a Holistic Approach to Working with Drug Users (2-3-2016)

Posted February 3, 2016

New Webcast Focuses on Holistic Care for Drug Users

Drug users are not a “one-size-fit-all” group – they need different types of support services to inject safely or to quit using entirely and regain their health. A new AIDS Institute webinar, Drug User Health: Caring for the Whole Person, recognizes the need for this holistic approach.

The webcast is organized into four easy-to-watch segments that explore key concepts and best practices for promoting the health and well-being of people who use drugs.

Segment One: Reviews trends in substance use in New York State and defines the term drug user health (46 mins.).

Segment Two: In their own voices, drug users describe their personal experiences and the commitment it takes maintain their own health (24 mins.).

Segment Three: Explores best practices for providing services that will engage and retain drug users in care (47 mins.).

Segment Four: Provides information on the AIDS Institute’s new Center of Expertise in Drug User Health and Opioid Overdose Prevention. It also includes a new video on Safer Injection Practices (29 mins.).

The program features a nationally recognized panel of experts from the Harm Reduction Coalition, START Treatment and Recovery Centers, the AIDS Institute, and the Whitney Young Health Center in Albany.

You can view the webcast at any time. Just click on the link below and log into your HIV Training NY account:

http://hivtrainingny.org/Account/LogOn?crs=1780

 

^ Return to Top


CDC Advisory: Flu Season Begins: Severe Influenza Illness Reported (2-1-2016)

Posted February 1, 2016

The CDC has released an HAN regarding the 2015-16 influenza season. Attached to the HAN is guidance on influenza antiviral use by the NYC Department of Health and Mental Hygiene. Click here to download the HAN.

For more information on influenza, see:

http://www1.nyc.gov/site/doh/health/health-topics/flu-seasonal.page

http://www.cdc.gov/flu/

 

^ Return to Top


NQC e-Newsletter: Take the QI Challenge! (2-1-2016)

Posted February 1, 2016

Last month, we announced the NQC Quality Challenge. In the coming weeks, you will receive the Quality Challenge poster in the mail to get your staff involved in examining your CQM program and to link you to NQC resources pertinent to the topics on the poster. Once you have taken the Challenge, NQC encourages you to take a picture with your staff and send it in. We will post it to the Follow the Leaders section [EC1] of the website and send you a “web badge” that you can display on the home page of your website.

Take the Challenge!

> NQC Offering | Take the NQC QI Challenge

The National Quality Center (NQC) launches the QI Challenge, a fun Ryan White HIV/AIDS Program-wide quality improvement event. It’s a 10-step questionnaire covering top quality-related activities to improve HIV care. The QI Challenge will have something for everyone: recipients, providers, consumers, and HAB Project Officers. Posters with the questionnaire are being sent to your facility and are also available to be downloaded online. There will be a photo component tie-in, leaderboard, web badge for the finishers, and a dedicated #QIChallenge hash tag to talk about it. Helpful resources are provided.

If you’re a recipient or provider, assemble your team and take the questionnaire challenge. If you’re a Project Officer, see how many recipients you can get to step up to the challenge. Consumers-ask your physician, “What is the one thing I could be doing to improve the quality of my care?”

When competition = better patient health, don’t sit on the sidelines. What are you waiting for?

Already taken the challenge? Time for your bragging rights: don’t forget to submit a picture with your team with the completion poster and get a free QI IQ web badge and your photo on the QI Challenge leaderboard. #QI Challenge.

Send in your team pictures to QIChallenge@nationalqualitycenter.org

To lean more or access the QI Challenge resources | nationalqualitycenter.org/QIChallenge

> NQC Update | Impact Report on NQC-sponsored Advanced Quality Improvement Trainings

The NQC regularly offers quality improvement trainings to build capacity within the Ryan White HIV/AIDS Program (RWHAP) community. The four advanced trainings include: Training-of-Trainers (TOT), Training of Quality Leaders (TQL), Training on Coaching Basics (TCB), and Training of Consumers on Quality (TCQ). Each is designed for a specific audience-quality managers, trainers, and consumers.

Over the last year, NQC’s external evaluator, JSI, Inc., worked on an impact report to highlight their findings after extensively assessing all of NQC’s advanced trainings. In summary, these trainings:

  • Offer interactive face-to-face learning opportunities to promote peer learning and exchange of best practices across geographic regions and funding silos, and to jointly meet RWHAP CQM expectations;
  • Over 60% of all currently funded RWHAP recipients (353 out of 587) from 46 U.S. states and territories participated in at least one NQC advanced QI training; and
  • The majority of respondents (96%, n=905) reported that their most recent NQC training somewhat or significantly increased their knowledge and/or skills and 93% (n=827) reported that their most recent NQC training prepared them to facilitate or coach QI initiatives at their organization.

The NQC is extremely proud of the number of participants we have reached over the years and their response to these trainings.

Training-of-Trainers (TOT)

  • Seventeen (17) training sessions held between 2007 and 2015 were attended by 560 participants, with 96% (n=343)% of participants reporting that they felt ready to plan and facilitate a QI workshop after TOT completion. Graduates reported leading 520 workshops to more than 6,500 attendees.

Training of Quality Leaders (TQL)

  • Ten (10) trainings held between 2009 and 2015 were attended by 360 participants, with 96% reporting an increase in knowledge/skills. TQL participants reported an increase in their readiness to actively lead a quality effort at their organization (from 83% (n=294) to 95% (n=320)) and conduct an organizational assessment (from 76% (n=272) to 94% (n=316)) over the three day training.

Training on Coaching Basics (TCB)

  • Eight (8) trainings held since 2010 were attended by 217 participants, with 99% reporting an increase in knowledge/skills. TCB participants who agreed/strongly agreed that they were ready to coach increased from 71% (n=65) to 90% (n=74) from the first day to the completion of the third day.

Training of Consumers on Quality (TCQ)

  • Ten (10) trainings held since 2012 have reached 183 participants from 15 states, with 87% reporting that they felt capable of being QI consumer champions.

To learn more and access the detailed NQC impact report | Click here

> NQC Announcement | The 2016 NQC Quality Awards

Do you know of a person or organization that should be recognized for their quality-related work? Perhaps your own program has some impressive accomplishments. During the month of February, NQC will be announcing the opening of the 2016 Quality of Care Award application period. Please watch for the Special Announcement that will be sent to you this month.

To find out more about the Quality Award | nationalqualitycenter.org/QualityAwards

> Consumer Perspective | Terral Ewing

For Terral Ewing, consumer involvement is not enough. As a long-time volunteer within AIDS service organizations, in the past few years Terral has become a leader. About three years ago Terral was on the board of directors of the Minnkota Health Project in Moorhead, MN . When the executive director left the organization, Terral stepped in to the leadership role. Minnkota is an all-volunteer/peer organizations serving people with HIV/AIDS, their partners and families who live in the 76 counties in greater Minnesota and North Dakota. Programs include individual counseling, support groups, social activities, advocacy, food distribution, and speakers’ bureau.

Terral is passionate about the provision of HIV services in rural areas and Minnkota works to deliver support services to people living with HIV who may feel isolated and stigmatized in small communities. He is also on the consumer advisory committee of Minnesota’s Rural AIDS Action Network and is a long-time volunteer and current board member of Camp Benedict, a family camp for those infected and affected by HIV. The camp primarily serves families in Minnesota, offering support and education as well as activities like horseback riding and crafts.

“The camp was started 21 years ago by my dear friend Connie Statz, who as a person living with HIV felt isolated in her small town,” says Terral. “It is a chance for people to come together and forget about challenges and stigma. When people arrive at camp everyone is a stranger but they leave as a family.”

Unlike many of the consumers he works with, Terral has access to transportation that allows him to serve as member of the Minnesota Council for HIV/AIDS Care and Prevention and on the consumer advisory board for the Minnesota Department of Human Services, Program HH (Part B).

“There are still challenges in terms of how services are delivered in rural areas,” says Terral. “More voices from rural areas are necessary.”

Terral participated in an NQC’s Training of Consumers on Quality in Minnesota this past August. It helped him hone his communication skills in terms of how to raise issues and also to define some of the terminology used in planning activities so he could better participate in discussions. But it also reinforced something Terral has observed in recent years.

“Newly diagnosed people seem less inclined to become involved in HIV organizations. But also, some long-time diagnosed people no longer want to be involved. We have support groups where newly diagnosed people show up and there is no one else there to provide their wisdom,” says Terral. “People need to stay involved. Otherwise, we will have to start at the beginning and fight the same old battles.”

> National TA Webinar | Consumer and Provider Shared Decision-Making in Health Care February 18th @ 3:00pm

This webinar will focus on how providers can support patient self-management. By attending this webinar you will have a better understanding of:

  • What patient self-management provides from a recipient standpoint
  • How providers can support patient self-management, patient
  • Hear examples of patient-centered care and consumer involvement and learn how providers can support People Living with HIV/AIDS
  • Where to access resources on patient self-management, patient-centered care and consumer involvement

——————————————————-
Meeting information
——————————————————-
Topic: Consumer and ProviderShared Decision-Making in Health Care
Date: Thursday, February 18, 2016
Time: 3:00 pm, Eastern Standard Time (New York, GMT-05:00)
Meeting Number: 643 112 897
Meeting Password: nqctacall123

——————————————————-
To start or join the online meeting
——————————————————-
Go to https://meetny.webex.com/meetny/j.php?MTID=mf9217fb38e6b3aa0c9e81e3a3b44c572

——————————————————-
Audio conference information
——————————————————-

  1. Provide your number when you join the meeting to receive a call back. Alternatively, you can call one of the following numbers:
    Local: 1-518-549-0500
    Toll Free: 1-844-633-8697
    Alternate Toll Free – (For callers not able to call the 844 Toll Free Number): 1-866-776-3553
  2. Follow the instructions that you hear on the phone.
    Cisco Unified MeetingPlace meeting ID: 643 112 897

Your HOST Profile and PIN information can be located by logging into https://meetny.webex.com

  1. Click on My Webex (top menu)
  2. Click on Personal Conference (left menu)
    Your profile number should be visible on this screen. If you don’t recall your PIN, you can re-establish one on this screen

To add this meeting to your calendar program (for example Microsoft Outlook), click this link: https://meetny.webex.com/meetny/j.php?MTID=m62567dbc00cfcd1cc62e0a4f2ce47ea2

To learn more | nationalqualitycenter.org/tawebinar

 

^ Return to Top


FDA Approves Zepatier for Treatment of Chronic Hepatitis C Genotypes 1 and 4 (1-28-2016)

Posted January 28, 2016

The U.S. Food and Drug Administration approved Zepatier (elbasvir and grazoprevir) with or without ribavirin for the treatment of chronic hepatitis C virus (HCV) genotypes 1 and 4 infections in adult patients.

View FDA Press Release

 

^ Return to Top


NYS Medicaid Update: January (1-28-2016)

Posted January 28, 2016

Dear Medicaid Provider,

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the January 2016 Medicaid Update.

Please click the link below to download the current edition.

http://www.health.ny.gov/health_care/medicaid/program/update/2016/jan16_mu.pdf (PDF)

To see a list of all of the DOH Medicaid Updates, please visit http://www.health.ny.gov/health_care/medicaid/program/update/main.htm

 

^ Return to Top


Updated HHS Adult and Adolescent Antiretroviral Treatment Guidelines Released (1-28-2016)

Posted January 28, 2016

The HHS Panel on Antiretroviral Guidelines for Adults and Adolescents announces the release of the updated Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. Key updates to the guidelines are largely based on findings from the START and TEMPRANO trials demonstrating the clinical benefits of early initiation of antiretroviral therapy (ART) (i.e., pre-treatment CD4 count threshold >500 cells/mm3).

Key guideline updates include the following:

  • Based on the START and TEMPRANO findings, the Panel has increased the strength and evidence rating for the recommendation on initiating ART to AI for all HIV-infected patients, regardless of CD4 count.
  • Although adolescents were not included in the START or TEMPRANO studies, based on the expectation that adolescents will derive benefits from ART similar to those observed in adult trial participants, the Panel’s recommendation to treat all HIV patients includes adolescents.
  • Given the recommendation to treat all patients, the Panel has increased emphasis on treating older adults and those diagnosed with acute and recent infection.
  • In November 2015, the Panel added elvitegravir/cobicistat/tenofovir alafenamide/emtricitabine for patients with estimated creatinine clearance ≥30 mL/min (AI) as a recommended regimen for initial therapy. Detailed discussion regarding this regimen will appear in the next revision of the guidelines.

For a complete preview of key updates to the guidelines, please see What’s New in the Guidelines. Additions and revisions are also highlighted in yellow throughout the text and tables of the PDF version of the guidelines.

To view or download the guidelines, go to the Adult and Adolescent ARV Guidelines section of AIDSinfo. Separate PDF files of only the guideline tables or the boxed recommendations can also be downloaded from the page.

 

^ Return to Top


CDC Urges Improved Dialysis Infection Control to Stop HCV Transmission (1-27-2016)

Posted January 27, 2016

CDC Urging Dialysis Providers and Facilities to Assess and Improve Infection Control Practices to Stop Hepatitis C Virus Transmission in Patients Undergoing Hemodialysis

Summary
The Centers for Disease Control and Prevention (CDC) has received an increased number of reports of newly acquired hepatitis C virus (HCV) infection among patients undergoing hemodialysis. Infection control lapses in dialysis care could expose patients to HCV. Any case of new HCV infection in a patient undergoing hemodialysis should prompt immediate action. CDC is urging dialysis providers and facilities to:

  1. Assess current infection control practices and environmental cleaning and disinfection practices within the facility to ensure adherence to infection control standards;
  2. Address any gaps identified by the assessments;
  3. Screen patients for HCV, following CDC guidelines, to detect infections, determine treatment potential, and halt secondary transmission; and
  4. Promptly report all acute HCV infections to the state or local health department.

To read the CDC Health Advisory, please click here.

 

^ Return to Top


NYC Health: Management of Pregnant Women with Travel to Areas Affected by the Zika Virus Outbreak (1-27-2016)

Posted January 27, 2016

2016 NYC DOHMH Advisory #2: Management of Pregnant Women with Travel to Areas Affected by the Zika Virus Outbreak

Please share with your colleagues in Ob/Gyn and Family Medicine, Pediatrics, Infectious Disease, and Emergency Medicine:

  • Advise patients who are pregnant or trying to become pregnant to postpone travel to areas with ongoing Zika virus transmission.
  • Travelers should take precautions to prevent infection by avoiding mosquito bites.
  • Laboratory testing for Zika virus is indicated for pregnant women who report compatible symptoms during or within 2 weeks of travel to an affected area.
    • Testing is not indicated for asymptomatic pregnant women or other asymptomatic patients.
    • Providers MUST report suspected cases to the NYC Department of Health (DOHMH) at 1866-692-3641 BEFORE submitting specimens for Zika virus testing. DOHMH will determine whether testing is indicated and will assist with arranging testing and transportation of specimens to the laboratory.
  • Providers, especially those caring for pregnant women, should call into a Centers for Disease Control and Prevention (CDC) clinical update conference call on Tuesday, January 26 at 2pm.

To read the NYC DOHMH Dear Colleague Letter and CDC MMWR, please click here.

NYS Zika Virus Information Line: 1-888-364-4723

 

^ Return to Top


NYS Clinical Education: Clinical Update, Save the Date & New CME Courses (1-26-2016)

Posted January 26, 2016

Clinical Update in HIV Prevention, Hepatitis C, and STDs

Wednesday, April 6
7:30am-11:15am
Noyes Memorial Hospital
111 Clara Baron Street
Dansville, NY 14437

This free half-day conference will discuss current epidemiological trends, updates on prevention and care best practices, and NYSDOH guidance on HIV, HCV, and STDs.

Registration for this training is required. To register or for more information, please visit http://clinicalupdatelivingston.eventzilla.net/.

Date: 4/6/2016
Contact: Naomi Harris (naoharris@chpnet.org)
Website: http://clinicalupdatelivingston.eventzilla.net/

SAVE THE DATE! New York State 2016 Clinical Conference on HIV and HCV: Advancing Care through Knowledge, Policy, and Implementation

Friday, May 6
RIT Inn & Conference Center
5257 West Henrietta Road
Henrietta, NY 14467

This free full day conference will focus on the clinical and public health aspects of HIV and Hepatitis C. Additionally, this conference will review best practices regarding treatment and describe current prevention innovations for HIV and Hepatitis C. Please note this conference is open to New York State clinical providers including physicians, physician assistants, nurses, nurse practitioners, dentists, and pharmacists.

Registration opens February 2016!

Date: 5/6/2016
Contact: Naomi Harris (naoharris@chpnet.org)

New CME Courses

The Clinical Education Initiative is pleased to announce the availability of new CME courses. All courses are free and can be taken online at any time.

Please visit https://www.ceitraining.org/sp2/ today to sign-up for these training opportunities.

 

^ Return to Top


PrEP Educational Resources for Transgender People (1-26-2016)

Posted January 26, 2016

A free educational booklet offers information about pre-exposure prophylaxis (PrEP) specifically for transgender women. Titled “Transcending Barriers for Safer Pleasure,” the resource is launched by Project Inform and Outshine NW.

In addition, Project Inform’s current booklet “Is Taking PrEP the Right Choice for You?” has been updated to include language and information for transgender men who have sex with men.

Free copies of both publications about the HIV prevention strategy called PrEP can be downloaded online and ordered from the Project Inform website.

The Project Inform press release states, “Though not uniformly collected throughout the US, current data show high rates of HIV infection among transgender women, while other data point to a high proportion of transgender women who continue to be unaware of their current status. According to the Centers for Disease Control and Prevention (CDC), a meta-analysis of 29 published studies show that 27.7 percent of transgender women tested positive for HIV infection. One study found that 73 percent of those who tested positive did not know their status. Further, higher percentages of infection occur among transgender women of color.”

That’s why these booklets are important resources for the transgender community. As the introduction to “Transcending Barriers for Safer Pleasure” states:
We believe that everyone is beautiful and deserves to have a sex life that is loving, consensual, passionate, pleasurable and free from concern about HIV. Because of that, we want to share information with you about an HIV prevention strategy known as PrEP, or Pre-Exposure Prophylaxis. Unlike condoms, PrEP doesn’t require the cooperation of your sex partners, so it puts the control over your health in your own hands. We believe that you deserve to know the facts so you can make the most informed decision for yourself. PrEP is an exciting and effective prevention tool, though it’s not for everyone.

By the end of this book, you will:

  1. know how to find more information about PrEP;
  2. know how to find an accessible healthcare provider;
  3. know how to to ask for PrEP;
  4. know where to get support to advocate for yourself if you run into any hurdles along the way; and
  5. have a better idea whether PrEP is an HIV prevention tool you want to use.

Project Inform fights the HIV and hepatitis C epidemics by ensuring the development of treatments and a cure; Outshine NW is a nonprofit that promotes LGBTQ health and equity.

For more information about PrEP, visit Project Inform.

 

^ Return to Top


New CDC Report: HIV Infection, Risk, Prevention and Testing Behaviors Among Men Who Have Sex with Men (1-22-2016)

Posted January 22, 2016

Today, the Centers for Disease Control and Prevention (CDC) published a new surveillance special report and released an infographic with data from the National HIV Behavioral Surveillance (NHBS) system. The report summarizes findings from the fourth cycle of NHBS data collection among gay and bisexual men, and other men who have sex with men (MSM), conducted in 2014. Participants from 20 metropolitan statistical areas were tested for HIV and surveyed regarding risk behaviors, HIV testing history, and participation in HIV prevention services. This report complements national HIV case surveillance data by providing a behavioral context for trends seen in previous HIV surveillance reports. The information helps state and local health departments in areas with high HIV prevalence to monitor selected risk behaviors, HIV testing, and use of prevention programs.

Results show of the 9,640 men surveyed, almost all (94%) had been tested for HIV in their lifetime, and 71% of men had recently tested for HIV in the past 12 months—an increase from 62% in 2008 and 66% in 2011. Additionally, 1 in 5 tested positive for HIV and of those 75% reported being aware of their infection. Despite pre-vention efforts, 67% of HIV-positive aware men surveyed reported having anal sex with a male partner without using a condom during the last 12 months. However, of HIV-positive gay and bisexual men who were aware of their infection, 87% reported currently taking antiretroviral medicines, and 91% reported visiting a health care provider in the past six months. These findings may suggest that some gay and bisexual men may be relying on other prevention strategies to protect their partners, such as antiretroviral treatment.

Stopping the spread of HIV among gay and bisexual men in the United States is one of CDC’s highest prevention priorities. CDC estimates 1 in 4 sexually active gay and bisexual men would be eligible for and could benefit from pre-exposure prophylaxis (PrEP). Data in this report collected in 2014—the same year CDC issued clinical guidelines recommending the use of PrEP—shows roughly 4% of HIV-negative MSM reported taking PrEP within the past 12 months before sex to keep from getting HIV. As efforts in PrEP awareness continue to increase, self-report of PrEP uptake is also expected to rise over time. PrEP is safe and highly effective for preventing HIV infection when taken every day, and can be even more effective when combined with other prevention options.

Findings in this report underscore the importance of using effective, evidence-based prevention strategies among gay and bisexual men that include access to and use of condoms, PrEP, risk-reduction counseling, and HIV testing. CDC will continue to use NHBS data to monitor behaviors among persons at risk for HIV infection and guide prevention efforts.

 

^ Return to Top


HIV Training NY: Expand your Knowledge of Healthcare Insurance Options (1-20-2016)

Posted January 20, 2016

With so many healthcare coverage options available, how can you best advise your clients with HIV? And once enrolled, how can you help guide them through these
covered services?

Promoting Health Care Coverage for People Living with HIV/AIDS in New York State is a full-day course to help non-physician health and human service providers guide clients to a healthcare plan with the most complete coverage. The training will explain income and eligibility requirements for Medicaid, Medicare, HIV Uninsured Care Programs (ADAP), and the New York State of Health (the state’s healthcare exchange).

Participants will learn how to advise clients on paying for medical appointments, lab testing, pharmacy formulations, and specialty services — key components to improving outcomes and achieving viral suppression. The training also covers changes in employment and health coverage; “qualifying” life events like marriage or the death of a spouse; lack of access to medications, and other events that can impact client retention in care.

Date/time: Thursday, January 28; 9 am – 5 pm

Location: Hawthorne (Hudson Valley Community Services)

To register: http://www.hivtrainingny.org/Account/LogOn?crs=1639

____________________________________________________________________

Date/time: Tuesday, February 2; 9 am – 5 pm

Location: SUNY-Stony Brook (Manhattan campus)

To register: http://www.hivtrainingny.org/Account/LogOn?crs=1638
________________________________________________________________

To register for any course, click on the appropriate registration link and enter your account log-in information.If you do not have an account with hivtrainingny.org, you will need to sign up for one prior to registering for a course. For help in registering, please contact the NYSDOH AIDS Institute’s HIV Education and Training Program at (518) 474-3045.

 

^ Return to Top


NYS Clinical Education: HCV Intensive Training Preceptorship Program & Updated iOS App (1-19-2016)

Posted January 19, 2016

The Mount Sinai Institute for Advanced Medicine – CEI HIV/HCV Center for Excellence is proud to debut its HCV Intensive Training Preceptorship Program!

This 2-day clinical education program (March 24-25, 2016) provides an intensive experience for practicing clinicians (e.g. physicians, physician assistants, nurses and nurse practitioners) in New York State. Through a combination of didactic sessions and experiential training, clinicians are able to enhance their HCV prevention, treatment, and care knowledge to better serve their patients.

All clinical experience shadowing will take place at a Mount Sinai affiliated clinic located in Manhattan, NY. Accepted applicants from upstate New York will be provided with an honorarium to assist with transportation and lodging expenses. All applications are due Friday, January 22, 2016 at 5:00 p.m.

For more information, please visit the Hep C Intensive Training Preceptorship web page or contact Sainabou Jobe.

Updated iOS App!

The CEInema iOS App has been rebuilt and redesigned, and is available on iTunes.

CEInema provides a new and convenient way to fulfill your continuing medical education, studying CEI’s free HIV, HCV, STD courses and case simulations on your iPhone, iPod Touch, or iPad.

Some of the updated features include:

  • Favorite courses can be saved on your device
  • Clinical simulation tools are embedded
  • Subscription to our newsletter available
  • Keyword search supported
  • Share option through social media or email offered

Download CEInema today!

 

^ Return to Top


Quick News Update from OMD AIDS Institute (1-15-2016)

Posted January 15, 2016

OMD SCREENSHOT – January 15th, 2016

  • The AIDS Institute Viral Hepatitis Section has launched a voluntary NYS HCV Provider Directory. For more information on registration, please see this letter.
  • Clinical Cards for HCV Screening, PrEP, and PEP are available for order here.
  • Hepatitis C fact sheets produced in English and Spanish by Treatment Action Group are available here.
  • PrEP materials in English, Spanish, French, Italian, Russian, Haitian-Creole, Simplified Chinese, and Korean are available here. To view all materials developed by the NYSDOH AI click here.
  • HCV Training Preceptorship Program: To participate in the Mt. Sinai IAM – CEI/HCV Center for Excellence sponsored clinical education program on March 24-25th, please click here.

 

^ Return to Top


NYSDOH Partners With CVS/Pharmacy to Make Overdose-reversing Drug Available Without a Prescription (1-14-2016)

Posted January 14, 2016

ALBANY, N.Y. (January 14, 2016) – The New York State Department of Health (DOH) today announced an agreement with CVS/pharmacy that will help prevent opioid overdose deaths in New York State. This agreement, effective January 2, 2016 authorizes 479 CVS/pharmacy locations across the State to provide naloxone to their customers without a prescription. Pharmacists are currently receiving training and ordering naloxone for their stores. Naloxone (also known as Narcan®) is a medication which reverses opioid overdose, and is one of the priorities at the center of Governor Cuomo’s fight to end opioid abuse in New York State.

To view the full press release, please visit http://health.ny.gov/press/releases/2016/2016-01-14_overdose_reversing_drug.htm

 

^ Return to Top


AIDS Institute OMD: Medication Access Survey (1-12-2016)

Posted January 12, 2016

Dear Colleague,

In response to reports about problems encountered by patients as they attempt to access HIV medications, the NYSDOH AIDS Institute Quality of Care Clinical and Consumer Advisory Committees recently approved the rollout of the 2016 Medication Access Survey. The Quality of Care Access to HIV Medication Subcommittee developed this survey for health professionals to fill out with their patients, with the purpose of capturing specific information about the types of barriers patients have faced. The information obtained through these surveys should help us make changes that improve medication access for patients as well as streamline efforts for providers.

We hope to receive as much feedback as possible. For the purpose of minimizing workload, this survey is in two parts: A six-question self-administrable screening survey to be completed by all HIV+ patients; and a two-page checklist to be administered only to patients who identify a gap in adherence due to medication access barriers.

We ask you to please give the screening survey to all HIV-positive patients within your institution. Only patients who report that they encountered medically compromising HIV medication access issues in the last year should subsequently be administered the checklist. The screening survey should take less than five minutes for patients to fill out. The checklist should only take 10 minutes for a provider or qualified administrator to complete with each screened patient.

Please email Margaret Brown at margaret.brown@health.ny.gov by Friday, January 15, 2016 to confirm your facility’s participation and provide the number of surveys you require. The administration period will be any two consecutive weeks in February 2016. Both paper and digital copies of all survey materials will be sent to participating facilities by February 1, 2016. An instructional guide will also be provided, detailing different options for survey administration and explaining checklist items.

Thank you in advance for your participation in this survey and in helping us understand and address this critical issue. We are dedicated to assisting you to provide the best possible care for your patients and to facilitating the resolution of problems they face with access to HIV medications. Should you have any questions or concerns, please feel free to contact Margaret Brown at (212) 417-4543.

Sincerely,

Dr. Bruce Agins
Medical Director, AIDS Institute, New York State Department of Health

 

^ Return to Top


HIV Training NY: New Trainings Help you Respond to MSM Needs (1-12-2016)

Posted January 12, 2016

New Trainings Tailored to  Needs of Gay Men and MSM, Black and Latino Young Gay Men and YMSM

If you work with gay men and men who have sex with (MSM) — or with black and Latino young gay men and men who have sex with men (YMSM) – check out two new trainings we offer to address their health and sexual health needs.

Promoting Health Care Services for Black and Latino Young Gay Men and Men who Have Sex with Men (YMSM)

Black and Latino young gay men and men who have sex with men (YMSM) often face barriers to good healthcare because of their age, socioeconomic status, and stigma. Their limited — and sometimes negative — experiences with the healthcare system may convince them not to return.

This half-day training explores the unique barriers these clients face in connecting to, and staying engaged with, the healthcare system. It explains how prevention, support services, and outreach staff can help black and Latino young gay men and YMSM understand and access health care services, what to expect from a clinical visit, and how to discuss their specific health concerns. The training also covers how these clients can make informed decisions about discussing their sexual orientation, sexual practices, and personal information with service providers.

Date/time: Friday, Jan. 15; 1- 4 pm
Location: Hawthorne (Hudson Valley Community Services)
To register: http://www.hivtrainingny.org/Account/LogOn?crs=1666
_____________________________________________________________________

Date/time: Wednesday, Jan. 20, 9 am – noon
Location: Albany (Upper Hudson Planned Parenthood)
To register: http://www.hivtrainingny.org/User/Account/LogOn?crs=1668
_____________________________________________________________________

Date/time: Tuesday, Jan. 26, 9 am – noon
Location: Buffalo (Evergreen Health Services)
To register: http://www.hivtrainingny.org/Account/LogOn?crs=1671
__________________________________________________________________

Healthy Sex! Linking Gay Men and MSM to Sexual Health Services

This full-day training will help non-medical providers become more comfortable discussing sexual health with MSM. It presents an overview of how to reduce barriers to linking and retention and ways for MSM to advocate for their own sexual health. In the training, you’ll explore your own values, attitudes, and beliefs about MSM, then learn how to use a sex-positive approach to talk to MSM clients about anal sex and anal health, substance use, STIs, PEP and PrEP, condom use, serosorting, and HIV treatment as prevention. The training also explains how MSM can navigate the healthcare system and talk with different medical providers about their sexual health.

Date/time: Thursday, Jan. 14, 9 am – 4 pm
Location: Hawthorne (Hudson Valley Community Services)
To register: http://www.hivtrainingny.org/User/Account/LogOn?crs=1665
_________________________________________________________________________

Date/time: Tuesday, Jan. 19, 9 am – 4 pm
Location: Albany (Upper Hudson Planned Parenthood)
To register: http://www.hivtrainingny.org/Account/LogOn?crs=1667
_________________________________________________________________________

Date/time: Monday, Jan. 25, 9 am – 4 pm
Location: Buffalo (Evergreen Health Services)
To register: http://www.hivtrainingny.org/Account/LogOn?crs=1670
_________________________________________________________________________

Date/time: Wednesday, Jan. 27, 9 am – 4 pm
Location: Rochester (Center for Health and Behavioral Training)
To register: http://www.hivtrainingny.org/Account/LogOn?crs=1672
_______________________________________________________________

To register for any course, click on the appropriate registration link and enter your account log-in information.If you do not have an account with hivtrainingny.org, you will need to sign up for one prior to registering for a course. For help in registering, please contact the NYSDOH AIDS Institute’s HIV Education and Training Program at (518) 474-3045.

 

^ Return to Top


NYS Clinical Education: This Month in HIV Webinar & New Case Simulation Tool (1-12-2016)

Posted January 12, 2016

January This Month in HIV Webinar

Antiretroviral Therapy
Wednesday, January 20th
12:00 PM – 1:00 PM

Don’t miss out on this month’s webinar covering Antiretroviral Therapy featuring John Conry, PharmaD, BCPS, AAHIVP!

Learning objectives:

  • Cite available antiretrovirals and their and their cliassification and new drug development.
  • Describe the dosing strategies of antiretrovirals and management of side effects and drug interactions.
  • Manage change in therapy.

Registration is required to view this webinar. To register, please visit http://thismonthinhiv-arvtherapy.eventzilla.net

This Month in HIV is a free monthly HIV clinical education webinar series for New York medical providers and occurs every third Wednesday at noon. CME and CNE provided!

For questions or more information, please contact Robert Walsh at 212-636-1315 or rwalsh@chpnet.org.

Please visit http://ceitraining.org/events/ to view all of our upcoming events.

New Case Simulation Tool

CEI has launched a new case simulation tool based on the latest clinical guidelines published by New York State Department of Health AIDS Institute:

Acute HIV Infection

Please visit http://m.ceitraining.org/simulation.cfm to view this and other case simulation tools.

 

^ Return to Top


Updated Expert Guidance on the Management of Chronic Hepatitis B Now Available (1-11-2016)

Posted January 11, 2016

In November 2015, the American Association for the Study of Liver Diseases (AASLD) released updated guidelines for the treatment of chronic hepatitis B infection. Developed and disseminated by AASLD, a professional society of scientists and health care professionals committed to preventing and curing liver disease, the new guidelines are an important tool to support clinical decision making for health care providers who care for individuals infected with hepatitis B.

To view the AIDS.gov article, please visit https://blog.aids.gov/2016/01/updated-expert-guidance-on-the-management-of-chronic-hepatitis-b-now-available.html

 

^ Return to Top


NQC e-Newsletter: Upcoming TQL Session: March 15-17, Dallas, TX (1-11-2016)

Posted January 11, 2016

NQC extends warm wishes for the New Year and our hopes that you had a peaceful holiday season.

As we head into the New Year we are excited to tell you of the upcoming Training of Quality Leaders (TQL) session in March 2016. This will be our 11th TQL session and it promises to be as content-packed as all our other face-to-face trainings.

We also are announcing some upcoming offerings from NQC that will help you gain insight into your program as well as the hard work done by Ryan White HIV/AIDS Program recipients. Soon you will see the NQC QI Challenge poster, which will help you gain a better understanding of your clinical quality management program and the NQC Impact Reports. NQC underwent a comprehensive review of selected activities by evaluator John Snow, Inc. (JSI), and compiled the results in a series of reports. We are proud to share these new impact reports with you very soon.

> NQC Offering | Training of Quality Leaders: March 15 – 17, Dallas, TX

Prepare to take a leadership role in 2016! To help you get started, NQC is offering a Training of Quality Leaders (TQL) on March 15 through March 17.

The TQL Program aims to build the individual capacity of quality managers and those who direct quality management programs to effectively lead and facilitate quality improvement activities. In particular, Ryan White HIV/AIDS Program recipients that attend will build familiarity with quality improvement concepts across staff, address staff resistance to engage them in quality improvement projects, and increase team facilitation skills.

The TQL Program helps participants build the skills needed to work as facilitators to guide the development of sound clinical quality management programs and/or quality improvement projects that impact patient health outcomes. Participants also build their group facilitation skills to better address team dynamics. This is accomplished by a rigorous curriculum consisting of pre-work, a three day course and post-work activities.

The TQL is designed to achieve the following objectives:

  • Increased confidence and mastery in facilitating quality improvement teams and in effectively managing quality improvement-related meetings in HIV care environments;
  • Identification of leadership behaviors to lead an effective QM program and better understand their implications to lead quality improvement activities;
  • Exposure to quality improvement experts with practical knowledge and experience and to a network of peers with hands-on experiences; and
  • Clear understanding of TQL Program expectations and planning of post-TQL action steps.

To assign up to the TQL training | http://nationalqualitycenter.org/tql

> NQC News | NQC Recognized by New York State Department of Health

On December 16, the NQC staff received the NYSDOH Commissioner’s Excellence Award for its work over the past twelve years in advancing the principles and practice of quality management in HIV care nationally. Each year the Commissioner awards programs that have shown exemplary performance in their respective fields as a way of rewarding the hard work and dedication of the respective staff involved. The Commissioner of Health, Dr. Zucker, recognized NQC “for demonstrating national leadership to provide assistance to federally funded HIV providers and health departments across the United States. The National Quality Center efforts resulted in improved health outcomes for people living with HIV and improved capacity for quality management among HIV providers to meet federal standards.”

NQC wishes to thank all of its staff, both present and past, who have contributed to the success of our national improvement program.

> NQC Update | Coming in 2016 – NQC Impact Reports

How do you know you’re having making an impact? There are many ways to measure-some better than others.

For more than 10 years, NQC has worked with Ryan White HIV/AIDS Program recipients and subrecipients to assess and improve their efforts with the goal of providing the highest quality of care to people living with HIV. A central aspect of quality improvement is reviewing activities and outcomes, and identifying areas for improvement as NQC is applying these same concepts to our own work. In order to assess our efforts, NQC has contracted with JSI Research & Training Institute, Inc. to evaluate the impact of some of NQC’s activities and report the findings in Impact Reports.

In the coming months we will be releasing selected Impact Reports focused on various activities. Reports address the in+care Campaign, the DC Collaborative, NQC advanced trainings (e.g., Training of Trainers, Training of Quality Leaders, Training on Coaching Basics, Training of Consumers on Quality, etc.), Regional Groups, and the Part C/D Quality Improvement Initiative (CDQII).

Watch future issues for the Impact Reports!

> NQC Offering | QI Challenge

Next month, NQC will launch the QI Challenge, a Ryan White HIV/AIDS Program-wide quality improvement initiative. Across the Ryan White community-recipients, subrecipients, consumers, and project officers-can work together to test their QI IQ!

The challenge is a 10-step questionnaire covering top quality-related activities to improve HIV care within an agency. Once teams have completed the challenge it is time to brag-post your team’s photo on the campaign’s webpage.

While the initiative is designed to be fun, there is also an important learning component. Teams will be linked to NQC resources to help them bolster their QI knowledge.

Learn more about the QI Challenge.
http://nationalqualitycenter.org/QIChallenge

> Consumer Perspective | Michael Bivens

Michael Bivens has been a long-time advocate on HIV-related issues in South Carolina. As a member of the South Carolina HIV Task Force-serving as the chairperson for communications-Michael has participated in visits to the state house, letter writing campaigns, legislative breakfasts, and public forums. Two years ago, he expanded his efforts by joining South Carolina’s HIV Planning Council.

“With advocacy groups, you don’t always see the impact of your activities,” says Michael. “One of the reasons I wanted to serve on the planning council is that it gives me, as a consumer, a vote on budgets and performance measures, which directly impacts the care received by people living with HIV.”

Participation on the planning council has given Michael a greater understanding of service systems across the state, the different Ryan White HIV/AIDS Program funding streams, and how they all work together.

“We have great agencies in South Carolina,” says Michael. “My role as a consumer member is to make sure they stay that way.”

In addition to his work on the planning council, Michael is involved in the quality improvement activities at Affinity Health Center (formerly Catawba Cares). Currently, the CQI committee is focusing on hypertension. Previous projects have addressed decreasing the time it takes for referrals to specialty care and decreasing the time it takes for a newly diagnosed individual to enter care.

“With linkage to care we have been able to reduce the time to just a few days,” says Michael. “We looked at the process and saw what was causing delays. Now it is more streamlined and there are fewer staff involved in the process.”

Michael is also the consumer co-chair for the Charlotte TGA Quality Committee (the TGA extends into South Carolina). The committee has worked to get more consumers involved in quality activities-developing infographics and a media campaign targeting consumers. According to Michael, it can be a challenge getting consumers involved, especially in more rural areas, but they are making progress.

Michael attended NQC’s Training of Consumers on Quality (TCQ) in Atlanta in 2013. He used the skills he learned at the training to help organize a day-long training for consumers in Columbia in fall 2015. More than 20 consumers attended the training.

“There were a lot of new faces at the training and many participants expressed an interest in increasing their involvement,” says Michael.

> National TA Webinar | Choosing Your Improvement Project

The January webinar will focus on how to choose an improvement project that will have an impact on your Ryan White HIV/AIDS Program -supported activities. Many recipients have rich sets of data at their disposal but struggle with setting improvement priorities. The webinar will help recipients set priorities and engage in projects that are responsive to what the data say.

Learning Objectives:

  • Understand what your data is telling you
  • How to set priorities for your quality improvement work
  • Choosing the project that will have the most impact

The TA webinar will take place on January 21, 2016 @3:00pm (ET)

——————————————————-
Meeting information
——————————————————-
Topic: Choosing Your Improvement Project
Date: Thursday, January 21, 2016
Time: 3:00 pm, Eastern Standard Time (New York, GMT-05:00)
Meeting Number: 645 838 291
Meeting Password: nqctacall123

——————————————————-
To start or join the online meeting
——————————————————-
Go to
https://meetny.webex.com/meetny/j.php?MTID=m98c0cee33d53c911d1920f165b0f8741
——————————————————-
Audio conference information
——————————————————-

  1. Provide your number when you join the meeting to receive a call back. Alternatively, you can call one of the following numbers:
    Toll Free: 1-844-633-8697
    Alternate Toll Free – (For callers not able to call the 844 Toll Free Number): 1-866-776-3553
  2. Follow the instructions that you hear on the phone.
    Cisco Unified MeetingPlace meeting ID: 645 838 291

To add this meeting to your calendar program (for example Microsoft Outlook), click this link:
https://meetny.webex.com/meetny/j.php?MTID=mdb598acdeb582029281f7acd3d12c630

 

^ Return to Top


AIDS Institute OMD: Quality of Care Organizational Assessment Update (1-5-2016)

Posted January 5, 2016

Dear Colleague,

I am pleased to share with you our updated Organizational Assessment (OA) tool for the New York State HIV Quality of Care Program which has been updated to reflect the goals of the Governor’s End the Epidemic initiative. The End the Epidemic subcommittee of the Quality Advisory Committee was created in response to feedback from the members of both this provider committee and the Consumer Advisory Committee, and to act upon recommendations to have the OA reflect how the institution’s quality program will integrate activities that are aligned with our goals to End the Epidemic. This subcommittee, led by Dr. Pete Gordon, Chair of the Quality Advisory Committee, included provider and consumer representatives from both committees, representatives from HIV Special Needs Plans and members from the End the Epidemic Task Force.

The Committee developed a new domain for the OA which addresses how each facility uses their own facility level cascades to identify opportunities for improvement to achieve the goals of Ending the Epidemic Initiative. Some facilities have already embraced the activities described in this domain and developed their own. Please find here a copy of this domain, the quality of care organizational assessment, as well as a guidance document for developing facility level cascades.

We look forward to working with you to help end the epidemic in New York State, and, as always, are available to provide technical assistance to achieve the goals embedded in the Organizational Assessment.

For more information, please contact Jacob Lowy at jacob.lowy@health.ny.gov. For technical assistance, please contact Dan Belanger at daniel.belanger@health.ny.gov.

Sincerely,

Dr. Bruce Agins
Medical Director, AIDS Institute, New York State Department of Health

 

^ Return to Top


PrEP for Adolescents: A Statewide Forum on Implementation (1-4-2016)

Posted January 4, 2016

Materials from the first statewide forum on PrEP for Adolescents (November 18, 2015) and other resources are now available here.

 

^ Return to Top


PrEP: A Statewide Forum on Implementation (1-4-2016)

Posted January 4, 2016

The PrEP Implementation Forum Report from the first statewide forum on PrEP (August 26, 2015) is now available here.

 

^ Return to Top


The Power of Quality Improvement Conference (1-4-2016)

Posted January 4, 2016

Materials from this November 2015 meeting are now available here, including workshop presentations, poster, and photos.

 

^ Return to Top


NYS Medicaid Update: December (12-30-2015)

Posted December 30, 2015

Dear Medicaid Provider,

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the December 2015 Medicaid Update.

Please click the link below to download the current edition.

http://www.health.ny.gov/health_care/medicaid/program/update/2015/dec_15_mu.pdf (PDF)

To see a list of all of the 2015 DOH Medicaid Updates, please visit http://www.health.ny.gov/health_care/medicaid/program/update/2015/index.htm

 

^ Return to Top


Case Studies in ART and the Newly Diagnosed Patient with HIV (12-21-2015)

Posted December 21, 2015

Case Studies in ART and the Newly Diagnosed Patient with HIV: A Step-HIV Initiative

January 22, 2016 at 12 pm ET
Jointly Provided by:
ACTHIV: The American Conference for the Treatment of HIV
AACME: American Academy of CME, Inc
Support for this activity has been made possible through an educational grant from Gilead Sciences.

Activity Description

To achieve optimal health outcomes, people living with HIV require continuous access to quality care and treatment for HIV as well as for their other health conditions. (Institute of Medicine 2012) However at the same time, it has been documented that there are an insufficient number of health care professionals with the necessary expertise to care for the growing number of individuals living with HIV. (IOM 2011, Kirch 2012, Reif 2012)

This interactive webinar is the second in a series of Special Training for Effective Providers in HIV (STEP-HIV) initiatives developed by ACTHIV and the American Academy of CME, Inc. to promote HIV workforce development through education for healthcare professionals who are in training or who are in practice but are new to HIV medicine.

This webinar will focus on the approach to evaluation and management of patients with newly diagnosed HIV infection, beginning with a review of current guidelines and data supporting the recommendations and offering guidance on how to implement them in practice.

Activity Faculty

Kathleen E. Squires, MD
W. Paul and Ida H. Havens Professor of Infectious Diseases
Director, Division of Infectious Diseases
Sidney Kimmel Medical College
Thomas Jefferson University
Philadelphia, PA

Faculty Bio

Kathleen Squires is the W. Paul and Ida H. Havens Professor of Infectious Diseases and director of the Division of Infectious Diseases at the Sidney Kimmel Medical College of Thomas Jefferson University. Dr. Squires is board certified in Internal Medicine and the subspecialty of Infectious Diseases.

She is an active clinician and investigator, and has published studies in peer-reviewed journals, including AIDS, Annals of Internal Medicine and JAIDS.

Agenda

  • Review of key clinical trials
  • Review of Guidelines outlining recommendations for the treatment of HIV infection
  • Interactive Case Discussion and Q&A

Target Audience

This activity has been designed to meet the educational needs of physicians (both specialists and primary care/family medicine), nurses, nurse practitioners, and physician assistants who are in training or who are in practice but are new to HIV medicine. Other healthcare providers may also participate.

Learning Objectives

After completing this activity, learners should be better able to:

  • Cite the data regarding timing of initiation of antiretroviral therapy (ART)
  • Review the guidelines outlining the choice of preferred antiretroviral regimens
  • Apply the principles guiding individualization of ART

REGISTER NOW

 

^ Return to Top


Revised Recommendations for Reducing the Risk of Human Immunodeficiency Virus Transmission by Blood and Blood Products (12-21-2015)

Posted December 21, 2015

FDA is announcing the availability of the final guidance, “Revised Recommendations for Reducing the Risk of Human Immunodeficiency Virus Transmission by Blood and Blood Products.” The final guidance may be found on FDA’s website at http://www.fda.gov/downloads/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/Blood/UCM446580.pdf.

The major change being effected is that men who have sex with men will be deferred from donating blood for twelve months since last sexual contact with another man, instead of being indefinitely deferred.

 

^ Return to Top


FDA Approved Changes to the Invirase Label (12-18-2015)

Posted December 18, 2015

FDA approved changes to the Invirase (saquinavir mesylate) label to provide updated for drugs that are contraindicated or interact with Invirase/ritonavir. Also a warning was added to state cobicistat is not recommended for concomitant use with Invirase. The specific changes are summarized here.

 

^ Return to Top


Updates to the Mucocutaneous Candidiasis and Syphilis Sections of the DHHS Adult and Adolescent OI Guidelines (12-18-2015)

Posted December 18, 2015

The following sections of the Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents have recently been updated:

  • Mucocutaneous Candidiasis – The section has been updated to provide clinicians with guidance on the use of topical and systemic antifungal agents to treat oropharyngeal candidiasis.
  • Syphilis – New information is summarized about current testing algorithms for syphilis. Discussion of management of patients with sexual risk history is expanded in terms of diagnostic and therapeutic approaches. Recommendations for the diagnosis and management of neurosyphilis and ocular syphilis have been more extensively delineated. Updated recommendations for treatment and retreatment options for syphilis in non-pregnant and pregnant persons are also provided.

 

^ Return to Top


Final Report from NYS Quality of Care Advisory Committee Meeting (12-17-2015)

Posted December 17, 2015

The final report from the September 8th Joint QAC CAC meeting can be accessed by clicking here.

 

^ Return to Top


Advanced Practice Nursing Education in HIV Care Infographic (12-16-2015)

Posted December 16, 2015

AETC NCRC is pleased to present the Advanced Practice Nursing Education in HIV Care infographic, which highlights the importance of and need for specialized HIV care education in the primary care setting to address growing needs of the aging HIV population, in contrast to the shortage of HIV care specialists. This resource was designed in tandem with the Rutgers School of Nursing Advanced Practice HIV Care Specialization Program recruitment video, developed to help increase awareness of and interest in the program. Click here to download the infographic, and please share with your networks.

 

^ Return to Top


HIV Training NY: PrEP Consumer Materials Now Available in Seven Languages (12-16-2015)

Posted December 16, 2015

PrEP Yourself Against HIV brochure and palm card now available in seven languages

The AIDS Institute now has foreign language translations of two consumer publications that explain and underscore the benefits of Pre-exposure Prophylaxis (PrEP), a key element in the state’s Ending the Epidemic campaign.

PrEP Yourself Against HIV is available as both a brochure and a palm card. Both publications provide basic information about PrEP, a daily pill that
can prevent HIV infection, and links to other NYSDOH resources on PrEP.

Print versions of the PrEP Yourself Against HIV brochure and palm card are now available in the seven most common foreign languages: Spanish, French, Italian, Russian, Haitian Creole, Simplified Chinese, and Korean. These and other consumer educational materials can be viewed and downloaded in PDF format from our website:

http://www.health.ny.gov/diseases/aids/general/publications/index.htm

The website includes an online form for ordering multiple copies of most publications.

You can also find these publications on a separate PrEP web page:
www.health.ny.gov/PrEP. This page includes:

  • A list of Frequently Asked Questions (FAQs) for consumers
  • PrEP posters that are ideal for clinics and offices
  • A fact sheet for non-clinical providers
  • Information on the PrEP Assistance Program (PrEP-AP), which can help cover costs related to PrEP
  • Training resources
  • A statewide directory of PrEP prescribers

 

^ Return to Top


Email Announcement Archives

The HIV Clinical Guidelines Program provides subscribers with email announcements of when new guidelines are posted and existing guidelines are updated.

hivguidelines email announcement archives

hivguidelines Trends, Topics & Updates monthly mailer archives

Subscribe to hivguidelines email announcements

 

^ Return to Top


Hot Topics Archive

Please visit the Hot Topics Archive page.

^ Return to Top