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HomeMy WebLinkAbout2002-11-25 03-17 ORDERACTION Item No. 03-17 Date: 11-25-02 Item/Subject ORDER, Authorizing the City Manager to Execute a Grant Agreement with the Department of Human Services - HIV POS Prevention Gant. Responsible Department: Health & Welfare This is the renewal for the Partners of the Opposite Sex HIV Prevention Grant. This grant runs from 1/1/03 to 12/31/03. Funding for the year is $10,696. For your information, a copy of the goals and objectives for the grant is attached. Department Head Manwi Comme ds: Recommend approval. dawa L* Associated Information: City Manager France Director City Solicitor X IntPassage P X Passage First Reading Page3 oEL Referral Assigned to Councilor Palmer November 25. 2002 �ifu"Y b' CITY OF BANGOR (TITLE.): Order, Authorhang the aty Manager to Execute a Grant Agreement vdtll the Department of Human Services — HN POS Prevention G rd By IAe OTy Cbuno/oftlre i3'fyof�rgp: ORDERED, THAT die City Manager is hereby authorized W apply for and accept fmrn Ne State of Maine, Department of Human Sendces, Bureau of HeaM, a grant of $10,696 for HN Prevention W be administered by the City of Bangor, Heaft and Welfare DepaHmeM for His period January 1, 2003 to December 31, 2103. IA CITS COAAC6 Asvemher 25, 2002 Passe6 (TITLE,) Aschorfvinn the Cit ~ Execute a Grant Ureement with the Gepartnent of Aon Services -MV POS Prevention Grant Awlgnxltp Cauncllor UMA 03-17 State of Maine - - - Program: Bangor S7D/HIV Clinic Department of Human Services Bureau of Healtb Chant Dees, 01/01/03-12/31/03 PROGRAM PLAN: GOAL: The health and well-being of Mame people will be promoted through the pmmdonandcontrolofsexuallytransmittedli mes. - TITLE: Increase control of STDs 1. 100%ofefflysyphilis,gonorrheaa orchlamydiadiag sedby Ne STb Clwc staff will be treated 2. 100%orgersons leasing for gonorrhea will be concomitantly tested and treated for chlamydia. STRATEGIES: 1. DISwillreceive repotsofearly syphilis, gonorrismandchlamydia from private and public providers either directly crtbrough the STDMIV Control Program. 2. DIS will contact reporting provider for locating information, testing, and treatment information and for Permission to interview. 3. DIS will assist with treatment and management if requested. _ 4. Administer and anal weekly clinics during an afternoon and an evening to accommodate clients' work schedules. 5. Every clinic will be staffed by a primary, care provider. 6. Support staffwill include laboratory staff and DIS personnel, 7. No core clinical services will be refused based on inability to pay. Each person will be offered gonorrhea, cldarrydia, syphilis lab tests and gerund or pelvic exams to be visually examined for any symptoms. 8. Clinic services will include STD relevant health history; relevant physical exam, STD and HIV education. Medication inhamation and DIS services wit] also be provided if disease is diagnosed. Treatment will be consistent whit CDC 1998 STD Treatment Guidelines for 100% of patients testing positive for STDs. 9. The STD Clinic will maintain and staff UU approved laboratory on site that is operating concurrently with the STD Clinic with the capacity to provide stat labs for early disease diagnosis. 10. Clinic staff will provide free state supplied medication to clients for treatment of syphilis, gonorrhea, and chlamydia, regardless of clients' ability to pay. 11. Free state provided medication will be provided to persons canfirmed as contacts to syphilis, gonorrhea and chlamydia, regardless of clients' ability to pay. - PERFORMANCE MEASUREMENT: Disease/treatment logs will serve as tools for messwearent.. All reported cases of early syphilis, gonorrhea and chlamydia will be punted and compared with numbers of those treated. Figures will be reported quarterly.. SM Clinic staff will document the number of pidarmsthat we heat who have been refined from private practices as well Clinic statistical data will compare the number of clients tested for gonorrhea with the umber of those who are tested for chlamydia. This information will help reach our goal of recommending testing for both infections to all clients. Information will be reported quarterly. Disease/treament logs will document co -treated individuals and the percentage of persons costing positive for gonortbea who we co -treated for chlamydia INVOLVEMENT OF PRIORITIZED POPULATIONS: Clients contacted and served though the clinic will be asked to complete a survey. We will attempt to measure clients' satisfaction with services provided as well as suggestions for improvement of services. GOAL: The health and well-being of Maine people will be promoted through the prevention and control of sexually transmitted diseases.. TITLE: Increase control of STDs. PERFORMANCE INDICATOR: Iromwethe number ofadolescents tested for chlamydiaby 5% above the 20026aseline: (150 adolescents) - - STRATEGIES: I. Clinic staff will continue cermet practice of encouraging testing to 1000/0 of adolescents who present for initial visit at clinic and achieve a test rate of 50%. 2. Clinic staff will mail informational letters about clinic services, with refeml cents, to junior and senior high school health teachers and school nurses in the greater Bangor was. 3. STD staff will continue collaboration with at least one adolescent -serving agency to provide awareness, mining, and recruitment of additional adolescent clients for. chlamydia screwing. 4. The STD Clinic will continue participating in the Infertility Project to offer chlmnydia testing to adolescent females and mine tests to infected persons partners. S. The STD Clinic will continue offning STD services on a walk-in basis, scheduled in the evening and aflemoon to beat accommodate clients'schedules. PERFORMANCE MEASUREMENT: Using 2002 data for chlamydia testing of adolescents at clinic as baseline, compare 20023 data ofcblamydia testing of adolescents at clinic. A quarterly data inquiry will be conducted and opened m determine whether or not an additional 5% increase in testing has been achieved. -. INVOLVEMENT OF PRIORITIZED POPULATION: Adolescents served by the clinic will be asked to respond to a survey. We will attempt to measure satisfaction with services as well as encourage suggestions to improve oto services that are targeted to adolescents. 03-1) GOAL: The health and well-being of Maine people will be promoted through the Prevention and control of sexually transnutted diseases. PERFORMANCE INDICATOR TITLE: Intrinsic control of STDs PERFORMANCE INDICATOR: By 121312003, increase testing and treatment of. moved partners to reported STDs by 5% over 2002 baseline. Follow-up on reposed cases of STDs will be prioritized according to State of Maine protocols. STRATEGIES: 1. DIS will contact reporting provider for repor[information and permission to interview within two working days of mount. 2. DIS wiR contact reported client with two working days of obtaining permission to interview. 3. DIS will interview for sexual contacts over the period of nine established by DIS guidelines. 4. DIS will teatime contact notification attempts on all identified contacts requiring notification within three business days of receiving locating information. 5. DIS will follow all reposed early syphilis cases to assure adequate tremment. 6. Named contacts to reportable STDs will be located, tested and treated by DIS. y. In -sate gonorrhea contacts identified will be located, exarnin it and minted by DIS. 8. Persons presenting to the. STD Clinic for initial visits which include a full STD screening will have RPR test for syphilis. PERFORMANCE MEASUREMENT: Using 2002 dma for disease follow -upas baseline, compare 2003 dma for disease follow-up. Worroution will be reposed quarterly. Disease log will serve as a measurement tool for this indicator. INVOLVEMENT OF PRIORITIZED POPULATION: All clients and partners that we contact will be asked to respond to a survey. We will use this insinuation to measure satisfaction with ow services, and to gain new ideas to improve the delivery of these services. GOAL: The health and well-being of Maine people will be improved by promoting behaviors, attitudes, skills, community norms and/or knowledge that reduce the risk of HIV infection. PERFORMANCE INDICATOR TITLE: Increase behaviors that onme she risk of HIV transmission. PERFORMANCE INDICATOR: By 12131/2003, fifty percent (50%) of high-risk clients receiving N test results will repos taking one action an toward the safer goal behavior they identified during the initial IIIV prevention counseling session. 03-1] STRATEGIES: 1. The clinic director will supervise the provision of anonymous and confidential HIV antibody counseling and testing. Weintendtoprovide400teststomembersofthe3 priority populations identified by the CPG during calendar year 2003. Testing and counseling services will be advertised through local phone directories, posters, and information given at educatioml Incantations provided to the community. HIV Ab tests are available five days a week as well as one evening a.weak, by appointment - however, walk-in requests for testing will be accommadawd whenever possible. 2. During initial prevention counseling session: • assist client in identifying personal risk behavior and circumstances • assist client in identifying safer goal behaviors • assist client in developing a multi -step plan • make refamis and provide support as appropriate • document counseling session on counselor form. 3. Dining the follow-up counseling session: - review client's action plan; determine adherence to action plan and revise as. appropriate • assist client in identifying additional needs, re -testing or referrals • document counseling session on counselorform. _ PERFORMANCE MEASUREMENT: Counselor intake forms will serve as the. measurement tool fm the above performance indicator. Information documented regarding the prevention counseling session will include client risk behaviors and circumstances, safer goal behaviors, action plan and whertals. Information docmnented at the follow-up session will include the action AT completes. The mamba and Encourage of clients receiving HIV test results that report taking one action step inward the safer goal behavior will be repones quarterly. INVOLVEMENT OF PRIORITIZED POPULATION: Clients receiving IRV antibody testing services will be asked m respond to a survey, to measure client satisfaction, their opinion on the way services are provided and the effectiveness of the counseling sessions. We will also ask for input on the way and manner in which we deliver these services. GOAL: HIV infected persons in Maine will have reduced morbidity and mortality through increased access to early medical intervention. PERFORMANCE INDICATOR TITLE:. Increase access to early medical intervention. PERFORMANCE INDICATOR: By 12131/2003, 85% ofpersons testing positive for HIV antibody at this site will access case management services within one month of receiving positive test results. - .. - 03-1] STRATEGIES .. 1. The clinic director will supervise the provision of anonymous and confidential HIV antibody counseling and testing. Clinic staff board to provide 400 tests during the year 2003.. - 2. During initial prevention counseling session: • discuss the importance of early medical intervention to all clients • clients will he informed of available medical and case management services at this agency and in their communities. 3. During the follow-up prevention counseling session: - - discuss theimportance of early medical intervention with all therm testing Positive • discuss and provide written material describing available medical and case management services provide assistance with schedulil; an appoihnnern with a was manager for clients who decline services at the time of receiving con results • document counseling session on counselor intake form. PERFORMANCE MEASUREMENT: Counselor brake forms will serve az the measurement root for the above performance indicator. The number and percentage of newly identified HIV positive clients who meet with a care manager within one month will be reported quarterly. DIS will contact infected persons io ger this. information, with the cliem's consent, during follow-up conversations. INVOLVEMENT OF PRIORITIZED POPULATION: Clients who test positive for HIV antibdy will be asked to respond to a survey. We will measure client satisfaction with services as well as. seek out suggestions for changes or improvements.