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.