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2001-12-10 02-44 ORDER
Item No. 02-44 Date: 12-10-01 Item/Subject: ORDER, Authorizing the City Manager to Execute a Grant Agreement with the Department of Human Services—STD Clinic/HIV Counseling, Testing and Referral Responsible Department: Health and Welfare Commentary: This is the annual renewal for the Sill Cinic/HW Counseling Tesdng and Referral gram from the State of Maine. Funding for the year (1-1-02 to 12-31-02) totals $96,314. A copy of the grant program goals and ob)emves is attached. - 7c 7 Jri f Deparmxnt Head Manager's Comments: ygj} City Manager Associated information: Order, Program Plan Finance Director City solicitor P Passage _ First Reading page _ of Referral �,, AstignMrocouncilor ealur December 10, 2001 CITY OF BANGOR Rr (TITLE.) : Order, Authorizing the City Manager to Execute a Grant Agreement with the Department of Human Servim— SID Clinic/HN Counseling, Testing @ Referral ByN dry Covnn/ofMeotyof&ngor, ORDERED, THAT the City Manager is hereby aathorzeui to apply for and accept from Ne!tate of Maine, Department of Human! ervire9, Bureau of Health a gram of $96,314 for the STD Clinic/HN Counseling, Testing a Referral W be administered by the City of Bangor, Hea Vi and Welfare Department for the parioE January 1, 2002 to December 31, 2002. In CITY COUNCIL December 10, 2001 - passed 02-06 c ORDER CI ©.P.HH 1 TiIIB. Anthtea Grant the Citynant Navageh to Naecvte n Grant Aen Services with the Deparcmevt of ¢veli g, Tic g STD Refireagyp Couveelivg, Tes[ivg 6 Referral Assigned to Councilor p�lmrv� 0 W� State of Maine Program: Bangor STDMIV Clinic Department of Human Services Bureau of Health Grant Dates: 01/01/02-12/31/02 PROGRAM PLAN: GOAL: The bealth and well-being of Maine people will be promoted through the prevention and control of sexually transmitted diseases. PERFORMANCE INDICATOR TITLE: Increase control of STDs PERFORMANCE INDICATOR: 1. Ensure adequate treatment for my clients testing positive for early syphilis, gonorrhea and/or chlamydia in the private sector. 2. 100%of early syphilis, gonorrhea and/or chlamydia diagnosed by the STD Clinic staff will be treated. 3. l0V1* of persons testing for gonorrhea will be concomitantly tested and treated for chhmrydia. STRATEGIES: 1. Receive reports of early syphilis, gonorrhea and chlamydia from private and public providers either directly or through the STEMIV Control Program. 2. Contact reporting provider for locating information, testing, and treatment information and for permission to interview. 3. Assist with treatment and management if requested. 4. Administer and staff two weekly clinics during two aftemoons and evenings to accommodate clients' work schedules. 5. Every clinic will be staffed by a primary core provider. 6. Support staff will include laboratory shelf and DIS personnel. 7. No core clinical services will be refused based on inability to pay. 8. Clinic services will include STD relevant health history, relevant physical exam, STD and HIV education. Medication information and DIS services will also be provided if disease is diagnosed. Treatment will be consistent with CDC 1998 STD Treatment Guidelines for 100% of patents testing positive for STDs. 9. Maintain and staff CLIA approved laboratory on site that is operating concurrently with the STD Clinic with the capacity to provide sort labs for early disease diagnosis. 10. Free medication will be provided 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 continued as contacts to syphilis, gonorrhea and chlamydia, regardless of clients' ability m pay. 12. Operate a gonorrhea screening program for area medical providers. PERFORMANCE MEASUREMENT: Disease/treawrnt logs will sate as tools for easrrement. All reported cases of early syphilis, gonorrhea, and chlamydia will be counted and compared with numbers of those treated. We will document the number of patients that we treat who have been referred from private practices as well. 02 - Clinic statistical data will compare the number of clients tested for gonorrhea with the number of those who are tested for chlamydia. Infomution will be reported quarterly. Disease/treatment logs will document co -treated individuals and the percentage of persons testing positive for gonorrhea who we co-moned for chlamydia. INVOLVEMENT OF PRIORITIZED POPULATIONS: Clietds contacted and served through 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 unrestrained diseases. PERFORMANCE INDICATOR TITLE: Increase control of STDs. PERFORMANCE INDICATOR Incunsethe numberofadolescentstested for chlamydia by 5% above the 2001 baseline. STRATEGIES: 1. Continue current practice of encouraging testing to 100% of adolescents who present for initial visit at clinic and achieve a test rate of 50 0. 2. Mail informational letters about clinic services, with refenal cards, to junior and senior high school health teachers and school nurses in the greater Bangor area. 3. Continue collaboration with at least one adolescent -serving agency to provide awareness, training, and recruitment of additional adolescent clients for chlamydia screening. 4. Continue participating in the Infantility Project to offer chlamydia testing to adolescent females and wine were to infected persons partners. PERFORMANCE MEASUREMENT: Using 2001 data for chlamydia testing of adolescents at clinic as baseline, compare 2002 data of chlamydia testing of adolescents at clinic. A quarterly data Inqu ry will be conducted and reported to 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 am services dW are mrgeted to adolescents. GOAL: The health and well-being dfMaine people will be promoted through the prevention and control of sexually hausmitted diseases. PERFORMANCE INDICATOR TITLE: Increase control of STDs 02-64 PERFORMANCE INDICATOR: By 121312002, increase testing and treatment of named partners In reported STDs by 5% over 2001 baseline. STRATEGIES: 1. Contact reporting provider fa report information and permission to interview within two, working days of report. 2. Contact reported client with two working days of obtaining permission to interview. 3. Interview for sexual contacts ova fie period of tone established by DIS guidelines. 4. Initiate contact notification attempts on all identified contacts requiring notification wid atwenty-four hours of receiving locating information. 5. Follow reported early syphilis cases to assure adequate treatment 6. Nerved contacts to reportable STDs will be located, tested and treated. ]. In-state gonorrhea contacts identified will be located, examined and treated. 8. Persons presenting to the STD Clinic for initial visits which include a full STD screening will have RPR test for syphifis. PERFORMANCE MEASUREMENT: Using 2001 data for disease follow-up as baseline, wrap= 2002 data for disease follow-up. Information will be reported quarterly. Disease log will sore as ameasusemeat 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 ifformaaon to measure satisfaction with our services, and to gain new ideas to improve the delivery of these services.