Perinatal hiv rapid testing implementation in florida
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PERINATAL HIV RAPID TESTING IMPLEMENTATION IN FLORIDA. PRTI in Florida July 30, 2004. FLORIDA. High Incidence of Perinatal HIV Disease Both Urban and Rural populations 205,580 births in 130 hospitals Geographically a long state HIV awareness low in some areas. Perinatal HIV Background.

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PERINATAL HIV RAPID TESTING IMPLEMENTATION IN FLORIDA

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Perinatal hiv rapid testing implementation in florida

PERINATALHIV RAPID TESTING IMPLEMENTATIONIN FLORIDA

PRTI in Florida

July 30, 2004

Potter and Rivero


Florida

FLORIDA

  • High Incidence of Perinatal HIV Disease

  • Both Urban and Rural populations

  • 205,580 births in 130 hospitals

  • Geographically a long state

  • HIV awareness low in some areas

Potter and Rivero


Perinatal hiv background

Perinatal HIV Background

  • Provide Public Awareness

    • CDC ACOG DOH ACFM CNM

    • JAMA Publication (MIRIAD Study)

  • University of Florida Report

    • HIV Testing & Treatment Practices Among OB Providers in Florida.

    • A Study of Hospital Policies & Practices.

Potter and Rivero


Florida statute

Florida Statute

  • Any pregnant women who appears at delivery with no record of a blood test for HIV must be counseled and offered an HIV test.

  • Practitioners attending a pregnant women must provide counseling and offer HIV testing at initial visit and again at 28 to 32 weeks gestation regardless of risk behaviors.

Potter and Rivero


What we need to succeed

What We Need To Succeed….

  • Buy in from Key Players

  • Create Structure/Framework for Implementation & Evaluation

  • Commitment from CDC, DOH & AETC

Potter and Rivero


Objectives

Objectives

1. Develop on ongoing L&D/Postpartum/Nursery system for rapid HIV testing in each hospital in Florida with an Obstetrics service.

2. Provide hospital specific training and technical assistance in order to ensure complete effective implementation of rapid HIV testing across the state.

3. Evaluate adherence with hospital policy for rapid testing in the context of a continuing quality improvement program.

Potter and Rivero


Implementation plan

Implementation Plan

  • Phase I

    • Hospital Specific Needs Assessment.

  • Phase II

    • Implementation

      • Hospital Specific

      • Three Tiered Model

      • Sustainability

  • Phase III

    • Evaluation

      • Pilots

      • Implementation Outcomes

Potter and Rivero


Phase i

Phase I

  • Needs Assessment:

    • Meeting with Key Players

    • Key Player Questionnaire

Potter and Rivero


Meeting with key players

Meeting with Key Players

  • CEO/CFO

  • VP Nursing

  • Maternal-Child Nursing Director

  • Laboratory Director

  • Chief of Staff OB/Nursery

  • Pharmacy Director

  • HIS/Computer Director (if appropriate)

  • Infectious/HIV-AIDS Medical Director

  • Risk Management

Potter and Rivero


Phase ii

Phase II

  • Statewide Implementation framework.

    • Create a template for implementation

      • Which can be individualized by site as needed.

    • Regional Coordinators organize implementation per site and area region.

Potter and Rivero


Implementation framework

Legislation info.

Pro’s of POC

Data (articles, studies)

HAART availability

Rapid Test kit.

Timeline

Sample policy and procedures.

Referral information

Community resource list.

Sample Forms

Consents

RT logs

Data collection

Implementation/Framework

Potter and Rivero


Implementation framework1

Meet with key players

L&D nursing staff, OB and Pediatric staff…

Review existing protocols.

Rapid Testing Training

Slides

Role plays

Flip charts

Data collection and surveillance forms

Provide self-directed training materials

Video

Training packet

Binder with sample forms and policies.

Quality Assurance tools

Implementation/Framework

Potter and Rivero


Hiv counseling flip chart

HIV Counseling Flip Chart

Potter and Rivero


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