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123NoMi. A 3-year project by Hep-C ALERT to increase and evaluate viral hepatitis screening, vaccination coverage and completion among underserved minority adults in No rth Mi ami-Dade County. Acronyms. HCV. Hepatitis C Virus. HIV. Human Immunodeficiency Virus. STD.

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A 3-year project by Hep-C ALERT to increase and evaluate viral hepatitis screening, vaccination coverage and completion among underserved minority adults in North Miami-Dade County

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Hepatitis C Virus


Human Immunodeficiency Virus


Sexually Transmitted Disease (or Infection)


Office of Minority Health


Bureau of Immunization

“09 Program” - Florida Hepatitis and Liver Failure Prevention and Control Program



Counseling, Testing and Linkage (referral)

Hep-C ALERT, Inc.

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Hep-C ALERT Background

  • 1997 – chronic HCV focused

    • National: Hep-C Hotline; Education, HCV CTL, Cause Advocacy

    • Local: Support Groups, Outreach, Education. Local HCV CTL in 1999

  • 2002 – added HIV CTL and hepatitis vaccination (vaccine in collaboration with Miami-Dade County Health Dept.)

  • 2006 – added Rapid HIV & STD CTL

Hep-C ALERT, Inc.

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Area Description

Hep-C ALERT, Inc.

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Annual Growth On-Site CTL

Hep-C ALERT, Inc.

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Baseline Data

  • Hep-C ALERT Hepatitis Risk Assessments reveal that 81% of minority adults self-reported not ever receiving hepatitis vaccination

  • Upon viral hepatitis testing, approximately 50% were not immune

  • Even with these compelling results, vaccine coverage and completion rates remained low

Hep-C ALERT, Inc.

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Barrier Identified

  • Resources were needed to bridge the client’s gap between risk appraisal and action

  • Novel approaches to increasing adult vaccine coverage and completion for our community was necessary

Hep-C ALERT, Inc.

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Closing The Gap Grant

  • Rationale

    • Community interest demonstrated through “Vaccine Interest Survey”

    • Prior experience with managing vaccination services off-site (ARHIP)

    • Already serving primarily at-risk young adult / adult minority population at the Hep-C ALERT office

Hep-C ALERT, Inc.

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Office: Race/Ethnicity

Hep-C ALERT, Inc.

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Office: Age Groups

Hep-C ALERT, Inc.

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123NoMi Objectives

  • Reduce barriers to viral hepatitis screening and vaccination

  • Identify susceptible at-risk persons and provide vaccination

  • Achieve target vaccine coverage and completion rates

  • Monitor, evaluate and disseminate 123NoMi project results

Hep-C ALERT, Inc.

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#1 - Reduce Barriers

  • Diversify project staff (Spanish/Creole speaking)

  • Offer 100% walk-in services, non-traditional hours (including Sat)

  • Implement vaccine reminder system

  • Utilize incentives for new client recruitment and vaccine completion

Hep-C ALERT, Inc.

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#2 - Screen

  • Test (one time) all adult clients to determine their serostatus using the State Lab chronic hepatitis panel

  • Counsel and refer acute/chronic HBV and HCV to medical care

  • Recall at-risk/susceptible adults to initiate vaccination

Hep-C ALERT, Inc.

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#3 - Vaccinate

  • A and B vaccine administered per 09 program Memorandum of Agreement

  • Coverage

    • Year 1 thru 3 @ 60%

  • Completion

    • Year 1 =/> 20%

    • Year 2 =/> 30%

    • Year 3 =/> 40%

Hep-C ALERT, Inc.

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#4 - Evaluate

  • Coverage and completion rates

  • Client satisfaction with

    • Cultural responsiveness

    • Screening and vaccination services

  • Tools

    • VACTRAC 4.0 (SmithKlineBeecham)

    • IMM07 (OMH/BOI software)

    • HIMS (proprietary software)

    • QuestionPro.com (subscription survey creation/analysis site)

  • Hep-C ALERT, Inc.

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    • Reaching consensus on

      • 09 program vaccine distribution to non-governmental organization (NGO)

      • Type of nurse (RN or LPN) needed for vaccine administration at NGO

      • Agency liability insurance coverage

    • Contract vs. Finance & Accounting

      • Totally unanticipated issue w/finance

      • In process of resolution

    Hep-C ALERT, Inc.

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    • Standing Orders

    • Project staff were incumbent or hired and trained before the contract start date

    • Existing infrastructure for data gathering and analysis

    • Pool of previously-screened clients to recruit from at project launch

    • Great Board and Medical Directors

    Hep-C ALERT, Inc.

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    New Era Of Collaboration

    • Cooperation between the 09 program, and community-based (and private) organizations has resulted in several new projects in non-traditional settings

    • Success has wide implications for promoting other adult vaccinations

    Hep-C ALERT, Inc.

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    Summary To Date

    • 123NoMi data show substantial increase in susceptible persons initiating hepatitis vaccination

      • 0% baseline vs. 37% present

    • Need improvement in getting clients in for first dose to achieve 60% coverage

    • Client satisfaction is higher than expected in all domains during roll-out period and loyalty rating for vaccine service ranks all time high for agency

    Hep-C ALERT, Inc.

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    • Office of Minority Health

    • Phil and Cheryl for opening 09 program vaccine access to NGOs

    • Rick Barrett, Bureau of Immunization Contract Manager for 123NoMi

    • Anita Martinez, RN, MDCHD for sharing vaccine inventory

    • Bob Griffin for years of unconditional support at the local level

    • Hep-C ALERT’s excellent staff

    Hep-C ALERT, Inc.

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    Contact Information

    Andi Thomas

    Executive Director, Hep-C ALERT

    [email protected]


    Offc: 305-893-7992 x101

    Cell: 954-931-8463

    Hep-C ALERT, Inc.