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SSuN Project: Louisiana 2009 Collaborator’s meeting December 2-3, 2009 Megan Jespersen, mph

SSuN Project: Louisiana 2009 Collaborator’s meeting December 2-3, 2009 Megan Jespersen, mph. Delgado Personal Health Center in New Orleans Stand-alone STD clinic Sees 40 patients/day and 9000/year

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SSuN Project: Louisiana 2009 Collaborator’s meeting December 2-3, 2009 Megan Jespersen, mph

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  1. SSuN Project: Louisiana 2009Collaborator’s meeting December 2-3, 2009Megan Jespersen, mph

  2. Delgado Personal Health Center in New Orleans • Stand-alone STD clinic • Sees 40 patients/day and 9000/year • Nurses have “standing orders” to Epi-treat patients who come in with symptoms based on syndromic assessment • Hand-entered data extraction of information from medical records into Access database • Patient information matched to Laboratory Information Management System (STARLIMS) and Medicaid Billing database (COMPASS) information • Work with HIV/AIDS program to obtain results of rapid HIV tests from their database Overview: clinic level

  3. Implementation of supplemental patient questionnaire • Changes to patient exam form at clinic • Cooperation from clinic staff to complete forms • Obtaining results of Rapid HIV tests • Missing and/or miscategorized lab information • Discrepancies of information between sources • Data entry errors making matching difficult • Time-consuming data cleaning and matching process Challenges: Clinic level

  4. Updated and implemented exam form at clinic to obtain necessary data elements Implemented supplementary form for necessary data elements Created mechanisms for obtaining information needed for required data elements and for matching information from different sources Successes

  5. Sampling Fraction: • Population of Orleans Parish (2008)= 311,353 • GC morbidity for Orleans Parish (2008)= 1242 • Sample size = 240 • Sampling fraction= (240/1242)*100= 19.3% • Adjusted sampling fraction= 40% to account for refusals and loss-to-follow-up. Assumes estimate of 100 cases per month. Methodology: county level

  6. File of previous month’s morbidity data is downloaded from the STD program’s database • Necessary contact, demographic, and treatment information is imported into Excel • OOJs excluded • Random numbers assigned using random number generator www.stattrek.com/Tables/Random.aspx • Select patients based on sampling fraction of 40% • Attempt calls for every patient with random number between 1 and 40 (assuming maximum of 100 cases for time period) • Information from STD database and from interview record entered and stored in Access database Methodology: County Level

  7. Original plan of using PRISM is on hold until fully operational Loss-to-Follow-up of patients due to missing or incorrect contact information Significant amount of OOJs due to amount of patients from surrounding parishes being seen at facilities in Orleans parish Challenges: county level

  8. No refusals to participate: All patients who were able to be reached by telephone completed an interview • 1st round of calls: Dataset of 53 patients for one month time period with sampling threshold of 40. • 13/53= No phone number listed • 20/40 = Disconnected/wrong number • 6/40= No answer: Attempt #1 • 1/40= Rescheduled • 6/40= Completed interviews Successes: county level

  9. Analyze data and translate knowledge gained into policies and practice supporting community-based programs that target change at multiple levels including awareness-raising strategies Expand methodology to other high-morbidity sites Goals and Future plans

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