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Using HIV Laboratory Data in Michigan. Elizabeth Hamilton, PhD, MPH CSTE HIV Surveillance Coordinator’s Workshop June 3, 2012 Omaha, NE. Outline. How we manage and use HIV laboratory data Enahanced Linkage to Care Analysis Demo of Michigan’s HIV Laboratory Management System (LMS).

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using hiv laboratory data in michigan

Using HIV Laboratory Data in Michigan

Elizabeth Hamilton, PhD, MPH

CSTE HIV Surveillance Coordinator’s Workshop

June 3, 2012

Omaha, NE

outline
Outline

How we manage and use HIV laboratory data

Enahanced Linkage to Care Analysis

Demo of Michigan’s HIV Laboratory Management System (LMS)

hiv lab management
HIV Lab Management
  • Electronic
    • HL7 (imported every 30 mins)
    • Other formats (.csv, .txt)
      • Manually uploaded, ~1/week
  • Paper
    • Entered directly into LMS
uses of hiv laboratory data
Uses of HIV Laboratory Data

Unmet Need Analyses

Use of genotypes to detect actively transmitting clusters to enhance or direct PS

Enhanced Linkage to Care

Future – assessing community viral load

enhanced linkage to care
Enhanced Linkage to Care
  • Requested by our Prevention Partners to verify their CTS data
    • 1st and 2nd visit
    • Median VL at 1st visit
    • By care facility
    • Demographic Characteristics
  • Similar to CDC NHAS Indicator Analysis
cdc mdch methodology comparison
CDC/MDCH Methodology Comparison
  • Same test types/LOINC codes
  • eHARS status flag
    • CDC – A & M
    • MDCH – A & W
  • Variable completion
    • CDC – drops those with missing result
    • MDCH – eHARS workaround for entering undet. VL on CRF results in a missing result
michigan s lms
Michigan’s LMS

Elizabeth Hamilton, PhD, MPH

HIV Epidemiologist & Manager

HIV Surveillance & Body Art Facility Licensing Unit

hamiltone2@michigan.gov

517/335-8247

http://beta.mihealth.org/hivlms/home?iv-user=hamiltone2