Improve reporting process for new HIV cases and related accountability measures for local health department

Pillar: Diagnose
Goal: Reduce by 75% the number of all new HIV diagnoses by 2025
Strategy: Improve reporting process for new HIV cases and related accountability measures for local health department.
Target: All HIV testers, clinics, laboratories, frontline staff

Key Activities:

High Priority and Disruptively Innovative

  1. Create guide for all local providers on how to report new HIV cases.
  2. Review with laboratories the Shelby County Health Department (SCHD) reporting requirements (explained by an epidemiologist).
  3. Designate someone to obtain results from all labs and report to the SCHD because surveillance does not have the capacity.
  4. Coordinate with all local testing agencies to assure that all positive HIV tests are reported to surveillance and people are linked to their first appointment.
  5. Create a policy that will require online testing service to submit results to the state for follow-up purposes and to prevent loss to follow-up.
  6. Learn other cities’ best practices in reporting positive tests.
  7. Revise and enforce penalties for testing organizations not reporting positive results.
  8. Connect with 20 private providers per year to verify they have updated list of resources.
  9. Streamline linkage-to-care process so that all agencies follow the same process.
  10. Create a position with SCHD that is partially funded by EHE that would work specifically with private providers to provide SCHD with monitoring data.

High Priority Per Stakeholder Survey

Inform private-practice patients of the reporting process.

Key Partners

ANAC, Bluff City Medical Society Providers, Community-based organizations, FQHC, testing agencies funded by TDH, In-kind support from EHE TDH coordinator, Hospitals, Local and state health departments (Surveillance/Disease Intervention division), Memphis Medical Society and other medical groups requiring CEUs, Sexual health clinics, UT Medical Group

Potential Funding Sources

CDC HIV Prevention and Surveillance programs, RWHAP, State and local funding, NIH grants, Industry grants

Estimated Funding Allocation

  • Training- $500 per agency (5 agencies x 6 trainings = $15,000)
    – $500 x6 trainings (materials, supplies, incentives) = $3000
    = $0 (instead, in-kind support from TDH EHE coordinator)
    Total: $18,000

Outcomes

(Reported annually, locally monitored more frequently)

  • # of providers reporting new HIV cases
  • # of laboratory trained on new reporting requirements
  • # of providers with updated resources
  • # of agencies trained on streamlined linkage to care process
  • Improve reporting process for HIV cases in the local health department

Monitoring Data Source

  • Report to state and local health department
  • HIV Surveillance data
  • SCHD EHE coordinator report