NASTAD Prevention and Care Technical Assistance Meeting: Data to Care Eri rin Ba Bascom & Amanda Bo Bowes July 19, 2017
NASTAD Core Competencies Index www.nastad.org/CCI 2
Health Department D2C Landscape Very little effort in place 4% How would you rate your state’s/jurisdiction’s efforts to o systemicall lly Statewide Multiple id identify fy, monit itor an and re- efforts in projects in place engage PLWH who appear place 51% 44% to be out of care? (n=45) 3
Health Department D2C Landscape Of people living with HIV in your state/jurisdiction, what is the estimated percentage with viral loads reported? 25 Number of Health Departments 20 21 15 14 10 5 5 5 0 26-50% 51-75% 76-100% Don't know Percent of Viral Loads Reported 4
Health Department D2C Landscape No Does your state information systematically sh share sharing occurs Very little cli lient-le level l data 7% information Statewide sharing between public efforts in occurs health departments place 18% 40% and health care providers for the purposes of Multiple retention in care for projects in place PLWH? 36% 5
Health Department D2C Landscape Of the health departments that indicated above they were sharing at least some data (n=42), they use the following client-level data sources to identify and reengage PLWH: Surveillance systems 95% Ryan White program providers 81% ADAP 74% Health provider electronic medical records 45% Pharmacy utilization 43% Medicaid/Medicaid managed care plan data 29% Hospital electronic medical records 26% Other 21% Insurance billing 19% Health Information Exchange (HIE) 14% Health plan electronic medical records 12% 0% 20% 40% 60% 80% 100% 6
NASTAD’s Data to Care CBA ▪ Capacity Building Assistance (CBA) provider for individual Data to Care technical assistance for health departments o Policies and procedures for D2C programs o Approaches to data cleaning o Models for outreach using DIS and other D2C field staff o Data systems/tracking for D2C 7
NASTAD’s Data to Care CBA ▪ Online Community of Practice via NASTAD OnTAP (On Online Technical Assistance Platform) 8
NASTAD’s D2C TA (Health Care Access) ▪ Databank of Existing Data Sharing Agreements (DSAs) ▪ Modernization of ADAP/Part B Data Systems ▪ Peer exchange (e.g., Part B/ADAP listserv, PEER calls) 9
NASTAD’s Data to Care Resources 10
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