Online Program

Developing surveillance system to identify and re-engage known HIV infected clients into care in the Mid-Cumberland Region

Sunday, November 1, 2015

Veronica Calvin, MPH, CHES, HIV/STD Section, Tennessee Department of Health, Antioch, TN
Background: Tennessee Department of Health’s (TDH) CAPUS (Care and Prevention in the United States) demonstration project utilized HIV surveillance data to equip Disease Intervention Specialists (DIS) Case Managers to identify and locate known persons living with HIV (PLWH) in the Mid-Cumberland Region (MCR) of TN who have been out of care (OOC) for > 1 year and facilitate their re-engagement into HIV care.

Methods: TDH acquired HIV surveillance from TN’s electronic HIV/AIDS Reporting System (eHARS) to generate reports listing PLWH in MCR who have been out of care for > 1 year. DIS case investigation removed names of clients who received care within the past year, moved to another state, or were deceased. Remaining clients were located and contacted by DIS for re-engagement. Ryan White Eligibility Services and Accurint© data systems were utilized to obtain demographic and locating information.

Results: From October 2013 to April 2014, 446 PLWH were identified within eHARS to be presumed-OOC; however, through DIS’ case investigation, 77% (343) were verified to be already in care. Of the remaining 103, 11% were non-locatable, 14% were deceased, 16% resided out of state, and 60% (62) were verified to be OOC. Of the 62 located, 35% (22) were re-engaged into medical care and social services, 13% (8) refused re-engagement services, and 52% (32) did not re-engage into care at that time.

Conclusion: Access and utilization of HIV surveillance and locating data systems helped DIS to enhance investigation efforts, especially regarding the verification OOC status and locating information of clients.

Learning Areas:

Implementation of health education strategies, interventions and programs
Other professions or practice related to public health

Learning Objectives:
Describe the process in which known persons living with HIV (PLWH) who have fallen out of medical care for >1 year are indentified and contacted for re-engagement purposes within TN's CAPUS (Care and Prevention in the United States) demonstration project.

Keyword(s): HIV/AIDS, Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked as a DIS case manager within the Mid-Cumberland Region of TN re-engaging PLWH, entering all data for the study in an ethical and professional manner.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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