A brief update on the National Chlamydia Coalition by Ashley Coffield, MPA, Senior Fellow, Partnership for Prevention. Presented at the 2012 National Chlamydia Coalition meeting.
Laboratory Recommendations for the Detection of Chlamydia trachomatis, Neisse...
NCC Update- 2013 Annual Meeting
1. NCC UPDATE 2013
• Overview—Ashley Coffield
• Provider Education Committee—Karen Smith
• Public Awareness Committee—Yvonne Hamby
• SPG: Adolescent Confidentiality—Heather
Boonstra
• Research Translation Committee—Charlotte
Gaydos
February 20, 2013
2. NCC Update
MISSION
To address the high burden of chlamydia in
adolescents and young adults by promoting
access to comprehensive and high quality
health services
Young people need us!
3. NCC Update
GOALS
Educate providers on the importance of screening,
timely treatment, partner services, and re-screening
as recommended in current guidelines
Educate the public on preventing, screening and
treating chlamydia and preventing re-infection
Translate and disseminate research findings to
enhance the prevention of chlamydia and its medical
and social consequences
Develop & promote policies that ensure access to
chlamydia screening and treatment for all
populations, especially adolescents and young adults
4. NCC Update
MEMBERSHIP
48 members
Three committees: Provider Education, Public
Awareness, and Research Translation
In 2012, we established a Special Policy Group
on Adolescent Confidentiality
5. NCC Update
Strategic Plan, February 2012
Update: Why Screen for Chlamydia: A
Implementation Guide for Health Care
Providers
New NCC Website and Improved CRE
NCC Monthly Newsletter
Annual Report 2012
6. NCC Update
MEETING THEMES
Working with health plans: how can we be
more effective?
What other opportunities & challenges do we
have?
Long-acting contraception: what happens to
screening?
Boys
Confidentiality
Pharmacists
Sexual health
7. NCC Update
National Coalition for Sexual Health
Partnership for Prevention is also manager of the
NCSH
Launched in October 2012
Currently has 25 members (includes organizations
and individuals)
Goal is to advance a positive health promotion
framework
Starting with a small group willing to put in the time
to build messages and products
Complements but does replace the NCC
8. NCC Update
Key Questions for 2013
Steering Committee
Membership recruitment: to grow or not to
grow?
Diversifying funding and sustainability
10. Priority Projects for 2012
Update and Revise Why Screen
Complete Provider Toolkit
Complete State Networking Project
11. Why Screen?
Second edition completed and released online
Updated all data
Expanded and updated sections on EPT, notifying
partners, and taking a sexual history
Revised section on coding
Revised and updated testing recommendations
Included information on HEDIS reporting under
ACA
Developed a diagnosis and treatment diagram
12. Provider Toolkit
Specific provider pathway added to NCC
website
Easierto locate tools and resources
Can be easily updated as new resources are
developed
Revised and updated “Guide to Chlamydia
and STD Resources for Health Care
Professionals” went online in October 2012
Included over 20 additions and revisions to
resources
Clinical practice tools subdivided: 1) Adolescents;
13. State Networking Project
State specific letters sent to 18 states with
contacts from
ACOG, ACNM, PPFA, AAP, NPWH
Names and contact information for key persons in
state provided
Follow up with those responding
Several chapters featured chlamydia and the
NCC at state/local meetings, newsletters, or
email blasts
ACOG had responses from 10/18 states
Follow up continues
14. Other Projects
Developed NCC response to National
Collaborative for Innovation in Quality
Measurement (NCINQ) on Proposed Pediatric
Chlamydia Screening and Treatment Measure
NCC members alerted and several NCC
organizations also responded
Developed new collaboration with the NCQA
Presentations
on chlamydia, NCC, and resources
at HEDIS Best Practices conferences in Seattle
and DC
16. Public Awareness Committee
2012
Review: 2012 NCC Meeting
Stated
goal: improving and extending the
Chlamydia Resource Exchange (CRE)
Led to overhaul of CRE and NCC websites
Soft launch in October 2012
19. Public Awareness Committee
2013
Promotional strategy for NCC website
Full
website and CRE launch for STD Awareness
Month
Promotional strategy for CRE—both
downloads and uploads
Upload challenge to NCC members
Links to CRE from other sites
Seeking specific types of resources to upload,
such as those on adolescents’ rights to
confidentiality
Postcards and other print materials
20. Public Awareness Committee
2013
Consumer-friendly messages about chlamydia
screening
What are the existing chlamydia-specific
messages for consumers?
How might the PAC provide resources health
plans can use?
Should we do more with social media?
22. SPG Update
The NCC will use SPGs to:
Focus on a specific topic
Address policy issues relevant at the time
SPGs will dissolve when objective has been
met
Confidentiality chosen because it was a
recurring issue raised by NCC members but
with no focus
23. SPG Update
This SPG launched at 2012 NCC Meeting
Participants agreed that confidentiality is
emerging as potentially a more significant
barrier due to ACA
Participants identified questions
What are the best levers (federal, state, private
sector)?
What is currently happening?
How can we make an impact/add value?
24. SPG Update
Accomplishments in 2012
Prepared a list of resources on confidentiality
and updated it throughout the year
Wrote a paper that summarizes the issues and
describes recent attempts to influence policy
Prepared updates about confidentiality-related
activities/research for SPG members
Developed a hub for confidentiality information
on the NCC website
25. SPG Update
Next Steps
What can we do as an SPG on this issue
beyond information sharing and awareness?
Is that a sufficient objective to continue an SPG?
Other efforts may produce recommendations
we can eventually endorse, publicize, and
encourage
What options do health care providers have
now?
What other topics should the NCC consider for
an SPG?
27. Research Translation Committee
2012
Released 3 Hot Topics:
Cost Effectiveness of Chlamydia Screening (June
2012), Thomas Gift
Extra-Genital Chlamydia and Gonorrhea
Infections (August 2012), John Papp
Use of NAATs to Detect Chlamydia in Children
Being Evaluated for Suspected Sexual Abuse
(November 2012), Margaret Hammerschlag
28. Research Translation Committee
2012
Released 7 Expert Commentaries:
Chlamydial Infection Trends and Outcomes, Lizzi
Torrone (February 2012)
Approaches to Delivering Partner Treatment,
Catherine Lindsey Satterwhite(March 2012)
Developing Effective Strategies for Increasing
Patient Retesting Rates, Wendy Nakatsukasa-
Ono and Holly Howard (April 2012)
Hot Topics and Overview from the 2012 National
STD Prevention Conference, Charlotte Gaydos,
Lizzi Torrone, Karen Hoover, and Sarah
Goldenkranz (May 2012)
29. Research Translation Committee
2012
Expert Commentaries Continued…
Chlamydia Testing Patterns for Commercially
Insured Women, Karen Hoover (July 2012)
Comparative Effectiveness of POC Tests for
Chlamydia in a Clinic Setting, Charlotte Gaydos
(September 2012)
Practical Strategies for Improving Chlamydia and
Gonorrhea Retesting in Your Practice, Wendy
Nakatsukasa-Ono and Holly Howard (October
2012)
30. Research Translation Committee
2012
Vehicles for dissemination in 2012 included:
NCC Newsletter
NCC Website
NCSD Newsletter
Partnership with Provider Education Committee
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Notas del editor
Adolescents and young adults need organizations like yours with clout and standing to be champions for them and to insist that the evidence-based, cost effective preventive and clinical tools at hand be used more widely to prevent painful and potentially life-long consequences.
Most of what we accomplish happens through our committees, and we’ll hear from them momentarily. A few items of note: First strategic plan since coalition was formed in 2008; helped to focus our attention given the maturity of the coalition and changing health care environment; includes objectives to work with health plans, diversify our membership and funding, and share more information with our members about our accomplishments and available resources. The plan is in your notebook and on the members-only section of our website.We have more than 1,200 subscribersWe issued the coalition’s first annual report, which summarizes our accomplishments in 2012 and provides highlights of our finances. The annual report is in your notebook and on our members-only section of our website.
We’ve chosen panels and speakers to help get our juices flowing!If the most effective contraception lasts for years and is ideal for adolescents and young women, how will screening get done? Will condoms be ignored?Reaching boys may be one answer…but how?Breaches to confidentiality seem entrenched in our current system: what are the work-arounds?Could pharmacists be new front-line proponents of chlamydia screening?How can we use the positive messages and approaches being developed around the concept of “sexual health” to complement and augment our work on chlamydia?
Each coalition—the NCC and NCSH—take a fundamentally different approach. The NCC wants to ensure that the evidence we have about chlamydia and other STDs, and the tools we have to combat the effects of these diseases, are widely implemented to protect adolescent and young adult health. The NCSH aims to make sexual health a common part of our national discourse, to encourage conversations about sexual health, and to normalize sexual health as a core component of our overall health. Much like we are comfortable with heart health, we want Americans to be comfortable talking about their sexual health with their partners, children, and health care providers.
We have not convened a Steering Committee, primarily due to committee burn-out. Do we need one?Membership has remained mostly constant. How do we balance coalition growth with a focus on using our existing members to get stuff done? What new members and/or collaborators would benefit the coalition strategically? Sources of support for the NCC are limited and overlap and compete with sources of support for some of our coalition members, so it’s a delicate balancing act. We want to be proactive but not overreaching.
At our last in-person meeting, received great feedback from PAC on layout, design, and functionality of CREAlso received increased requests to house things on NCC site; each committee had products and/or resources to postDecided to overhaul NCC site and CRE simultaneously to ensure integration for a cohesive NCC brand, and more importantly, increased functionality for both sitesWorked with web designers through the summer, and soft launched new sites in October 2012
Homepage of new NCC website. Review of the new and noteworthy:Improved and password protected “For NCC Members section,” includes a landing page with coalition-wide info (strategic plan, annual report, etc) as well as committee-specific pages to house meeting related info (minutes/agendas)As of this morning, the username for this section will be NCC (uppercase) and password will be chlamydia (lowercase)Specific area designated for “NCC Products” which allows us to better organize all the materials that our committees produce The “Chlamydia Information” section includes new page on “Performance Management and Chlamydia Screening,” which houses info about HEDIS screening rates The NCC mini-grant case studies are housed under “Innovative Strategies.” Each project has its own page where several of the tools and resources used to implement the projects are linked
Overhaul of the Chlamydia Resource Exchange (CRE):Visual changes—more integrated into the overall look and feel of the NCC website; included on the homepage and not as a whole separate page only; included more diverse images (got rid of the image of the provider, which gave the site a bit of a “clinical” feel)Functionality changes—integrated CRE into the NCC website, so you are not rerouted to another page to access it; streamlined the upload process to one page instead of five; included more search options
“Other efforts”: AHIP is convening roundtables of state insurance commissioners and health plan executives to discuss possible solutions.
Mention that at last year’s meeting we changed our name to the Research Translation Committee, and that John Papp is now the new co-chair.