The document describes several projects aimed at increasing chlamydia screening rates. It discusses the Center for Health Training's development of a toolkit for STD care for American Indians/Alaska Natives. It also summarizes projects focused on community outreach and education for chlamydia screening in rural and underserved areas.

1. National Chlamydia Coalition Mini-Grants Second Quarterly Call Second Quarterly Call September 22, 2010

2. Agenda

3. Weaving Systems of Care Center for Health Training Wendy Nakatsukasa-Ono May 1, 2010 – April 30, 2011 Regions VIII, IX and X/National Second Quarterly Call September 22, 2010 The Center for Health Training and its partners are developing, testing and disseminating a toolkit to guide the standard delivery of STD care to American Indian and Alaska Native people.

9. COMMUNITY APPROACH TO INCREASING CHLAMYDIA SCREENING Adagio Health Maureen Utz June 1, 2010 – May 31, 2011 Pittsburgh, PA Second Quarterly Call September 22, 2010 Adagio Health, Inc., using GIS mapping to identify communities at high risk for chlamydia, is targeting residents of a low-income housing project with focus-group tested materials and chlamydia testing and treatment in alternative community settings.

15. CATCh: C ommunity-based A dolescent T esting for Ch lamydia Maryland Department of Juvenile Services Jennifer Maehr, MD July 1, 2010 - June 31, 2011 Baltimore, Maryland Second Quarterly Call September 22, 2010 Maryland Department of Juvenile Services is providing chlamydia and gonorrhea screening, treatment, and education through case management and somatic health staff for at least 500 Baltimore juvenile justice youth who are under community supervision.

16. CATCh: C ommunity-based A dolescent T esting for Ch lamydia Outcome Objectives Performance Measures To test at least 500 youth during the 12 month project period. Log book , CATCh Clinic form, and on-line portal to document number of tests done. To report on the prevalence of CT among youth in DERC and FIT, percent treated, number of referrals, and number of EPT prescriptions provided. Use Log book, CATCh Clinic form, and on-line portal to report on percent of positive youth that are treated, number of referrals, number of EPT prescriptions provided.

17. CATCh: C ommunity-based A dolescent T esting for Ch lamydia Process Objectives Performance Measures To develop project tools/materials – log book, on-line portal for FIT, consent form, surveys, educational curriculum, and educational materials. Results of youth satisfaction and staff survey - starting to collect Document development of all materials - done To train FIT and DERC staff on STIs and program protocol and procedures. Completion of training session - done To provide refresher training for staff and train on use of on-line portal. # Staff trained To train FIT and DERC staff to implement 3 risk reduction interventions (“Survive Outside”): a group video discussion, 1:1 counseling session, and the Making Proud Choices Curriculum. # Staff trained - ETR training this month To offer at least four educational sessions for youth. # sessions done, results of youth satisfaction survey.

19. CATCh: Preliminary Results July 1-Sept 15 Site & Client Sex Potential Clients Total Tests Done +CT # (%) +GC # (%) # Treated on-site FIT unit Female 212 girls w/ visit to case manager 36 by case managers 8 (22%) 1 (3%) 7 by RN or MD DERC Male 103 youth enrolled 76 by nurses 5 (7%) 0 (0%) 1 by RN Total 315 112 13 (12%) 1 (1%) 8

20. CATCh: Preliminary project results FIT Unit July 1-September 15, 2010 # Clients with Post-Test MD/RN On-Site Visit at FIT # Pregnancy Tests Done On-Site # Youth Administered EC On-Site # Youth Given EC as Advance Provision # Youth Referred for Additional Services 18 (remaining clients receive results by phone) 8 (all negative) 4 11 12

26. Chlamydia Practice Improvement Project (CPIP) Michigan Department of Community Health (MDCH) Project Director : Amy Peterson Project Coordinator: Nancy Deising Grant Cycle: 4-1-10 to 3-31-2011 Second Quarterly Call September 22, 2010 Michigan Department of Community Health (State of Michigan) has partnered with Molina Healthcare, the largest Medicaid managed care provider in Michigan, to adapt an award-winning, culturally-specific awareness model to increase chlamydia screening among female plan members age 16-25 in southeastern Michigan, including the city of Detroit. You’re an Essential Piece

32. PROMOTING CHLAMYDIA SCREENING IN A RURAL AREA Jackson County Health Department Kathy O’Laughlin, RN, MS 5/1/2010-4/30/2011 Murphysboro, IL Second Quarterly Call September 22, 2010 Jackson County Health Department is implementing a provider outreach program to encourage routine chlamydia screening in private pediatric, internal medicine, and family practices, along with a peer mentor program to increase public awareness about chlamydia.

38. Promoting Chlamydia Screening in a Rural Area

39. Promoting Chlamydia Screening in a Rural Area

41. PROMOTORAS DE SALUD Planned Parenthood of Greater Washington and North Idaho Amy Claussen – VP of Education and Professional Training March 2010 -Jan 2011 Yakima, Washington Second Quarterly Call September 22, 2010 Planned Parenthood of Greater Washington and North Idaho is expanding its current Promotoras de Salud or “promoters of health” sexual health education program to focus on chlamydia-specific grassroots outreach within the Latino/a community in Yakima County.

46. MINNESOTA CHLAMYDIA PARTNERSHIP AND SUMMIT Minnesota Department of Health Candy Hadsall, RN, MA March 1, 2010 – March 1, 2011 State of Minnesota Second Quarterly Call September 22, 2010 Minnesota Department of Health, based on an effective model for coalition-building, has organized the first statewide Minnesota Chlamydia Partnership to encourage a wide range of organizations to offer chlamydia screening and treatment.

48. Minnesota Chlamydia Partnership Process Objectives Performance Measures At least 100 people will attend the Minnesota Chlamydia Summit. Document the attendance at the Summit, including satellite locations, and determine the organizational affiliation of participants. Document media coverage of the Summit and chlamydia. 60% of participants will agree that the Summit educated them about CT and 50% agree to take action to reduce CT in their communities. Results of the Summit survey completed by participants. The survey assessed primary reason for attending, whether their primary objective was fulfilled, if they volunteered to participate in the MCP, and if they were inspired to take action. At least 20 Summit participants will commit to participating in the Minnesota Chlamydia Partnership workgroups, which will meet at least three times in the next six months. Document number of Summit participants who agreed to participate in the workgroups and assess their ongoing level of involvement.

53. Illinois SBHC Screening during Sports Physicals Uplift School Health Center Children’s Memorial Hospital Cynthia Mears DO FAAP 5/10 to 5/11 Chicago, IL Second Quarterly Call September 22, 2010 Children’s Memorial Hospital, Uplift School Based Health Center is adding free Chlamydia and gonorrhea screening to student athletes’ pre-participation sports physicals provided at five school-based health centers in the Chicago and rural Illinois areas.

54. SBHC Screening during Sports Physicals Outcome Objectives Performance Measures Increase the rate of student participation in CT screening by offering it at the time of sports physicals. Using lab results, will measure rate of student participation in screening during sports physicals. Will compare rates of screening to same time period in prior year(s). To measure the prevalence of Chlamydia and gonorrhea in the adolescents presenting to school- based health centers for sports pre- participation exams. Results of lab tests.

55. SBHC Screening during Sports Physicals Process Objectives Performance Measures To evaluate the process: the feasibility, effectiveness, cost, and logistics of this novel intervention and comparison. Cost: The state lab will be able to provide us with total numbers of tests and cost of treatment. Effectiveness: We will be able to look at numbers of students reached and compare to numbers from the same time period in a previous year. Comparison: We can show if our total testing numbers increased by focusing on this additional sub group. Feasibility/Logistics: We will track the numbers of students that we have reached as well as the numbers of students who declined participation. Each site will tabulate this information via clinical fusion. Uplift will consolidate all information. We also hope to obtain feedback from the sites on how feasible it was to add this into their sports physical routine.

56. SBHC Screening during Sports Physicals Process Objectives Performance Measures To develop a protocol at these five sites that could be instituted statewide in school-based health centers, if effective. If the current protocol demonstrates an increase in screening and STD treatment as compared to not instituting the protocol, then we hope to disseminate the benefits of this program for others to apply to their sites. Results will be disseminated by Dr. Mears at the 6 regional SBHC meetings and the National Assembly of Meetings and regional/state NAPNAP meetings. Interview state and national organizations to determine past numbers in attendance to help estimate possible numbers reached and report on actual attendance.

60. ENHANCED CHLAMYDIA SCREENING IN THE MEDICAL HOME American Academy of Pediatrics New York State Chapter 1 Gale R Burstein, MD, MPH, FAAP March 2010 – February 2011 Western New York State Second Quarterly Call September 22, 2010 University at Buffalo, State University of NY: Three pediatric offices, located in western New York State, are pilot-testing an intervention designed to enhance the delivery of comprehensive and confidential adolescent preventive care, including sexual health services.

62. Enhanced Chlamydia Screening in the Medical Home Process Objectives Performance Measures To provide information about minors’ rights to consent for certain health services to providers and medical office staff. Numbers of providers and office staff reached with information on minors’ rights to consent for confidential health care services. To provide information and tools to assist providers to improve their adolescent risk assessment. Number of providers reached with tools to improve adolescent health risk assessment. To distribute tools and information to medical offices to assist them in developing adolescent medical homes. Number of offices where materials were distributed. To educate providers on their chlamydia screening practices for their adolescent patients. Number of office visits where chlamydia screening outcomes data were presented. To assist providers to enhance their web sites’ adolescent health information quality and accessibility for their patients (as part of the medical home). Number of offices that added adolescent health information to their web sites.

65. Mid-sized suburban/rural peds practice Large suburban/rural peds practice Small urban/rural peds practice Question N = 84 Male Female I have provided info on Sexual Health 26.3% 8.7% Counseled about contraception 40% 30.4% Ordered HIV test 0% 0% Ordered Chlamydia test 0% 0% Question N = 58 Male Female I have provided info on Sexual Health 66.7% 94.3% Counseled about contraception 100% 97.2% Ordered HIV test 0% 0% Ordered Chlamydia test 0% 41.7% Question N=54 Male Female I have provided info on Sexual Health 100% 89.9% Counseled about contraception 100% 77.8 Ordered HIV test 33.3% 0% Ordered Chlamydia test 83.3% 55.6%

68. ODU CHLAMYDIA PROJECT Old Dominion University Jenny Foss & Kim Cholewinski 6/1/10 - 5/31/11 Norfolk, Virginia Second Quarterly Call September 22, 2010 Old Dominion University Research Foundation, through Old Dominion University’s Student Health Service, is implementing a multi-faceted project to increase chlamydia awareness, screening and treatment at ODU and in the surrounding Tidewater region of Virginia.