Region I IPP Infrastructure Updates Advisory Board Meeting June 15, 2010 Boston, MA

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Transcript of Region I IPP Infrastructure Updates Advisory Board Meeting June 15, 2010 Boston, MA

  • Region I IPP Infrastructure UpdatesAdvisory Board Meeting

    June 15, 2010Boston, MA

  • Data OverviewPositivityProgress towards Regional Goals and Objectives

  • Region I Chlamydia Project

    Clinic Type by Year

    2000

    2001

    2002

    2003

    2004

    2005

    2006

    2007

    2008

    2009

    Family Planning

    72

    85

    93

    94

    113

    109

    106

    107

    110

    106

    STD

    15

    17

    18

    13

    12

    10

    12

    13

    13

    10

    High School

    3

    7

    26

    30

    25

    22

    34

    35

    35

    28

    Jails

    4

    5

    5

    4

    4

    4

    4

    4

    4

    4

    DYS

    2

    7

    9

    8

    12

    12

    15

    15

    16

    8

    Drop-in Clinics

    3

    4

    4

    1

    1

    1

    0

    0

    0

    0

    Other Clinic Type

    1

    4

    6

    3

    2

    2

    2

    2

    5

    30

    Total Clinics

    100

    129

    161

    153

    169

    160

    173

    176

    183

    186

    Total Tested

    38,194

    46,043

    60,322

    62,722

    60,672

    71,280

    68,142

    64,367

    54,447

    45,293

  • Chlamydia Positivity in Region I Family Planning Females by Year% Positive

  • Chlamydia Positivity in Region I Family Planning Females by Year% Positive

  • Regional Goals and ObjectivesObjective 1.1 By 2010, increase CT screening by 10% of sexually active 15-24 year old women and men. Using 2004 data as the baseline, increase from 28,694 to 32,563 in IPP sites.

  • Objective 1.1

  • Objective 1.1

  • Regional Goals and ObjectivesObjective 2.2 By 2010, no more than 5% of women more than 25 years of age with no risk factors will be screened in IPP-funded clinics (i.e., 95% will be screened according to regional screening criteria).

  • Connecticut Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

  • Maine Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

  • Massachusetts Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

  • New Hampshire Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

  • Rhode Island Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

  • Vermont Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

  • Infrastructure Performance MeasuresPerformance Measure 1

    Screening Coverage Estimate

    Numerator: Number of women screened

    Denominator: Number of women eligible to be screened

  • Infrastructure Performance Measures Estimated Screening Coverage by Age Category2005-2009

  • Infrastructure Performance Measures

    Increased screening in the 15-19 and 20-24 age categories over the past 2 years15-19 screening rose from 35.6% in 2005 to 45.8% in 200720-24 screening rose from 34.4% in 2005 to 47.4% in 2007Decreased screening in females over 24 over the past 2 yearsScreening >24 went from 40.5% in 2005 to 37.7% in 2007GoalsIncrease the number of women age 24 and under by at least 3% Decrease the number of women age 24+ by at least 3%

  • Infrastructure Performance MeasuresPerformance Measure 2

    Chlamydia Screening Test Utilization

    Proportion of total tests given by age category

    Numerator: Number of women tested by age category

    Denominator: Total number of women tested

  • Infrastructure Performance Measures Proportion of Female Tests Utilized, 2005-2009

  • Infrastructure Performance Measures

    OverviewVery little change over the past 3 years for all 4 age categoriesCould be a result of budget cutsProportion of tests done on women age 29+ is highCould be because data is not broken down by those with and without risk factors, CDC recommends testing age 25+ with risk factorsGoal: Increase the proportion of tests utilized by women between the ages of 15-24 from 0.32 to 0.35 Decrease the proportion of tests utilized by women 29+ from 0.25 to 0.22

  • Questions?

  • Risk FactorsFamily Planning Clinics, Women, 25+(Objective 2.2: 95% screened)

    1. Data - Progress Toward Objectives - 2. Provider Assessment - Highlights of findings - 3. GIS Maps - (samples - more to come)4. Other Infrastructure Updates / Next Steps:Cost Analysis, Ongoing (tx for input) Project to follow the Provider Assessment (will be working with committee) Glossary of Terms (? Volunteers) Change Objective XXX to include "Sexually Active" (?) Possible Partnerships with Professional Organizations, etc. (? Level of Interest)

    Testing dropped DRASTICALLY Ran this with FP only and NO did not drop In general 15-24 year olds account for a bout 60% of testing (2003 and on)

    Projected 200925165 X 2 = 50330

    Shows regionwide positivity over time--inched up in 1999 and has been slowly declining since thenShould we sep out by age group?Questions did testing decrease in different age groups or those not with risk factors cause thatd be good

    *Questions did testing decrease in different age groups or those not with risk factors cause thatd be goodCan see that there is a slight decrease (although 2006 data was weird fluke)Presenting real percents, because still have close to a quarter of testing done in age group over 25/26 with NO risk factors

    Q1/Q2 2009 Total # of >25/26 With Risk = 3094 Total # of >25/26 No Risk = 1921

    From FPARBy the end of the fiscal year 2009, among clients attending family planning clinics, the number of women screened in the 24 and under age group will be increased by at least 3% from 46% to 49% and will decrease by at least 3% in the over 24 age range from 33% to 30%.

    Data from our IPP dataset 11.11.09 = NEED TO FIGURE OUT HOW TO BEST PRESENT THIS SLIDE NOT GOOD FOR PRESENTATION REWORK By the end of fiscal year 2009, among clients attending Family Planning Clinics, the proportion of female chlamydia tests utilized by women between the ages of 15-19 and 20-24 will increase from 0.32 to 0.35 and the number done on women over 29 will decrease by from 0.25 to 0.22

    Need to come up with talking points