Admin - Meetings

NACHC would like to separate these two meetings instead of combined. Can IEW project partners make a 2pm meeting on the 2nd Monday of the month for all partners call?

Julia

IEW 1st Mondays

• 1pm or 2pm

March only? March 3rd or 4th Monday for March

• Afternoon

• Tuesday or Wed afternoon after 11am

• Please provide feedback; NACHC will provide a few choices

HIV -

• Keep it at this time?

• Provide choices for March to Julia

OCHIN Seren - Mondays aren't great for OCHIN, we have some standing meetings already

OCHIN AnnMarie 2pm on Mondays is not good for

[11:08 AM] Shelly Sital - Same for Alliance -- the 3rd Monday is a no-go for sure. Could do the 4th Monday at 3pm EST

Review of Partner Implementation Status

Discussion of technical issues of implementation

Karen - Do we need OMB Clearance for questions? If more than 10 respondents, then it needs to be cleared by the OMB.

Aileen - DUA process for data?

Yes, DUAs are in process or completed. Waiting on one DUA for the data from Year 1 partner.

Confluence glitch - information is dropping out of

Julia - We will move next scheduled meeting to Friday 3rd or 4th week in March is ok, then we will send out invite.

3rd week would be better, Seren will be OOO 3/24. Looks like WHPP meeting is the 3rd week. If Mike is ok to join 3/24 without me then that would be fine

Partners - New sites are just coming on board - partners have not had a chance to talk about the project much yet.

Julia - Do a rapid test rather than a lab test.

Ken - Healthflow can create workflows that include a human intervention, and each site can decide what they want. This could increase

Karen - Not a great idea to move to rapid tests, whereas lab reporting is what gets reported to CDC. Encourages us to have the health systems get the results to the labs, who can send to CDC.

Julia - In her health center EHR, the results go into the lab section. When there is a positive result, the person gets sent to get a lab test.

Karen - Unless it is an alear antigen antibody test. Instant tests are not specific enough for early detection. This would be taking the CDC vision to implement automatic testing, CDC is trying to assess a health delivery model, and intended that this model is implemented and tested. If NACHC partners implement another model, there will not be a good test of this model. The project turns into a service delivery project, not a model.

Shannon - The rapid test does go into a structured field. There is a distinction between rapid and lab result. (did not get all this - about lab result LOINC codes.

Health centers want to be adherent and find that rapid testing is a good entry point, a way to engage the person further - esp if they are not sure that the patient will return to get the lab test. If it comes back positive (or negative), it gives an opportunity to open the conversatsion.

Karen - Negative results as well, as CDC has adopted a Status Neutral model.

Open

Open

Rapid point-of-care antibody screening tests are sometimes performed for convenience and/or cost. An initial positive rapid antibody test is only preliminary. In this setting, a laboratory-based combination antigen/antibody assay should be performed if the rapid test is positive.

Laboratory testing for the diagnosis of HIV infection : updated recommendations

Julia explained that street teams and outreach teams use rapid tests.

Karen - Acknowledged that rapid tests are used in outreach; the project goal was to get lab orders.

Julia - Clinic hours are until 7pm and some patients are unhoused - the lab closes at 4pm, so a rapid test gives the opportunity to start the intervention.

Partners can discuss implementations with their sites.

Karen - Would be helpful to know which sites implement which routes so we can monitor the outcomes for each workflow.

Julia - We could then see the patterns of opt-out and outcomes. This is part of the Implementation Plans we are asking partners to complete.

Karen - The Opt Out option was to be part of the tool, intended to be for the patients, not the providers.

March NACHC’s Policy and Issues forum - we have a session on EHE - White House Director, HRSA Director, a Health Center - NACHC web site has schedule. This session is Thursday morning. Policy & Issues Forum - NACHC