Slide 1: Maryland Infectious Disease & Environmental Health Administration
PCSI in Action: Maryland’s Integration of HIV & STI Partner Services
National HIV Prevention Conference Atlanta, GA August 24, 2009
Marcia Pearl, MA
Partner Services Program Chief, Center for HIV Prevention Office of Infectious Disease Prevention & Care Services
Slide 2: Common Barriers to PCSI
• • • • • Organizational structures Funding limitations Traditional resource allocations Varying levels of commitment Lack of role-clarity among agencies
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 3: History and Progress of Maryland Partner Services
2003 2006
The management of HIV PCRS transferred to the AIDS Administration from the Community Health Administration New leadership within the AIDS Administration, State STI Division, and Baltimore City Health Department State STI Division Chief became a member of the Maryland HIV Prevention Community Planning Group Began joint quarterly collaboration meetings
2007
Filled STI Field Operations Manager position New HIV Partner Services Coordinator
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 4: The Challenge
To create a seamless Partner Services delivery system with what we had:
– separately funded agencies / divisions – separate performance measures / indicators – separate / limited supervision in the field
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 5: The Plan
Functional Integration:
– Deliberate cross-agency recognition that we needed to do more, despite our structural barriers – Acknowledgement of a shared goal – Commitment from agency leadership
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 6: Maryland Partner Services Program Strategies
• Provision of joint leadership • Resource alignment • Statewide workforce development • Data utilization improvement • Strengthen partnerships
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 7: What is the PSMT?
A ‘blended’ HIV/STD Partner Services Program administered through shared leadership, with a clear vision and supported mission, which uses evidence-based action planning to accomplish achievable goals. – Policies & Guidance – Performance Improvement Plans – Training/Development
.
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 8: Inter-Agency Partner Services Management Team
Center for HIV Prevention Partner Services Program Chief Marcia Pearl Center for STI, TB & Immigrant Health Field Operations Manager Vicki Stovall
Partner Services Technical Advisor Anne Wiseman
STATLab Coordinator & Partner Services Technical Advisor Charlie Chamberlain
Partner Services Technical Advisor Anthony Bethea
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 9: TAs Role at the Local Level
• Supporting local program managers • Cross training DIS to conduct syphilis and HIV Partner Services (PS) • Implementing a team approach PS investigations and case management • Implementing PSMT Guidance to LHDs
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 10: Regional DIS Chalk Talks
More than just case presentations… • Hepatitis A & B Vaccine presentation • Region III HIV/STD Training Center updates / announcements • Syphilis visual case analysis refresher
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 11: Quarterly STI Coordinator Update Calls
• • • • • • Epidemiology update / trends PSMT updates / announcements Medical consults HIV testing / reporting reminders Training announcements / updates STD*MIS / data system Q&A
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 12: Successes of the PSMT
• Joint communication / guidance to LHD staff
– DIS Prioritization and PSMT Guidance documents
• Increased data sharing and data utilization, including joint program monitoring • Increased Partner Services funding, including implementation of jointly funded DIS positions • Joint hosting of CDC trainings for DIS/FLS and regional Chalk Talks
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 13: Administration Merger
July 23, 2009 The Maryland DHMH AIDS Administration and Community Health Administration were integrated, to form the new
Infectious Disease & Environmental Health Administration
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 14: Next Steps
Reorganization and coordination of… • streamlined data sharing with HIV surveillance • HIV, STI, TB, and Hep testing efforts • Formal training / curricula content to increase cross-training of staff and vendors
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
Slide 15: Contact Information
Marcia Pearl, MA
Partner Services Program Chief Center for HIV Prevention mpearl@dhmh.state.md.us
Office of Infectious Disease Prevention & Care Services Infectious Disease & Environmental Health Administration Maryland Department of Health & Mental Hygiene Web-site: http://eh.dhmh.md.gov/ideah/default.aspx
August 24, 2009 Maryland IDEHA, Office of Infectious Disease Prevention and Care Services
