Region V Infertility Prevention Project Data Report

1. Region V Infertility Prevention ProjectData Report Winter IPP Meeting Chicago, Illinois March 4, 2009

2. Data Presentation Topics • RVIPP Screening Trends for Newbies • RVIPP Infrastructure Performance Measures Progress • 2009 Data Dictionary – What’s New • Suzie Orman’s Guide to IPPs for Surviving Challenging Financial Times

3. RVIPP Screening Trends

4. RVIPP Chlamydia Screening Total Tests 1997 – 2008* * Projected

5. RVIPP Chlamydia Screening Positive Tests 1997-2008* * Projected

6. RVIPP Chlamydia Screening Total Tests & Positivity 1997-2008* * Projected

7. Region V Infertility Prevention Project2008* IPP Chlamydia Screening By State * Projected

8. Region V Infertility Prevention Project, 2008* IPP Chlamydia Screening By Key Demographic * Projected

9. Infrastructure Performance Measures Progress

10. Eligible Females and Number Screened for Chlamydia Region V Title X Family Planning ClinicsBy Age Group, 2005 – 2007*

11. Percent of Eligible Females Screened for Chlamydia Region V Title X Family Planning ClinicsCoverage By Age Group, 2005 – 2007* Source: FPAR Data

12. Chlamydia Screening Test Utilization Females at Region V Family Planning ClinicsPercent of Tests By Age Group, 2005 – 2007* RVIPP 2007 Goal : 25 AND OLDER <28 Percent of Total Tests Source: RVIPP Screening Data

13. Changes to RVIPP Data Dictionary for 2008

14. 2009 Changes to RVIPP Data Table-1 • Change field length on several fields to standardize • Deleted Field RTPRENATAL – Confusing • Added New Field RTPTOVISIT – Pregnancy Test Only to reflect efforts at FP clinics to screen these women for chlamydia • Change field name UNIVSCRN to RTUNIVSCRN to standardize field naming

15. 2009 Changes to RVIPP Data Table-2 • Changed field definition for RTRESCRNPOS to clarify time period of 3 to 12 months after initial positive test • Change field name Pregnancy to Pregnant to differentiate field from RTPTOVISIT and to indicate that its not a reason for the test

16. 2009 Changes to RVIPP Provider and Screening Criteria Tables • Added new provider type “Integrated Clinic” - to be congruent with CDC Data Dictionary and request from Illinois because of conversion of STD clinics in suburban Cook County to integrated clinics • Added new screening criteria codes to be consistent with additions to the screening criteria table: former tables only had age, signs/symptoms, universal screening and retesting - added other screening criteria including contact, history, pregnant , pregnancy test only, other and IUD

17. Suzie Orman’s Advice to IPPs Listen Girlfriend, The STD stimulus check is not in the mail and don’t look for the federal government to bail you out. Don’t let your IPP screening program get up side down or under water!

18. IPP Role in Infertility Prevention • Infertility is prevented by primary and secondary prevention efforts conducted by IPP programs in collaboration with federal, state and community partners. • Screening is only one element of an IPP. • Common Sources of IPP Screening Data • IPP Data Set • State and Local Laboratory Reporting • HEDIS • Ongoing and Special Studies

19. IPP Data Set • Chlamydia and gonorrhea IPP screening data collected by state and local STD Programs and reported quarterly to Regional Infertility Prevention Projects. • Regional IPPs validate and tabulate the data, produce and publish reports and transmit data set to CDC.

20. Illinois IPP Chlamydia Screening, 1995 - 2007

21. Illinois IPP Gonorrhea Screening, 1995 - 2007

22. State and LocalLaboratory Reporting • Most state and local health departments require laboratories performing STD testing to report, weekly, information on positive tests (incidence). • Some health departments require laboratories to report the number of tests performed and the number positive (prevalence). This helps to monitor diagnostic testing and screening rates at non-IPP sites

23. Illinois Non-IPP Chlamydia Screening, 1997 - 2007 YEAR

24. Illinois Non-IPPCHLAMYDIA Screening: Females

25. Illinois Non-IPPChlamydia Screening: Males YEAR

26. Illinois Non-IPP Gonorrhea Screening, 1997 - 2007

27. HEDIS • The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. • Data collected and published by National Committee for Quality Assurance • www.ncqa.org • HEDIS Chlamydia Measure • Proportion of sexually active females between the ages of 15 and 25 who were screened for chlamydial infection annually.

28. How to Get HEDIS Data • CDC DSTDP Can Provide State Totals by Year • Individual Plans Can Provide Data • Purchase Data Set from HEDIS

29. Number of Eligible Women and Percent Screened for Chlamydia* RVIPP States HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

30. Number and Percent of Women Screened for Chlamydia*RVIPP States HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

31. Eligible Women at Managed Care OrganizationsNumber & Percent of Women Screened for Chlamydia*RVIPP States HEDIS, 2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

32. Chlamydia Screening Rate among Eligible Women*Michigan HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

33. Chlamydia Screening Rate among Eligible Women*Minnesota HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

34. Chlamydia Screening Rate among Eligible Women*Wisconsin HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

35. Chlamydia Screening Rate among Eligible Women*Ohio HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

36. Chlamydia Screening Rate among Eligible Women*Indiana HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

37. Chlamydia Screening Rate among Eligible Women*Illinois HEDIS, 2000-2007 *Sexually active women ages 15-25 seen at health care agencies reporting to the Health Care Effectiveness Data and Information Set (HEDIS)

38. HEDIS Report for Illinois Plans, 2006-2008 • 20 Managed Care Plans in Illinois • 2008 Chlamydia HEDIS Measure • 16.4% to 36.7%

39. Check List for Manage Care Visitto Encourage Chlamydia Screening • Statewide and Jurisdiction Specific Data By Sex By Age Group, etc. • HEDIS Data • Clinician and Patient Education Tools • Journal Articles Promoting Screening in Managed Care – 3 Suggestions • Prevention of PID by Screening for Cervical Chlamydial Infection. Scholes, et. al. NEJM, May 23, 1996, vol. 334, #21. • Editorial: Screening for Chlamydia - Key to Prevention of PID. Hillis and Wasserheit. NEJM, vol. 334, #21. • Behavioral Counseling to Prevent STDs: A Systematic Review for the U.S. Preventive Services Task Force. Lin, Whitlock, et. al. Annals of Internal Medicine, volume 149, #7, October 2008.

40. Acknowledgements • Health Care Education and Training (HCET) • State RVIPP Coordinators and Data Managers • State RVIPP Laboratory and Testing Site Staff • Lois Cash – For Preventing Email Overload 11/2008 – 2/2009