CFP Information Call: Addressing Policy Barriers for State and Local Health Departments
when Implementing the PCSI Strategy
Audio Instructions: 800-273-7043, pass code: 748147
Welcome to the webinar
Audio Instructions:
1-800-273-7043, code 748147
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hold
Agenda for the Call
• Overview of NNPHI’s Cooperative
Agreement and Project Opportunity
• Overview of Project Concept and Scope of
Work
• CFP key items
• Questions & Answers
NNPHI’s COAG and Project Opportunity
• Umbrella Cooperative Agreement
• Leadership support for NNPHI
• Partnership with OSTLTS
• Collaboration with national partners:
NPHPSP
• Collaboration with numerous CDC CIOs
• 2012 Innovations in Public Health Policy
Competition
• Addressing Policy Barriers for State and Local
Health Departments when Implementing PCSI
Project Concept and Scope of Work
Gustavo Aquino
Associate Director for
Program Integration
National Center for HIV, Hepatitis, STD
and TB Prevention, CDC
Project Concept
Program Collaboration and Service
Integration (PCSI) is a cross cutting goal of
CDC's National Center for HIV/AIDS, Viral
Hepatitis, STD, and TB Prevention
(NCHHSTP) to strengthen collaborative work
across disease areas and integrate services
that are provided by related programs. As the
PCSI strategy is being implemented by state
and local health departments, various policy
challenges are being encountered.
Project Scope of Work
Developing a national inventory of public health laws and policies by
jurisdiction that effects the delivery of holistic, integrated prevention
services .
Examples
• Public Health Reporting
• Permissible Disclosure
• Data Confidentiality
• Protecting Public Health
• Policies on surveillance data use and data security and
confidentiality
• Compatibility of state law/policy with recommendations for Partner
Services Programs for HIV Infection, Syphilis, Gonorrhea, and
Chlamydial Infection
Project Scope of Work
Developing a summary by jurisdiction that
highlights strategies, recommendations and
best practices that were used to address
these specific public health laws and policies
(e.g. legal changes or policy changes).
Local Example
Assessing the legal challenges of data sharing
across HIV, TB, STD and viral hepatitis within
the NYC Department of Health and Mental
Hygiene (DOHMH)
Jennifer Fuld
PCSI Coordinator
Division of Disease Control
New York City Department of Health and Mental Hygiene
Current NYC PCSI Initiative
3 year CDC
funded
demonstration
grant
Year 1:
Oct 2010 – Sept 2011
Years 2 & 3:
Oct 2011 – Sept 2013
Years 4+:
Oct 2013 onwards
• Conducted Needs
Assessment
– Reviewed epi data
– Interviewed DOHMH
staff
– Interviewed community
providers
• Formed PCSI committees
• Developed PCSI Plan
• Implement PCSI Plan
– Data Sharing
– Training/Education
– Service Integration
• Build internal partners &
external stakeholders
• Evaluate activities
• Ensure sustainability
of internal
collaborations
• Build on & continue
PCSI activities
NYC Commissioner of Health
General
Counsel
Division of
Mental
Hygiene
Bureau of Drug
and Alcohol
Prevention,
Care and
Treatment
Confidentiality
Officer/Chief
Privacy Officer
Bureau of
Communicable
Disease
OVHC
•Viral hepatitis
surveillance
•Hepatitis C
testing
•Surveillance
of other
infectious
diseases
•Hepatitis A, B
and C training
•Hepatitis B
and C
Community
Task Forces
Bureau of
HIV
Division of
Disease
Control
Division of
Informatics
Improvement
Correctional Health
Bureau of
TB
Public
Health Lab
•TB surveillance
•HIV Testing
•TB testing
•Care and tx
•TB care and case
management
•Prevention
•HIV training
center
•PPG, Planning
council
PCIP
PCSI
•HIV
surveillance
•Field services
Division of Health
Care Access and
Bureau of
STD
•STD surveillance
•Public STD clinics
– STD and HIV
testing
•Care and tx
•Field services
•Field services
•HIV testing
•STD HIV
Prevention
Training Center
•Hep testing for
active cases
*Partial NYC DOHMH org chart highlighting current PCSI
Bureau of
Immunization
•Syphilis Action
Group
•Hepatitis A
and B Vaccines
•Perinatal
Hepatitis B
Program
•Adult
Immunization
Coalition
PCSI Data Sharing
• To link/match records from disease surveillance
registries to conduct retrospective epidemiologic
analyses (de-identified aggregate data)
• To share identifying information about individual
cases, or person-level surveillance data, across
programs for case management
–
–
–
–
Co-infection information at person level
Locating information
Demographics
Risk factors
New York State and City
Confidentiality Laws
Disease
First NY Surveillance
State Law
Date of
Passage
Amended
NYC Law
Date of
Passage
Amended
TB
1897
Pub. Health
Law § 2221
1953
1956
Health
Code §
11.21
1991
1993, 2008,
2010
Viral
Hepatitis
1952
Pub. Health
Law § 18
(General
provision)
1986
1987, 1990,
1991, 1992,
1998, 1999,
2004, 2010
Health
Code §
11.11
1991
1993, 2008
STDs
1912
Pub. Health
Law § 2306
1980
1992, 2010
Health
Code §
11.11
1991
1993, 2008
HIV/AIDS
1989
Pub. Health
Law § 2135
1998
2010
N/A
Project Background
• Developed out of PCSI needs assessment
– Staff need clarification on current laws and policies
– Distinguish state and local law—statutes, regulations and
rules from internal DOHMH policies regarding use of
surveillance data
– Identify issues of access vs. use
– Provide opportunity for discussion to increase data sharing
• Limited to
– PCSI diseases
• HIV/AIDS, STD (syphilis, chlamydia, gonorrhea) TB, hepatitis B & C
– Surveillance data
– Sharing internally (within DOHMH)
Scope of Project
• Collaboration with NYC DOHMH Chief Privacy
Officer/General Counsel
• Identify data sharing needs within DOHMH PCSI
programs
• Review history of laws and regulations
• Analyze current NYS and NYC laws and impact on
data sharing
• Recommend changes to increase data sharing
• Serve as a springboard for data sharing
conversations across programs
The CFP: Key Items
• Up to $115,500 is available for the project and the
project period is September 1,2012-May 31,2013
• Proposals are due by close of business (Central Time),
August 24th, 2012
• All questions should be directed to Tiffanie Sherrer at
tsherrer@nnphi.org. Please do not contact CDC staff
directly.
• The selected NNPHI member will be notified by the end
of August
• PHIs with experience in law and policy analysis related
to permissible disclosure, data confidentiality and
reportable disease are strongly encouraged to apply
Questions?
Please visit the “Funding Opportunities” page of
the NNPHI website
Tiffanie Sherrer
tsherrer@nnphi.org