using hiv laboratory data in michigan

Using HIV Laboratory Data in Michigan

Elizabeth Hamilton, PhD, MPH

CSTE HIV Surveillance Coordinator’s WorkshopJune 3, 2012Omaha, NE

How we manage and use HIV laboratory data

Enahanced Linkage to Care Analysis

Demo of Michigan’s HIV Laboratory Management System (LMS)

Outline

Electronic HL7 (imported every 30 mins) Other formats (.csv, .txt)

Manually uploaded, ~1/week

Paper Entered directly into LMS

HIV Lab Management

Unmet Need Analyses Use of genotypes to detect actively

transmitting clusters to enhance or direct PS Enhanced Linkage to Care Future – assessing community viral load

Uses of HIV Laboratory Data

Requested by our Prevention Partners to verify their CTS data 1st and 2nd visit Median VL at 1st visit By care facility Demographic Characteristics

Similar to CDC NHAS Indicator Analysis

Enhanced Linkage to Care

CDC/MDCH Methodology Comparison

Same test types/LOINC codes eHARS status flag

CDC – A & M MDCH – A & W

Variable completion CDC – drops those with missing result MDCH – eHARS workaround for entering undet.

VL on CRF results in a missing result

Elizabeth Hamilton, PhD, MPHHIV Epidemiologist & ManagerHIV Surveillance & Body Art Facility Licensing

Unithamiltone2@michigan.gov517/335-8247

http://beta.mihealth.org/hivlms/home?iv-user=hamiltone2

Michigan’s LMS