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HATS & Medwiser
HIV AIDS TEST SCREENING SOFTWARE
Partnerships to increase access to HIV testing and improve the world
HIV is a Worldwide Epidemic Over 280,000 children die
before their 1st birthday 2.7 million total infections
annually in children & adults Over 25 million deaths have
been caused by HIV Every infection is preventable
HIV/AIDS is a Threatens the World as We Know It
HIV/AIDS Epidemic USA Profile
Source: 1. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB, CDC HIV Prevention Progress in the United States. 2. CDC. NYC DOH
HIV Prevalence Is Reaching Alarming Levels In Our CitiesHIV Prevalence Is Reaching Alarming Levels In Our Cities
Washington D.C. New York City, NY
0.1% - 0.4%
0.5% - 0.8%
0.9% - 1.5%
>1.6%
Of 1.1 Million People Living With HIV in America, One Fifth Are Unaware of Their InfectionOf 1.1 Million People Living With HIV in America, One Fifth Are Unaware of Their Infection
HATS & Medwiser Overview
• HATS was produced in 2010 as the first screening software for HIV testing. It is a scalable, interactive platform for conducting an HIV/AIDS risk assessment, providing feedback to patients and streamlining data to health care providers
• By automating lab testing, consent, clinical follow up and reporting, HATS can increase access to testing while benefiting all HIV/AIDS stakeholders
• HATS is compatible with PC, Mac and mobile devices, can be customized to integrate with individual EMRs & maintain HIPAA compliance
• HATS is produced by Medwiser, a 501(C)3 nonprofit organization founded to educate, enable and empower individuals worldwide to prevent the spread of HIV
• Using socially relevant technology & digital media (Internet, mobile applications) Medwiser offers creative solutions to overcome challenges to HIV prevention
HATSHATS
MedwiserMedwiser
• Medwiser was founded to educate, enable and empower individuals worldwide to prevent the spread of HIV. To fight HIV in a wiser way, Medwiser is all about using technology to help people and organizations realize their potential to fight AIDS. We are currently planning the development of social networks to provide social support and reduce stigma. Apps—like HATS to increase screening and testing. Websites—where online collaboration generates customized educational content. And nonprofit software to help organizations evaluate and improve performance. Through the creation of these web and mobile tools, Medwiser hopes to strengthen existing networks of HIV education, prevention, diagnosis and treatment
HATS streamlines screening, treatment and reporting
FACILITATE REPORTING
•Real time data collection •Analysis of population •Customized reports
REDUCE ERROR
• Decrease human error associated with diagnosis and execution of guidelines
IMPROVE OUTCOMES
• Linkage to treatment and care• Early diagnosis and treatment
STREAMLINE SCREENING
• Increase efficiency • Standardize consent
New Law in New York State Presents New Opportunities
HIV tests must be offered to patients 13 to 64 years old
Hospital inpatients Emergency department patients Diagnostic and treatment center patients
HIV tests must be offered in primary care settings provided by
Doctors, physicians assistants, nurse practitioners, OB/GYN s or midwives
Linkage to care must be provided when results are positive
New York joins 45 states that have taken similar actions
Sources 1. http://www.nyc.gov/html/doh/html/pr2010/pr043-10.shtml 2. O’Connell, D. HIV Testing Legislation. AIDS Institute Update.
Impact will be greatest in NYCImpact will be greatest in NYC
“This state law will have its greatest impact here in New York City, where more than 107,000 residents are living with HIV/AIDS and thousands more do not know they are infected…These people may not be receiving the care they need and may be unknowingly infecting their partner”
-Dr. Thomas Farley, New York City Health Commissioner
In NYS one third of HIV-positive people learn their status only after reaching advanced stages of infection
In NYS nearly 20% of patients are unaware of their infection status
Earlier diagnosis and treatment has been shown to both reduce further transmission and increase the average survival by 11 years
100,000 life-years lost in the United States can be attributed to late diagnosis.
Late diagnosis of HIV often occurs despite having had multiple health care visits
Testing increases survivalTesting increases survivalRoutine testing & linkage to careRoutine testing & linkage to care
Report to Governor & LegislatureReport to Governor & Legislature
Legislation will be reviewed for impact based on statistical measures
NYS DOH will report to the governor in 2012 with data relevant to the law’s impact on public health.
HATS: Interactive HIV Screening At Home, Work Or On The Go
HATS Overcomes Traditional Barriers To HIV TestingHATS Overcomes Traditional Barriers To HIV Testing
Research Shows ERs Have Difficulty Implementing HIV Testing
CDC endorsed the policy of HIV testing in ERs in 2001
Since then surveys have demonstrated only 3% of ER providers have incorporated HIV screening into their practice
The difficulties of program implementation include:
Lack of human capital Operational costs Interference with the acute care
mission of the ER Overcrowding of the ER
“If HIV prevention is not brought to scale, more than twice as many new HIV infections will occur in the coming years than if a comprehensive response was implemented”
“Funding required for developing countries to address the HIV pandemic could reach $35 billion annually by 2031—three times the current level”
Financial Burden of Failing to Implement HIV Testing Could Be OverwhelmingFinancial Burden of Failing to Implement HIV Testing Could Be Overwhelming
Source: 1. Stover J, Bertozzi S, Gutierrez JP,Walker N, Stanecki K, Greener R, et al. The global impact of scaling up HIV/AIDS prevention programs in low- and middle-income countries.Science. 2006;311(5766):1474-6. 2. Hecht, R. Critical choices in financing the response to the global HIV/AIDS pandemic. Health Affairs. 2009;28(6):1591–605 3. Hardwicke, R, Malecha, A. HIV Testing in Emergency Departments: A Recommendation With Missed Opportunities Journal of the Association of Nurses in AIDS Care . May 2008 (Vol. 19, Issue 3, Pages 211-218) 4. Kelen, GD, Rothman, RE. Emergency Department–Based HIV Testing: Too Little, but Not Too Late , 27 April 2009 . Annals of Emergency Medicine. July 2009 (Vol. 54, Issue 1, Pages 65-71)
Barriers to HIV Screening in ER’sBarriers to HIV Screening in ER’sOnly 3% of ER Providers CompliedWith CDC Testing Guidelines
Only 3% of ER Providers CompliedWith CDC Testing Guidelines
Medwiser HATS—Partner Synergy Provides Benefits Across Stakeholders
• Increased HIV Testing & data tracking due to interface capabilities
• Improved understanding of patient history, risk factors and HIV status facilitates enhanced patient care
• Reduced admin burden
• Improved understanding of HIV risk, link to testing and continuity of care
• Enhanced opportunity for optimal clinical outcomes
• Improved member clinical outcomes
Physicians
Patients
Payers
• Consumer appreciates partner’s commitment to education, & improving patient lives, increasing affiliation with other partner programming
• Improved knowledge of optimal patient care
• MD view partners as a team in helping improve healthcare efficiency
• Payer appreciates partner’s commitment to improving Healthcare by enhancing quality of care while simultaneously reducing cost
We need your helpContact Information
Michael Morgenstern, MD
Director and FounderMedwiser Inc. &Resident, Department of NeurologyNorth-Shore LIJ Health SystemAlbert Einstein College of MedicineC: 646-872-2747E: [email protected]
http://www.linkedin.com/in/michaelmorgenstern
http://www.medwiser.org