private results: an sti test result delivery system
TRANSCRIPT
Private Results An STI Test Result Delivery System
Jessica Ladd
Sexual Health Innovations
April 6-8, 2014 San Francisco, CA
Annual Conference on Youth + Tech + Health
The Setting: STIs in Baltimore
0%
1%
2%
3%
4%
5%
6%
7%
Black Nonblack
Chlamydia prevalence ages 15-35
The Setting: STI Clinic Patients • Age
• Range: 15-92 years • Median: 27 years
• Gender • 57.1% male • 42.9% female • 0.01% transgender
• Race • 88.3% Black/African American • 5.9% White • 3.4% Hispanic
The Problem: STI Test Result Delivery
60%
40%
Patients receiving results Patients not receiving results
The Problem for Patients • Don’t get results • When do get results:
• It’s inconvenient • May not understand results • May not be appropriately linked to next steps
• Not empowered to access own health data
The Problem for Providers • Spending time delivering negative results • Spending time delivering positive results to
presumptively treated individuals • Have better things to do with their time
The Process
Develop contextual
understanding Ideation
Non-functional
prototyping Refinement
Prioritization Development Testing Launch
Iteration Evaluation
The Product
Call 1-800-555-1234 on .
Username:
Password:
April 24
689-810-518-819
109-583-776-102
The Product Patient Phone 8005551234
Welcome to Private Results. For English, press one. Para español, oprima el dos.
1 Please enter your username
689810518819 Please enter your password
109583776102 Your test results are all negative, meaning that you probably do not have any of the
diseases you were tested for. You were tested for chlamydia, gonorrhea, and syphilis. You were tested on April 16, 2014. For more information about these diseases, visit
www.somewebsite.org. To hear this message again, press one.
[Hangs up]
The Product Patient Phone 8005551234
Welcome to Private Results. For English, press one. Para español, oprima el dos.
1 Please enter your username
257190017820 Please enter your password
462016302801 Your test results are not ready yet. Please check back in two days. To hear this message
again, press one.
[Hangs up]
The Product Patient Phone 8005551234
Welcome to Private Results. For English, press one. Para español, oprima el dos.
1 Please enter your username
257190017820 Please enter your password
462016302801 Your test results are ready. To receive them, please call the clinic Monday to Friday between 1pm and 3pm. The clinic’s number is 212-555-8291. To hear this message
again, press one.
[Hangs up]
The Product Provider login
The Product
The Product Individual patient result
The Product
The Product Settings for admin to add in new DIS
• MVP (minimum viable product) • Securely take in and store patient test results • Allow patients to call a toll-free automated number for results • Allow providers to view which patients have accessed their
results
• Additional features if funding allows • Spanish translation • Web portal so patients can access results online • Results interpretation changes if patient presumptively
treated • SMS reminders for patients for rescreening
The Product: Private Results
The Product
The Product
The Product Fancy pieces of the patient view
The Product Fancy pieces of the patient view
The Product Fancy pieces of the patient view
The Patient
Not knowing results
Receiving results
Understanding results • What they were
and were not tested for
• What they do and don’t have
• What that means
Taking appropriate action • Getting treated • Telling partners • Getting
rescreened • Using condoms
The Partner
Not knowing risk Knowing risk Getting tested and/or treated
The Provider
Not having enough time
Spending less time delivering negative
results
Spending more time on the things that
matter more
The Public Health Sector
Inefficient surveillance data transfer
Efficient and actionable surveillance data transfer
The Prevalence
Inefficient surveillance data transfer
Efficient and actionable surveillance data
transfer
Patients
Partners
Providers
Public health
Not having enough time
Having more time for the important things
Not knowing their risk Getting tested and/or treated
Not knowing their results
Taking appropriate action
Lower prevalence
The Principles 1. Education 2. Clinical and public health purpose 3. Collaboration
