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GETTING READY FOR
MINNESOTA STATEWIDE
STI TESTING DAY
April 4th, 2017
J’Mag Karbeah, CRUSH STI Testing Day Coordinator
[email protected]
651-201-3747
Agenda
• History of this event and intro to CRUSH
• Lessons learned from last year
• Clinic flow and setup/staffing
• Funding strategies
• Outreach tips
• Youth as focus of event
• Social Media Strategy and Toolkit
• Questions
CRUSH
Community Restoring Urban (Youth) Sexual Health
What is CRUSH?
CRUSH is a partnership of youth-serving organizations and
community members formed in mid-2013 to address the
increasing rates of STI infections among teens and young
adults in Minneapolis.
Our Mission: CRUSH mobilizes individuals,
organizations, and the community to eliminate STI
infections in Minneapolis through advocacy, education,
prevention, and treatment.
Our Vision and Guiding Values
We envision our community being a thriving place where young
people are healthy, safe, knowledgeable, hopeful, and
connected to adults who care about them.
Youth are valuable assets in our community; All youth deserve
respect, including people of all genders and sexual orientations;
Sexual health care and education should be available to every
youth; Parents and other caring adults have an important role in
promoting healthy sexuality and relationships.
Why Statewide STI Testing Day?
• Reduces barriers for harder to reach patients, with a focus
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on youth and young adults
Good visibility/outreach opportunity for clinics
Publicity: sexual health/STI prevention a state priority
Makes it fun to get tested with friends, partner, etc.
Many youth and young adults use it as a learning
opportunity
Chlamydia epidemic:
• Youth age 13-25 make up >67% of cases in MN
• Huge racial/ethnic disparities (>62% are POC)
STI Testing Day History
• CRUSH Health Access Action team developed a plan
• Based on Minneapolis SBC “Fast STI Testing Day” events
• Strategic Plan Goal: Increase access to affordable sexually transmitted infection
screening and treatment.
• Strategy 1: Promote clinics and other places that offer STI screening or treatment
services.
• 2015 Activity: Coordinate a city-wide walk-in testing day in April during “STI Awareness Month”
• 2016 Activity: Coordinate a state-wide walk-in testing day
• On April 21st 2015 CRUSH held its first annual city-wide Youth STI Testing
Day.
• 18 clinic sites participated
• Over 99 teens and young adults tested for chlamydia or received sexual health services
including condoms, education, and other STI testing
• On April 12, 2016 CRUSH held its 2nd annual STI testing day— expanding
statewide
• 56 clinic sites participated
• 909 teens and young adults tested for chlamydia and gonorrhea
RUNNING A DROP-IN STI
TESTING DAY FOR YOUTH
Tawanda Asamaowei and Veronica Burns
Public Health Associate, Minneapolis Health Department
Contact info: [email protected] ,
[email protected]; 612-673-3579
Fast STI Testing Day at SBCs
• Walk-in STI testing available to all students
• No visit with NP
• Walk through paperwork with Health Educator
• Pee in a cup –urine testing for Chlamydia and Gonorrhea
• Get condoms/safer sex supplies
• Return for results in 2-3 days
• Health Ed/Brief Counseling sessions on results days, with
referrals to other programs (Nutrition, HIV testing, SSI
program, Mental health, sports physicals)
Example Clinic Flow
1. Patient asks
MA for STI test.
5. Patient meets
with HE/RN for
results (Bill as
comm if already did
health education
when tested).
2. Patient meets
with HE/RN for STI
visit (explain tests &
windows, practice
condoms, & set
safer sex goals
using MI).
3. Patient
pees.
4. HE/RN charts
visit.
MA sends order.
NP approves
order.
Example Clinic Flow
• Greeter/Health Educator checks paperwork
• distribute cups
• answer patient questions
• collects specimen from patient, runs to lab
• Checkout, reminders, and goodie bags
• Data Entry/RN and MA register patients, book
appointments in NextGen.
• Lab/RN or MA prep lab work for afternoon pick-up
• RN or NP available for counseling, Rx, or NextGen and
charting.
Set-up
• Have clinic meeting to make sure everyone knows role.
• Alert your lab of the event
• Give your plumber a heads up too…
• Line urine cups (we prep 50-100)
• Assemble registration packets: (might include)
• Intake form (if needed, SBCs do without)
• Anonymous demographic/QI survey
• MFPP cover sheet and signature page.
• Minor’s Consent form and data privacy form
• SSI Screening form (for applicable patients)
Setup, cont.
• Check-in station with registration packets, clipboards,
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pens, health ed info, swag, etc.
Room/space for form completion and for turning in
forms.
Set out UA cups in bathrooms or where patients turn in
their forms.
Designate an area for patients to return specimen cup.
Make sure signage for specimen drop, and instructions
for providing specimen are CLEAR –visible, visual, etc.
Designate a check-out area for goodie bags
Funding Strategies
• Use regular methods to cover STI testing
• Sliding scale fee, insurance, etc.
• Long term gain
• Publicity of the event improves visibility, highlights need for these
services
• Event will drive youth to clinics, can generate more visits via better
connection to primary and preventive services
• MFPP
• Other ideas:
• Contact your lab and request assistance for the day (discounted
rate on tests done that day, for example)
Clinical Toolkit
• Anonymous demographic/QI survey
• MFPP cover sheet and signature page.
• Billing Best Practices for Walk-in STD visits
• FAQ’s on Coding for STD Clinics
Outreach!
• 2016 lessons learned:
• Clinics that did their own outreach were much more successful
• Organizers need to help clinics do outreach
• Ideas and strategies:
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Posters in clinic –bathroom stalls, exam rooms, waiting rooms
Posters in youth-serving orgs in area
Posters in high traffic areas –bus stops, cafes, library, community centers
Email blasts to partners
Newsletters
Schools and libraries
Afterschool programs
In-clinic promotion: tabling, announcements
Social Media
Posters
Tabling
• Giveaways: buttons,
stickers, safer sex supplies,
candy, swag, etc.
• Games and activities
• Information: posters,
pamphlets, reminder cards
Youth as Focus
• Win or lose youth in first impression
• Buy-in of frontline staff is essential
• Learning to navigate health care system
• BE PATIENT, be friendly
• Youth friendly clinic environment
• Posters: youth-oriented, attention catching, positive/not shaming
• Music, radio, etc
• Magazines
• Educational/promotional opportunity
• Pamphlets, information in waiting room/registration area
• Have staff on hand and a private place to answer
questions
Youth as Focus
• Forms:
• LGBQA inclusive sexuality questions
• Space to give names/pronouns
• Intersex, Agender, and Trans-inclusive gender categories
• Accessibility:
• Info on ramps, elevators, translators, interpreters, etc. clear
and available?
• Are there unisex and/or single stall bathrooms available?
• Is private space with less stimulating environment available?
• Instructions in the bathroom with visual aids!
• Result reminders: texting, confidential email/patient portal,
reminder card, etc.
Youth Friendly Services Guides
• Caring for Adolescent and Young Adult Males: Tools for Clinicians (webinar)
• Clinical Services for Trans Adolescents (webinar)
• Counselling LGBTQ Clients on STD Services (pdf of ppt)
• Planned Parenthood Inclusive Services Guide (guide)
• Better Together Hennepin Standards of Care (pdf of ppt)
• Advocates for Youth (website)
• EngenderHealth’s Youth Friendly Services (guide)
SOCIAL MEDIA STRATEGY
AND TOOLKIT
Resources
• Webinar, poster, and all linked/mentioned resources housed here.
• Outreach materials:
• CDC GYT Materials (download AND/or order free)
• Zine-style business cards
• Announcement samples (radio, classroom, overhead, etc.)
• Facebook event- CRUSH
• CRUSH Press Release
• Information for the print media
• MDH STI/HIV Data Release
• Social Media Toolkit:
• Using targeted Facebook Facebook ads to increase condom use among youth (pdf of ppt)
• Media Requests for the Testing Day
• Sara Hollie
[email protected]
• Mark Campbell [email protected]
• Trina Pearson [email protected]
QUESTIONS?
Acknolwedgements
Sincerest thanks go out to:
• CRUSH Statewide STI Testing Day Planning Committee
• CRUSH Leadership Committee
• Minneapolis School Based Clinics
• City of Minneapolis Health Department
• Minnesota Department of Health