2018 National HIV and Hepatitis Technical Assistance Meeting

October 10th, 2018 to October 12th, 2018

NASTAD's 2018 National HIV and Hepatitis Technical Assistance Meeting provided technical assistance and educational opportunities for health department HIV and hepatitis staff as well as time for networking with one another and with invited colleagues from the federal government, Industry and partner organizations. Slides from the presentations can be downloaded below. 

Plenary Presentations

Chair’s Challenge – Eliminating StigmaThis session showcased practical strategies for furthering NASTAD’s mission-driven focus to end the HIV and Hepatitis epidemics through eliminating stigma and discrimination.

Speakers:  Michelle Collins-Ogle (slides), Warren-Vance Community Health Center and Tyler Gray (slides), Healthcare for the Homeless Maryland

Moderator: Isaiah Webster III, NASTAD (slides

Treatment Update​

Speaker: Dr. Anthony Fauci , National Institutes of Health (slides)

Breakout Sessions

Addressing HCV Across the Continuum: This session highlighted HCV programs across the care continuum (assessment, surveillance, screening, linkage to care, addressing stigma, and discrimination).

Speakers: Prabu Gounder, LA County (slides); Kirstie Neal, MD (slides); Jaeson Smith, Baltimore (slides); and Andrea Lombard, CT (slides)

Addressing the Hepatitis, HIV, and Opioid Syndemics: This session investigated the intersecting hepatitis, HIV, and opioid syndemics and how health departments and their partners are responding to these intersecting epidemics through a comprehensive lens.

Speakers: Lauren Stockman, CA (slides); Danica Kuncio, Philadelphia (slides); and Jude Leahy, OR (slides)

A Multi-Jurisdictional Approach to Measuring the HIV Continuum of Care: This session focused on how Virginia, Maryland, and DC have shared surveillance and care data, using routine data extracts and including HIV molecular data and cluster investigations. Data on improvements in current address, vital status, and care markers were presented to demonstrate how data sharing improves accuracy of measures on the HIV continuum of care. Work to share STD data and other types of data were also presented, including increased collaboration among jurisdictions.

Speaker: Anne Rhodes, VA (slides)

Eliminating HCV Among PLWHIV​: This session explored jurisdictional approaches to addressing HCV/HIV co-infection. Presenters highlighted strategies to screen, link to care, and cure HCV among PLWHIV.

Speakers: Nirah Johnson Amber Casey, NYC (slides) and Emilia Myers, LA 

Expanding Data Source and Partnerships Beyond Your Health Department: This session detailed data sources outside the health department purview that can inform HIV and HCV programs (including data from Emergency Departments, the Department of Veterans Affairs, and the Indian Health Services), and how other jurisdictions have navigated developing partnerships to access these sources.

Speakers: Teddy Marak, RI (slides); Sally Bouse, OK; and Angelique Harding, Houston (slides)

Hepatitis B Data and Surveillance: This session discussed utilizing data systems for hepatitis B (HBV) surveillance, including efforts to determine vaccine status and immunity among PLWH.

Speakers: Courtney Smith, WY (slides) and Jeff Caulfield, ME (slides)

Implementing Clinical Quality Management (CQM) Across RWHAP Part B and ADAP: This session assisted ADAPs and RWHAP Part B programs in bolstering clinical quality management (CQM) processes and infrastructure that ensure optimal health outcomes among the clients they serve.

Speakers: Katie Herting, IA (slides); Paul Loberti, RI; and Marianne Raimando, Rhode Island College (slides)

Innovative use of DIS across the HIV and HCV Continuums: This session provided information about innovative ways health departments use DIS beyond traditional partner services functions, including integrated approaches for HCV/HIV surveillance and testing.

Speakers: Courtney Smith and Brittany Wardle, WY (slides); and Tricia Bishop, UT (slides

Insurance Enrollment Landscape for Open Enrollment: This session will covered insurance coverage and cost trends and considerations for 2019 and strategies to ensure ADAP clients and other PLWH remain able to access necessary care and medications. The session also included strategies for how frontline assisters can best communicate with consumers about enrollment changes and the importance of insurance coverage.

Speakers: Amy Killelea, NASTAD; Mira Levinson, JSI; and Liesl Lu, JSI (slides)

Integration to End the Epidemics: Joint Provider Contracts, Interwoven Funding Streams, and One Reporting Mechanism: This session explored varying strategies that jurisdictions have employed to work towards ending the epidemics such as joint provider contracts, interwoven funding streams, and one reporting mechanism.

Speakers: Michael Barnes, WA (slides) and Elizabeth (Biz) McChesney, IA (slides

Methods for Streamlined and Consolidated Eligibility, Enrollment, and Recertification: This session provided RWHAP Part B program and ADAP staff the opportunity to discuss strategies for ensuring a patient-centered, timely, and efficient process for eligibility determination and recertification across RWHAP Parts and ADAP.

Speakers: Chris Cullinan (slides), NH; Jimmy Borders, AZ (slides); and Todd Grove, CO 

Molecular HIV and HCV Surveillance: This session provided an opportunity for jurisdictions to participate in a facilitated discussion about Molecular Surveillance for HIV and HCV, including sharing lessons learned from community engagement around these activities.

Moderators: Joe Coyle, MI; Angelique Harding, Houston; and Erin Bascom, NASTAD (slides

New Technologies and Alternative Engagement Models Across the HIV Continuum: This session explored delivering services remotely by exploring Rhode Island’s use of mHealth
to Reach Optimal Adherence among RWHAP Clients.

Speakers: Phanida Bessette, Andre Parker, and Paul Loberti, RI (slides)

Reaching People Most Impacted by Hepatitis: This session highlighted how jurisdictions are meaningfully engaging people most impacted by and living with hepatitis. Presentations highlighted person-centered programming to reach people who use drugs, HBV patient navigation to increase engagement in care, and HCV testing and linkage in correctional settings.

Speakers: Katie Burk, SF (slides); Jessie Schwartz, NYC; and Sophie Lewis, MA

Strengthening Testing and Linkage Through Integration: Making the Most of Test Technologies and Strategies: This workshop explored how health departments can use various strategies to enhance and optimize testing programs. Participants were able to take home knowledge and experience enabling them to examine the policy and operational considerations associated with integrating testing locally, the characteristics of rapid point-of-care and laboratory-based testing strategies, and the benefits and tradeoffs for integration for rapid and laboratory-based testing strategies.

Speakers: Mara Michniewicz and Tom Bendle, FL; Kathy Sanders, KY (slides); and Michelle Rose, Norton HealthCare

The Hepatitis Alphabet: This session provided an opportunity for health departments to discuss how they are responding to rising rates/outbreaks of acute HAV and HBV that are happening across the U.S. with a particular focus on how they are leveraging their existing hepatitis infrastructure, how they are tailoring materials and messages to address the changing epidemics (e.g. HAV outbreaks among homeless populations, MSM; increases in HBV tied to the opioid crisis), and what additional support is needed.

Speakers: Chris Grano, CO (slides); Jack Hildick-Smith, Philadelphia (slides); and Shauna Onofrey, MA (slides

Moderator: Lindsey Sizemore, TN (slides)

Trauma informed approaches to ADAP and RWHAP Part B: This session covered the basics of trauma, provided an overview of the impact of trauma in PLWH, and detailed ways in which ADAPs and RWHAP Part B programs can innovate in how they deliver services to reflect a trauma-informed approach.

Speakers: Dr. Nahid Suleiman, NJ and Mahelet Kebede, NASTAD (slides)

Using Telehealth to Break Down Barriers and Expand Access to HCV Treatment: This session was a discussion of jurisdictional approaches to expanding hepatitis treatment access through telehealth.

Moderators: Rachel Stallings and Nicole Barron, VA (slides); Christie Caputo, NC; and Dan Czajka, NASTAD 

Utilizing Data to Advance Drug User Health/SSP Programming: This session showcased ways that SSPs can utilize data to describe the opioid epidemic in jurisdictions (including developing an in-state vulnerability index), and track program outcomes related to drug user health.

Speakers: Tricia Bishop, UT and Joe Coyle, MI (slides)