STD Project Area Point Of Contacts (POC) With Data Sharing .

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STD Project Area Point of Contacts (POC) with DataSharing Protocols for using InterstateCommunication Control RecordsMarch 2021BackgroundFor several decades, the Interstate Communication Control Record (ICCR) has been used as aresource for STD programs to systematically maintain confidentiality while sharing clientinformation between domestic jurisdictions to conduct public health prevention activities. ICCRfacilitates data sharing to ensure at-risk or infected individuals are offered STD preventionservices outside of the initiating jurisdiction. This includes the confidential follow-up ofexposed sex partners, infected persons who need treatment or other services, and others inneed of STD prevention services. This ICCR document consists of a roster of STD preventionprogram points of contact (POCs) in the United States, Puerto Rico and the US Virgin Islands, aswell as directly-funded cities. These POCs have been authorized by their STD program directorsto accept and share confidential public health information from one jurisdiction to another sothat individuals in need of prevention services may be reached promptly, professionally, andconfidentially.The Council of State and Territorial Epidemiologists (CSTE) approved a position statement in2003 (03-ID-10) clarifying processes to be used by health departments in determining residencefor disease reporting purposes. The position statement also specifies which jurisdiction shouldtake responsibility for reporting cases to CDC through the National Notifiable DiseasesSurveillance System (NNDSS) when they are determined to live out of jurisdiction at the onsetof illness. Rules guiding decisions for persons on vacation, homeless persons, people withmultiple residences, students, military personnel, persons in jails/institutions and foreignnationals are described. Also included in this position statement are rules clarifying appropriatevalues for the ‘IMPORTED’ variable in the core National Electronic Telecommunications Systemfor Surveillance (NETSS) record. This document is a useful reference for most of the situationscommonly encountered in STD surveillance. The CSTE position statement can be assessedhere: Council of State and Territorial Epidemiologists Position StatementPage 1 of 116

ConfidentialityHealth Departments should consult and follow the recommendations in the Data Security andConfidentiality Guidelines(See: Data Security and Confidentiality Guidelines) to ensure confidentiality is protected andmaintained across jurisdictions. Communications between public health jurisdictions, includingthe protection of confidential information, is the responsibility of each projectarea. Information sharing between jurisdictions should be limited to the ICCR Coordinators toensure confidentiality is maintained. Moreover, the Data Security and ConfidentialityGuidelines recommend that written data sharing plans serve as a starting point for discussionabout data sharing between public health programs. Having a plan in writing can also formalizeprocedures and help resolve any conflicts. (See page 7 of the Data Security and ConfidentialityGuidelines). CDC is not directly involved in the sharing of confidential data throughICCR. Health departments should work collaborative to protect confidentiality acrossjurisdictions.Health Departments considering the use of facsimile machines to share information shouldrefer to Appendix F of the Data Security and Confidentiality Guidelines, “Guidelines for the Useof Facsimile Machines”, to identify ways to protect confidentiality when using faxmachines. For your convenience, the ‘Guidelines for the Use of Facsimile Machines’ are alsoprovided on page 74 of this document.Health Departments considering using mail to transmit their confidential information shoulddevelop and follow a written policy on mailing confidential materials for their jurisdiction (formore information see Standard 4.3 on p. 26 in the Data Security and ConfidentialityGuidelines). Regardless of the mechanism, confidential public health information should beshared securely and promptly to ensure public health follow-up is timely and confidentialwherever it occurs.Page 2 of 116

How to use this DocumentICCR should be used to identify and confidentially contact POCs in other jurisdictions to informthem about individuals in their jurisdiction in need of STD prevention services. Examples ofwhen ICCR may be used to conduct out of jurisdiction (OOJ) activities include individuals livingin another state who either have tested positive for an STD or have been named as a sexpartner of an infected person. When cross-jurisdictional public health follow-up is needed, staffshould gather all pertinent locating, medical, and risk information of the individual in need ofservices and share it confidentially with their jurisdiction’s ICCR POC. The initiating ICCR POCwill then contact the ICCR POC in the receiving jurisdiction; using ICCR to identify the receivingPOC, the acceptable mechanism for information sharing, and type of investigations that areaccepted. In addition to POCs, ICCR lists the type of follow-up each jurisdiction accepts and thedesired method of communication. Through these established points of contact, jurisdictionsmay share data efficiently and confidentially. The following are common scenarios for sharingSTD prevention data. Examples are for illustrative purposes only. Final dispositions should beshared with the initiating project area whenever practical.Positive Syphilis Laboratory TestA positive laboratory test, absent any treatment or diagnostic information, should beforwarded from the project area where the test was performed to the patient’s residentproject area. Patient contact should follow the receiving project area’s standardprotocols and procedures. Any resultant morbidity lies with the resident project area.Example: John Doe is seen by a health care provider in Worchester Massachusetts andlives in Hartford Connecticut. A positive RPR and FTA are reported to the MassachusettsSTD prevention program. No treatment or history exists in Massachusetts. TheMassachusetts STD program should forward the positive serology results to theConnecticut STD prevention program for follow-up as per Connecticut’s standardprotocols. If a new case of syphilis, morbidity belongs to Connecticut.Positive Chlamydia and/or Gonorrhea Laboratory TestA positive laboratory test, with or without treatment or diagnostic information, shouldbe forwarded from the project area where the test was performed to the patient’sresident project area. Patient contact should follow the receiving project area’s standardprotocols and procedures. Morbidity lies with the resident project area.Example: Jane Doe is seen by a health care provider in Milwaukee Wisconsin, and livesin Chicago Illinois. A positive GC NAAT is reported to the Wisconsin STD Preventionprogram. Treatment is verified. The Wisconsin STD prevention program should forwardthe positive GC NAAT result and treatment information to the Chicago STD preventionprogram for follow-up as per Chicago’s standard protocols. Morbidity belongs toChicago. Data sharing process remains the same if treatment was not provided;Page 3 of 116

information should be forwarded to the Chicago STD prevention program for follow-upas per their protocols. Morbidity still belongs to Chicago.Diagnosed Case of SyphilisA confirmed case of syphilis (positive laboratory plus verified treatment and diagnosis)should be forwarded from the project area where the case was diagnosed and treatedto the patient’s resident project area. Initiating project area should note the need (ornot) for interview and partner services. Patient contact should follow the receivingproject area’s standard protocols and procedures. Any resultant morbidity lies with theresident project area.Example: John Smith is diagnosed with secondary syphilis and appropriately treated inWashington DC and lives in Potomac Maryland. The DC STD prevention program shouldforward all necessary case information to the Maryland STD prevention program forfollow-up as per Maryland’s standard protocols. Morbidity lies with Maryland.Partner ServicesPartner information should be forwarded from the project area where the informationwas gathered to the partner’s resident project area. Follow-up will proceed according tothe receiving project area’s standard protocols as reflected in this document (someproject areas will NOT accept partners to CT or GC).Example: Jane Smith is named as a contact to an early-latent case of syphilis in NewOrleans Louisiana. Jane lives in Dallas Texas. The Louisiana STD prevention programshould forward all necessary information to provide partner notification services to Janeto the Texas STD prevention program.There is no need to forward any ICCR requests, domestic or international, toDSTDP. Data sharing should occur directly between STD-PCHD project areas.The following pages list the STD ICCR points of contact in each of the STD-PCHD-awardedproject areas (fifty states, seven directly-funded cities, and two territories), as well as allprovinces in Canada. HIV ICCR points of contact are included to facilitate data sharing for thepurposes of HIV prevention activities.Updates to STD ICCR points of contact can be sent to std pchd@cdc.gov.Page 4 of 116

Table of ContentsALABAMA . Error! Bookmark not defined.ALASKA . 9ARIZONA . 11ARKANSAS . 14BALTIMORE CITY . 16CALIFORNIA . 18CHICAGO . 20COLORADO . 21CONNECTICUT . 23DELAWARE . 24FLORIDA . 26GEORGIA . 28HAWAII. 30IDAHO . 32ILLINOIS . 34INDIANA . 36IOWA . 39KANSAS . 41KENTUCKY . 43LOS ANGELES. 45LOUISIANA . 47MAINE . 49MARYLAND. 50MASSACHUSETTS . 52MICHIGAN . 54MINNESOTA . 56MISSISSIPPI . 58MISSOURI . 61MONTANA. 63NEBRASKA . 65Page 5 of 116

NEVADA . 67NEW HAMPSHIRE . 69NEW JERSEY . 71NEW MEXICO . 73NEW YORK CITY . 75NEW YORK STATE . 77NORTH CAROLINA . 79NORTH DAKOTA . 81OHIO . 82OKLAHOMA . 84OREGON . 86PENNSYLVANIA (Excluding Philadelphia). 88PHILADELPHIA . 90PUERTO RICO . 92RHODE ISLAND . 93SAN FRANCISCO . 95SOUTH CAROLINA . 96SOUTH DAKOTA . 98TENNESSEE . 99TEXAS . 100USVI. 101UTAH . 103VERMONT . 105VIRGINIA . 106WASHINGTON D.C. . 108WASHINGTON . 112WEST VIRGINIA . 113WISCONSIN . 114WYOMING . 115CANADA (All Provinces) . 116Page 6 of 116

ALABAMAAlabama Department of Public Health-STD Division201 Monroe St.Montgomery, AL 36104Hours of Operation: 8:30 am – 5:00 pm CentralNote: OOJ information must provide minimum patient location information e.g. name or telephonenumber or address or all of the above.Point of Contact: Supervisor Beverly FrankMain Number: 334-206-5350SyphilisPoint of Contact: Brenda ColePhone: 334 206-7032 (confidential voice)Fax: 334-206-2768 Email: Brenda.Cole@adph.state.al.usPoint of Contact: Beverly ThomasPhone: 334 206-2772 (confidential voice)Email: beverly.thomas@adph.state.al.usPoint of Contact: Anthony MerriweatherPhone: 334 206-2765 (confidential voice)Email: anthony.merriweather@adph.state.al.usSyphilis stages/reactors accepted and followed: All syphilis stages.Method(s) of transmitting confidential patient data: Securely call, fax, or mail to POC.Return of disposition/time frame: Yes; two weeksHIVPoint of Contact: Brenda Cole or Beverly Thomas or Anthony Merriweather(Contact information is same as above.)HIV cases/contacts followed: All HIV cases/contacts.Method(s) of transmitting confidential patient data: Securely call, fax, or mail to POC.Return of disposition/time frame: Yes; one monthGonorrhea (GC)Point of Contact: Brenda Cole or Beverly Thomas or Anthony Merriweather(Contact information is same as above.)GC cases/contacts accepted and followed: All GC cases/ contacts.Method(s) of transmitting confidential patient data: Securely call, fax, or mail to POC.Return of disposition/time frame: Yes; two weeks.Page 7 of 116

Chlamydia (CT)Point of Contact: Brenda Cole or Beverly Thomas or Anthony Merriweather(Contact information is same as above.)Method(s) of transmitting confidential patient data: Securely mail all correspondence to:201 Monroe St., Montgomery, AL 36104.Return of disposition/time frame: Yes, two weeks.Page 8 of 116

ALASKAState of Alaska – Dept. of Health & Social ServicesSection of Epidemiology – HIV/STD Program3601 C Street, Suite 540Anchorage, AK 99503907-269-8000Hours of Operation: 8:00am and 4:30pm (Alaska Time Zone)(Alaska Time Zone is 4 hours behind Eastern Time)SyphilisPoint of Contact: Jennifer “Claire” StumpEmail: Jennifer.stump@alaska.gov (please do not email confidential information)Phone: 907-269-8063 (confidential line)Fax: 907-561-4239Backup Point of Contact: Nathan Worm

Data sharing should occur directly between STD-PCHD project areas. The following pages list the STD ICCR points of contact in each of the STD-PCHD-awarded project areas (fifty states, seven directly-funded cities, and two territories), as well as all

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