Sexually Transmitted Diseases

Public Health and Healthcare Integration for STD Prevention

ASTHO has been working with partners to examine integrating prevention and treatment of STDs and design an STD integration model for public health and primary care. Resources available below include:

  • Webinar Series [recorded] on Public Health and Healthcare Integration for STD Prevention. 
  • Presentations [recorded] from a 2014 STD Prevention Conference symposium on examples and best practices to overcome barriers to integration.
  • STD Integration Report that offers a practical look at using integration to better prevent and treat sexually transmitted diseases.

Webinar Series

This webinar series is sponsored by ASTHO and brought to you by Northeastern University’s Institute on Urban Health Research and Practice. Funding was provided by the CDC Division of STD Prevention.

Webinar #1: Using Health IT to Improve STD Services and Strengthen Ties Between Public Health and Primary Care
[Recorded] Tuesday, May 27, 2014 2-3:30 p.m. ET

Better use of Health Information Technology (IT) can improve case reporting of STDs, automate surveillance and even allow primary care providers and public health employees to collaborate on clinical and preventive care.

Join James Daniel, the Public Health Coordinator for the Office of the National Coordinator, in a ninety minute webinar to learn more about how this technology works and hear about examples of public health systems that have implemented solutions.

Learning objectives for this webinar:
- Understand the current status of meaningful use as it pertains to public health
- Understand how Health IT could be useful in efforts to pursue the integration of STD services in primary care
- Learn what the Standards and Interoperability Framework is and how it can help Public Health improve surveillance, provide population health measures, and provide clinical decision support to providers.
- Learn about funding mechanism available to Public Health jurisdictions through HITECH

Webinar #2: Breaking through Barriers to Reach Teens – A look at policy and practice
[Recorded] Friday, May 30, 2014 1-2:30 p.m. ET

This webinar provides an overview of the current public health issues related to providing confidential STD services to teens; provides examples from a local health department that has developed strategies and examines legislative and health insurance policies that can address EOB issues.

The CDC estimates that teens and young adults account for half of the 19 million STDs in the US. For certain STDs, that number is even higher. In fact in 2011, 72 percent of all chlamydia cases occurred in the 10 to 24 age group. Reaching this age group is an urgent goal if we are to reduce STDs.

What is the best way to make sure teens and young adults are tested and treated? There are many confidentiality issues that can be addressed by laws that protect confidentiality. But that will not entirely solve the problem. Making systems changes to create an adolescent medical home is another approach to maximizing health care delivery for teens.

Public Health and Primary Care Collaboration: National, State, and Local Examples to Enhance STD Prevention and Care Services

Symposium presented at the 2014 STD Prevention Conference. Presenters included ASTHO member Mary Currier, MD, MPH (MS), and ASTHO alumnus John Auerbach (MA).

The CDC/Division of STD Prevention National Partners Collaborative (ASTHO, CDC/DSTDP, NACCHO, NACHC, and NCSD) sought to better understand how public health and primary care integration is, and could be, operationalized, tested, and evaluated in real-world settings. This session includes 4 presentations: 1) an overview from the national perspective gained through interviews, meeting, and surveys, 2) an example from a state health department illustrating how barriers to integration can be addressed , 3) an example from a community health center focusing on organizational culture and redesign to guide integration strategies to address STD service needs, and 4) an example from a local health department describing partnerships and collaboration that facilitate access to comprehensive STD services.

Additional Resources

Innovative Approaches to Provision and Payment of STD Services
This poster features the work of three grantees, Mississippi, Rhode Island, and Washington state in exploring collaborations with Medicaid and other payers to improve provision and payment for STD services.

Integration of Public Health and Primary Care: A practical look at using integration to better prevent and treat sexually transmitted diseases
This report examines the current status of integration of services provided for STDs by public health and community health centers and how transitioning to a more integrated model can be successful. Results of a literature review, interviews, and an in-person meeting are presented to identify the challenges, opportunities, successes, and lessons learned and determine what would help future integration efforts.