HATS & Medwiser

HIV AIDS TEST SCREENING SOFTWARE

Partnerships to increase access to HIV testing and improve the world

HIV is a Worldwide Epidemic Over 280,000 children die

before their 1st birthday 2.7 million total infections

annually in children & adults Over 25 million deaths have

been caused by HIV Every infection is preventable

HIV/AIDS is a Threatens the World as We Know It

HIV/AIDS Epidemic USA Profile

Source: 1. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB, CDC HIV Prevention Progress in the United States. 2. CDC. NYC DOH

HIV Prevalence Is Reaching Alarming Levels In Our CitiesHIV Prevalence Is Reaching Alarming Levels In Our Cities

Washington D.C. New York City, NY

0.1% - 0.4%

0.5% - 0.8%

0.9% - 1.5%

>1.6%

Of 1.1 Million People Living With HIV in America, One Fifth Are Unaware of Their InfectionOf 1.1 Million People Living With HIV in America, One Fifth Are Unaware of Their Infection

HATS & Medwiser Overview

• HATS was produced in 2010 as the first screening software for HIV testing. It is a scalable, interactive platform for conducting an HIV/AIDS risk assessment, providing feedback to patients and streamlining data to health care providers

• By automating lab testing, consent, clinical follow up and reporting, HATS can increase access to testing while benefiting all HIV/AIDS stakeholders

• HATS is compatible with PC, Mac and mobile devices, can be customized to integrate with individual EMRs & maintain HIPAA compliance

• HATS is produced by Medwiser, a 501(C)3 nonprofit organization founded to educate, enable and empower individuals worldwide to prevent the spread of HIV

• Using socially relevant technology & digital media (Internet, mobile applications) Medwiser offers creative solutions to overcome challenges to HIV prevention

HATSHATS

MedwiserMedwiser

• Medwiser was founded to educate, enable and empower individuals worldwide to prevent the spread of HIV. To fight HIV in a wiser way, Medwiser is all about using technology to help people and organizations realize their potential to fight AIDS. We are currently planning the development of social networks to provide social support and reduce stigma. Apps—like HATS to increase screening and testing. Websites—where online collaboration generates customized educational content. And nonprofit software to help organizations evaluate and improve performance. Through the creation of these web and mobile tools, Medwiser hopes to strengthen existing networks of HIV education, prevention, diagnosis and treatment

HATS streamlines screening, treatment and reporting

FACILITATE REPORTING

•Real time data collection •Analysis of population •Customized reports

REDUCE ERROR

• Decrease human error associated with diagnosis and execution of guidelines

IMPROVE OUTCOMES

• Linkage to treatment and care• Early diagnosis and treatment

STREAMLINE SCREENING

• Increase efficiency • Standardize consent

New Law in New York State Presents New Opportunities

HIV tests must be offered to patients 13 to 64 years old

Hospital inpatients Emergency department patients Diagnostic and treatment center patients

HIV tests must be offered in primary care settings provided by

Doctors, physicians assistants, nurse practitioners, OB/GYN s or midwives

Linkage to care must be provided when results are positive

New York joins 45 states that have taken similar actions

Sources 1. http://www.nyc.gov/html/doh/html/pr2010/pr043-10.shtml 2. O’Connell, D. HIV Testing Legislation. AIDS Institute Update.

Impact will be greatest in NYCImpact will be greatest in NYC

“This state law will have its greatest impact here in New York City, where more than 107,000 residents are living with HIV/AIDS and thousands more do not know they are infected…These people may not be receiving the care they need and may be unknowingly infecting their partner”

-Dr. Thomas Farley, New York City Health Commissioner

In NYS one third of HIV-positive people learn their status only after reaching advanced stages of infection

In NYS nearly 20% of patients are unaware of their infection status

Earlier diagnosis and treatment has been shown to both reduce further transmission and increase the average survival by 11 years

100,000 life-years lost in the United States can be attributed to late diagnosis.

Late diagnosis of HIV often occurs despite having had multiple health care visits

Testing increases survivalTesting increases survivalRoutine testing & linkage to careRoutine testing & linkage to care

Report to Governor & LegislatureReport to Governor & Legislature

Legislation will be reviewed for impact based on statistical measures

NYS DOH will report to the governor in 2012 with data relevant to the law’s impact on public health.

HATS: Interactive HIV Screening At Home, Work Or On The Go

HATS Overcomes Traditional Barriers To HIV TestingHATS Overcomes Traditional Barriers To HIV Testing

Research Shows ERs Have Difficulty Implementing HIV Testing

CDC endorsed the policy of HIV testing in ERs in 2001

Since then surveys have demonstrated only 3% of ER providers have incorporated HIV screening into their practice

The difficulties of program implementation include:

Lack of human capital Operational costs Interference with the acute care

mission of the ER Overcrowding of the ER

“If HIV prevention is not brought to scale, more than twice as many new HIV infections will occur in the coming years than if a comprehensive response was implemented”

“Funding required for developing countries to address the HIV pandemic could reach $35 billion annually by 2031—three times the current level”

Financial Burden of Failing to Implement HIV Testing Could Be OverwhelmingFinancial Burden of Failing to Implement HIV Testing Could Be Overwhelming

Source: 1. Stover J, Bertozzi S, Gutierrez JP,Walker N, Stanecki K, Greener R, et al. The global impact of scaling up HIV/AIDS prevention programs in low- and middle-income countries.Science. 2006;311(5766):1474-6. 2. Hecht, R. Critical choices in financing the response to the global HIV/AIDS pandemic. Health Affairs. 2009;28(6):1591–605 3. Hardwicke, R, Malecha, A. HIV Testing in Emergency Departments: A Recommendation With Missed Opportunities Journal of the Association of Nurses in AIDS Care . May 2008 (Vol. 19, Issue 3, Pages 211-218) 4. Kelen, GD, Rothman, RE. Emergency Department–Based HIV Testing: Too Little, but Not Too Late , 27 April 2009 . Annals of Emergency Medicine. July 2009 (Vol. 54, Issue 1, Pages 65-71)

Barriers to HIV Screening in ER’sBarriers to HIV Screening in ER’sOnly 3% of ER Providers CompliedWith CDC Testing Guidelines

Only 3% of ER Providers CompliedWith CDC Testing Guidelines

Medwiser HATS—Partner Synergy Provides Benefits Across Stakeholders

• Increased HIV Testing & data tracking due to interface capabilities

• Improved understanding of patient history, risk factors and HIV status facilitates enhanced patient care

• Reduced admin burden

• Improved understanding of HIV risk, link to testing and continuity of care

• Enhanced opportunity for optimal clinical outcomes

• Improved member clinical outcomes

Physicians

Patients

Payers

• Consumer appreciates partner’s commitment to education, & improving patient lives, increasing affiliation with other partner programming

• Improved knowledge of optimal patient care

• MD view partners as a team in helping improve healthcare efficiency

• Payer appreciates partner’s commitment to improving Healthcare by enhancing quality of care while simultaneously reducing cost

We need your helpContact Information

Michael Morgenstern, MD

Director and FounderMedwiser Inc. &Resident, Department of NeurologyNorth-Shore LIJ Health SystemAlbert Einstein College of MedicineC: 646-872-2747E: michaelm@medwiser.org

http://www.linkedin.com/in/michaelmorgenstern

http://www.medwiser.org