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PDPT Webcast - Part 3 - The Law and CFHC Requirements
1. PDPT Law in California and
CFHC PDPT Guidelines
Requirements for Participation in
CFHC’s PDPT Distribution Program
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2. CFHC’s PDPT Trainings
• This is Part 3 of a 3-part series on PDPT
– Part 1: Background information about PDPT
– Part 2: Using PDPT for Partner Management
– Part 3: PDPT Law in California and
CFHC PDPT Guidelines
• For more information on PDPT:
http://www.cdph.ca.gov/pubsforms/Guidelines/Documents/CA-STD-PDPT-Guideline
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3. Background
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4. CDC Supports PDPT!
“EPT should be available to clinicians as an
option for partner management”
- Expedited Partner Therapy in the Management of Sexually Transmitted
Diseases, http://www.cdc.gov/std/treatment/EPTFinalReport2006.pdf
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5. CDC Recommendations:
Does not replace other partner management
strategies
Used in situations in which the partner is not
likely to receive treatment in a clinical setting.
Along with medication, EPT should be
accompanied by:
Educational materials
Information that advises recipients about how to
seek personal health care in addition to EPT
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6. Is PDPT for CT and GC Legal in
California?
YES!
2001 - State law in California allows clinicians to
provide treatment to partners of patients with
chlamydia
January 1, 2007 - law also allows PDPT for
gonorrhea
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7. Legal Status of EPT in the U.S.
*As of 02/2012
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9. California Guidelines
Patient-Delivered Partner Therapy (PDPT) for
Chlamydia trachomatis and Neisseria gonorrhoeae:
Interim* Guidance for Medical Providers in California
Developed by: California Department of Public Health Sexually Transmitted
Diseases (STD) Control Branch in collaboration with California STD Controllers
Association, the California STD/HIV Prevention Training Center, and the
California Chlamydia Action Coalition.
*Published in 2011, based on 2007 PDPT Guidance and have been revised to include updated
gonorrhea treatment recommendations for dual therapy and precautions relations to pharyngeal
gonorrhea infections.
http://www.cdph.ca.gov/pubsforms/Guidelines/Documents/CA-STD-PDPT-Guidelines-1
www.std.ca.gov
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11. CFHC PDPT Distribution Program:
Background
Neither Medi-Cal nor Family PACT reimburse
PDPT medication
Therefore, CFHC provides FREE PDPT to Title X
Delegate Agencies to increase access to
partner treatment.
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12. CFHC PDPT Distribution Program
Requirements
1. Medication must be:
Distributed free-of-charge to clients
Prescribed solely to chlamydia- or gonorrhea-positive
clients for treatment of their partners (i.e., use is
restricted to patient-delivered partner therapy or
take-home medication for partners)
OR to uninsured clients eligible for Title X services,
but not eligible for the Family PACT program.
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13. CFHC PDPT Distribution Program
Requirements
2. Each dispensing clinic must maintain a
medication log.
The log must include:
Date of visit
Patient identifier (i.e. medical record
number or name)
Patient date of birth and gender.
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14. CFHC PDPT Distribution Program
Requirements
Sample PDPT Log
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15. CFHC PDPT Distribution Program
Requirements
A copy of each site’s log will be requested at
the end of the 2nd and 4th quarters.
These logs and a sample of patient charts may
be reviewed during your agency’s next Title X
site evaluation.
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16. CFHC PDPT Distribution Program
Requirements
Samples of the chlamydia PDPT patient education
handouts in English, Spanish, Chinese, and
Vietnamese are available for free on the CFHC
website, as well as gonorrhea PDPT patient
education handouts in English and Spanish.
http://www.cfhc.org/Resources/SamplesFile/sexuall
y-transmitted-disease.html
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17. Questions?
For CFHC PDPT Program information, please
contact:
Aileen Barandas MSN, NP
STD Programs Director
barandasa@cfhc.org
510.486.0412 ext 2334
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18. Medical and scientific consultation for this
webcast was provided by the California
Department of Public Health, STD Control
Branch
For more information, please visit
www.std.ca.gov
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Notes de l'éditeur
Hello, and welcome to the California Family Health Council’s webcasts about Patient Delivered Partner Therapy, or PDPT. I’m Linda Creegan, family nurse practitioner with the California STD/HIV Prevention Training Center.
This webcast is Part 3 of a 3-part series about partner delivered partner therapy. In this segment, I’ll be discussing California law as it relates to PDPT, and the California Family Health Council’s Azithromycin distribution program for PDPT. Please listen to Parts 1 and 2 for more information about the important background information about chlamydia and gonorrhea infections, and about the specifics of using PDPT in your clinic settings.
First, a bit of background regarding
In 2006, the CDC released a document called Expedited Partner Therapy in Sexually Transmitted Diseases, which includes guidance about using patient delivered partner therapy. CDC clearly supports the use of PDPT, by stating that expedited partner therapy should be available to clinicians as an option for partner management.
As discussed in the previous webcasts, PDPT should not be regarded as a first line approach to partner management. Really it is reserved for use with those partners who the patient believes will not get treatment unless they are brought the medication. And the medication used for PDPT should always come with thorough written education materials that explain about the infection, about the medication, and about where to find medical care.
California also supports the use of PDPT. Since 2001 for chlamydia, and since 2007 for gonorrhea, laws are in place that expressly allow clinicians to provide treatment to partners.
You may be interested in consulting the CDC’s webpages about PDPT. You’ll find a map of the U.S. that is constantly updated, as more states pass laws or regulations supporting PDPT, similar to those in California.
And you’ll find this tool kit about legal and policy issues.
For thorough guidance specific to the use of PDPT in California, visit the website of the STD Control Branch of the California Department of Public Health. Here you will find the most up-to-date information about the background to PDPT recommendations, and about implementing PDPT in your clinic.
Finally, let’s spend a few minutes to talk about a great program sponsored by the California Family Health Council, which supplies azithromycin to Title X clinics free of charge for use as PDPT.
Paying for the partner’s medication is often a barrier to treatment. Neither Medi-Cal nor Family PACT pays for PDPT. So several years ago, CFHC started an axithromycin distribution program, providing azithromycin to clinics like yours, specifially for use as PDPT.
Here are the requirement for use of this medications.
This is an example of the type of log you would keep.
During you site evaluations, these logs will be reviewed to asure compliance with the requirements of this program.
The California Family Health Council has examples of PDPT information factsheets in several languages, which you can use with PDPT. Here’s that web address…..
Your contact for more information about the azithromycin distribution program and any questions you may have is Aileen Barandas at CFHC; here is her email address and phone number. If you haven’t already, be sure to listen to the other 2 short webcasts, about the background reasons for PDPT, and about implementing the use of PDPT in your clinic setting. Thanks for listening to these webcasts, and thanks for the work you do.