2021 Implementing the CDC STI Treatment Guidelines: A Conversation for Family PACT Providers

The long-awaited 2021 CDC Sexually Transmitted Infections Treatment Guidelines were published in MMWR on July 22, 2021. This webinar will focus on significant changes from the 2015 CDC STD Treatment Guidelines, including updated guidelines for the screening, diagnosis and treatment of gonorrhea, chlamydia, syphilis, pelvic inflammatory disease, genital herpes, Mycoplasma genitalium, and vaginal trichomoniasis. To assist health care providers in obtaining a sexual history, the updated “Five P’s” approach will be reviewed. In addition, current Family PACT benefits for each type of sexually transmitted infection discussed in the program will be explained.

Learning Objectives:

  • List 3 examples of sexual history questions for each the “Five P’s” of sexual history taking
  • Explain why the treatment guidelines for both chlamydia and gonorrhea genital tract infections were updated in the 2021 Guidelines
  • List the indications for obtaining chlamydia and gonorrhea samples from the anus and the oropharynx
  • Describe the consequences of Mycoplasma genitalium genital infection in males and females
  • List 2 updates in the 2021 Guidelines regarding vaginal trichomoniasis

Presenters:

Resources:

STD Expert Hour – Transgender Sexual Health: What You Should Know

August 26, 2021

This webinar is presented by Gayge Maggio, FNP-BC, AAHIVS and will focus on the sexual health needs of transgender and gender non-conforming people.

There will be a focus on learning to approach sexual health in a culturally sensitive, non-judgmental manner.

Unique PrEP and PEP considerations in TGNC populations will be covered, as will contraceptive options for female assigned at birth TGNC patients.

Learning Objectives:

  1. Discuss and perform a culturally sensitive sexual health inventory with transgender patients
  2. Discuss considerations with PrEP and PEP in transgender populations and provide appropriate PrEP options
  3. Discuss options for contraception in assigned female at birth transgender and gender non-conforming patients

STD Clinical Update Webinar – Congenital Syphilis Update for CA Jail Providers

July 27, 2021

This webinar features Dr. Rosalyn Plotzker and Ms. Laura Kovaleski, co-authors of the CDPH Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis, who will provide a clinical overview of CS prevention and discuss the recommendation to screen women in correctional facilities for syphilis. Finally, Dr. Kristin Walsh, physician with Santa Clara County’s Adult Custody Health Services and HIV specialist at Santa Clara Valley Medical Center’s PACE clinic, will present the county’s experience implementing such screening practices.

Learning Objectives:

  1. Describe California’s CS epidemiology and incorporate data into screening
  2. Discuss the importance of prenatal syphilis diagnosis, evaluation, and management
  3. Explain and apply CDPH recommendation to screen women for syphilis in adult correctional facilities

STD Expert Hour Webinar – New Frontiers in STI/HIV Prevention and Family Planning: The promise of Multipurpose Prevention Technologies

Wednesday, June 23, 2021

Presented by Bethany Young Holt, PhD, MPH

Learn about the latest developments in the field of Multipurpose Prevention Technologies (MPTs), products that provide contraception along with protection from STIs and/or HIV.

The origins of MPTs and the current research/development pipeline will also be discussed.

Learning Objectives:

  1. Provide evidence of the need for products that simultaneously address multiple health risks, such as HIV, other STIs, and unplanned pregnancy
  2. Introduce and implement Multipurpose Prevention Technologies (MPTs) and the product candidates currently in development for prevention of HIV, other STIs and/or unintended pregnancies
  3. Describe the Initiative for MPTs (IMPT) and its publicly-available tools for tracking the MPT product development pipeline, while summarizing the current pipeline profile, recent scientific breakthroughs, and the potential impact of MPTs for women around the world
  4. Outline next steps for key stakeholders in STI prevention and related health fields, with a focus on tangible priority actions that will help bring MPTs to the hands of end-users

STD Clinical Update Webinar – Congenital Syphilis Update for CA Pediatric Providers

May 25, 2021

The California Department of Public Health (CDPH) continues to see dramatic statewide increases in cases of congenital syphilis (CS), a severe yet preventable condition when syphilis is passed from mother to fetus.

This webinar, presented by the California Prevention Training Center, features Dr. Kelly Johnson, infectious disease physician from UCSF and Dr. Nael Mhaissen, pediatric infectious diseases specialist from Valley Children’s Hospital.

They will discuss CS epidemiology, clinical presentation, and neonatal management. Finally, they will discuss ways providers can help stem the rising tide of CS.

Drs. Mhaissen and Johnson cover the following learning objectives for this webinar:

  1. Describe California’s CS epidemiology
  2. Recognize the clinical manifestations of CS
  3. Discuss CS diagnosis, evaluation, and management
  4. Report all laboratory-confirmed and clinically-suspected cases of CS to public health

The CPT rules for the use of problem-oriented E/M office visit codes changed significantly on January 1, 2021. Since then, office visits are coded based on levels of medical decision-making or “total time” and the prior rules for using the “three key components” no longer apply. Consequently, Family PACT E/M coding policies were updated in February 2021, as well as the publication of a new policy on coding and billing for counselor services.

Learning Objectives:

  1. List at least six activities that can be counted in the “total time” of a visit when computing E/M level
  2. List each of the 3 elements used in medical decision-making, and give examples of each
  3. Describe the Family PACT policy for coding for a clinician visit and counselor services on the same date of service

Presenter:

  • Michael Policar, MD, MPH

Resources:

STD Expert Hour Webinar – Disseminated Gonococcal Infection (DGI)

February 23, 2021

The California Department of Public Health (CDPH) has received increasing reports of disseminated gonococcal infection (DGI), a severe complication of untreated gonorrhea. Dr. Laura Quilter and Dr. Eric Tang discuss DGI epidemiology, clinical presentation, and management, and review California’s recent DGI investigation and what clinicians can do to help.

Drs. Quilter and Tang cover the following learning objectives for this webinar:

  1. Describe the epidemiology of uncomplicated gonorrhea and DGI
  2. Recognize the clinical manifestations of DGI and increase clinical suspicion for DGI in patients with joint pain
  3. Demonstrate how to diagnose, manage, and treat DGI
  4. Report all laboratory-confirmed and clinically-suspected cases of DGI to public health
  5. Prioritize routine screening, testing, and treatment of STDs among high-risk patients

STD Clinical Update Webinar – Maternal & Congenital Syphilis Update for CA Prenatal Care Providers

Syphilis among women and congenital syphilis are on the rise in California. Congenital syphilis is preventable with prompt detection and treatment during syphilis. Dr. Eric Tang of the California Department of Public Health (CDPH) and California Prevention Training Center (CAPTC) discusses prenatal care provider knowledge in management of maternal and congenital syphilis for pregnant patients.

Dr. Tang covers the following learning objectives for this webinar:

  1. Describe California’s CS epidemiology
  2. Recognize the clinical manifestations of CS
  3. Discuss CS diagnosis, evaluation, and management
  4. Report all laboratory-confirmed and clinically-suspected cases of CS to public health

STD Expert Hour Webinar – Understanding the Concerning Rise in Maternal and Congenital Syphilis in Hawaii

Oct 13, 2020

The California Prevention Training Center (CAPTC) and the STI/HIV Prevention Program at the Hawaiʻi Department of Health’s (HIDOH) Harm Reduction Services Branch present this webinar for healthcare providers and community service providers who work with communities that face cultural, economic, and language barriers to obtaining good prenatal and neonatal care.

This webinar will address the increasing rate of syphilis cases within Hawaii, with a special focus on maternal syphilis and congenital syphilis. Learners will gain an understanding of the local epidemiology of syphilis as well as the important role the Hawaii Department of Health performs in syphilis case follow-up and investigation. An overview of the pathophysiology of syphilis with its varied clinical manifestations will be discussed. Content will include the importance of staging, stage-based treatment as well as best practices for diagnosis and follow-up.

Providing Family PACT Services During COVID-19 Part 2: Understanding Benefit Changes

September 17, 2020

The ongoing COVID-19 public health emergency has caused a shift from providing exclusively in-person services to a combination of remote and in-person visits, referred to as “hybrid visits”. This webinar will provide an update of how Family PACT services (client encounters) have changed since March, 2020.

The following topics are covered in detail:

  • Medi-Cal/Family PACT policy for telephonic-only remote visits.
  • A series of case studies including contraceptive visits, evaluation of genital tract infections, well person visits, and a colposcopy visit, with an emphasis on coding and billing Family PACT.

Presenters:

Resources