News

 

August 19, 2014

2014 Ryan White Services Report Virtual Training Series from HRSA

From HRSA's Target Center...

Are you interested in learning more about the Ryan White Services Report (RSR)? Do you need trainings designed to walk you through the RSR review and submission process? Whether you are new to data and reporting or the expert in your agency, there is something for you. To find the webcast that meets your needs, see the Fall 2014 RSR Webcast Series with descriptions. Topics include:

•RSR: The Basics
•New RSR Validations and Merge Rules
•More on What's New in 2014: Reporting Clarifications and Instruction Manual Highlights
•TRAX (Formerly T-REX)
•An Overview of HRSA’s Electronic Handbooks for Grantees
•Test Your XML Feature
•How to Complete the RSR (Grantee and Provider Reports)
•Grantee Voices: Using RSR Data I

To register, look under “Upcoming Events” on the TARGET Center. If you have questions, please contact the DART Team.

July 29, 2014

Patch for v8.9.6 Released!

For agencies currently running AIRS v8.9.632, a patch has been released to add the following ARV Medications to the CTRMEDS table:

• Complera
• Edurant
• Stribild
• Tivicay

Upon application of this patch, these 4 new ARV Medications will be available from the Drug Therapy History – ARV Drug Therapy and CTR Part D- ARV/HIV Medications.

Please Note!!!!
Agencies must complete the full upgrade to v8.9.632 before applying this patch.

Installation Instructions:
1) Log into Netsmart Technologies' Customer Support: https://airs.freshdesk.com -- A login and password will be required. If you do not know your login, please contact: AIRS Support, airssupport@defran.com or 212-727-8342 x 1.

2) From the Solutions Menu -> AIRS Knowledge Base ->AIRS Release Packages

Please download AIRSv89632-CTRMEDS.zip dated 07/28/2014, as well as the patch application instructions, (AIRSv89632-CTRMEDS-Patch-Instructions.pdf).

If you have questions, require additional information, or need to report an issue, please contact us at: Netsmart AIRS Support Internet: http://airs.freshdesk.com (Login & Password Required) Need a login?
Email: airssupport@defran.com Phone: (212) 727-8342 Option #1

July 21, 2014

AIDS Institute's Position on PrEP from Dan O'Connell, Director of the AIDS Institute

Dan O'Connell, the Director of the AIDS Institute, has released a letter describing AI's position on Pre-exposure prophylaxis for HIV (PrEP) to all AI contractors and other health care providers. Click HERE for a PDF of the letter.

July 7, 2014

Governor Cuomo Announces Plan to End the AIDS Epidemic in New York State

Albany, NY (June 29, 2014)

Governor Andrew M. Cuomo today announced a three-point plan to “bend the curve” and decrease new HIV infections to the point where the number of people living with HIV in New York State is reduced for the first time. The end of the AIDS epidemic in New York will occur when the total number of new HIV infections has fallen below the number of HIV-related deaths.

The three points seek to:
1. Identify persons with HIV who remain undiagnosed and link them to health care.
2. Link and retain persons diagnosed with HIV in health care to maximize virus suppression so they remain healthy and prevent further transmission.
3. Provide access to Pre-Exposure Prophylaxis (PrEP) for high risk persons to keep them HIV negative.

To get the full text of Governor Cuomo's letter, click HERE.

July 3, 2014

New Fax Number for Netsmart Technologies

If you are trying to fax anything to Netsmart, please note that they have a new fax number. The new fax is 212-967-9394.

July 2, 2014

New AIRS Upgrade Available!

The AIRS Upgrade to Version 8.9.632 is now available for download from the Netsmart customer support website. https://airs.freshdesk.com.

Included in this upgrade are improvements, fixes, and changes including the following items:

NEW QUESTION ON AGENCY INTAKE -SEXUAL ORIENTATION

The question, "Do you consider yourself as ?" has been added under Sexual Orientation.

Possible answers to this question include:
Gay
Lesbian
Straight or Heterosexual
Bisexual
Something else
Don’t know
Chose not to respond

NEW SCREEN- DRUG THERAPY

This screen will be used to track client’s drug therapy statuses and associated medications.

The last ARV therapy record entered in previous versions will be converted into this new format.

SUBSTANCE USE HISTORY

For each identified substance, Route of Administration and Frequency of Use can now be specified. These are optional entry fields.

Installation Instructions:
--------------------------
1) Log into Netsmart Technologies' Customer Support: https://airs.freshdesk.com -- A login and password will be required. If you do not know your login, please contact: airssupport@defran.com.
2) From the Solutions Menu -> AIRS Knowledge Base ->AIRS Release Packages
3) Locate/download the following files: AIRSvu8_9_632.zip
(This is the version upgrade file.)
AIRS v8.9.632 Upgrade Instructions (UpgInstruct89-6.pdf)
(This document will detail the steps necessary to upgrade to version 8.9.632.)

Release Notes to AIRS v8.9.632 upgrade package (Release Notes_v89-6.pdf
contains V8.9-632 Release Notes complete with detailed descriptions of additions, changes, and corrections)

Please print/read the upgrade instructions. (Upginstruct89-6.pdf). This document will provide you step by step instructions to successfully install this upgrade.

We ask that you send the upgrade confirmation to Netsmart Technologies to let us know that you have successfully upgraded your system. Confirmations printed to PDF can be sent in as support tickets to http://airs.freshdesk.com. We keep a log and forward this to the AIDS Institute so everyone knows where each agency is in terms of the version.

If you have questions, require additional information, or need to report an issue, please contact us at:

Netsmart Technologies AIRS Support
Internet: https://airs.freshdesk.com
(Login & Password Required)
Email: airssupport@defran.com
Phone: (212) 727-8342 Option #1

July 2, 2014

HIV Programs and Viral Hepatitus

A letter about the Viral Hepatitus Action Plan was sent to Medical Directors, Clinical Coordinators and Primary Program Contacts at all AIDS Institute funded agencies.This letter provides information on the updated HHS Viral Hepatitis Action Plan. The letter specifically highlights the role HIV programs can play in the prevention, care and treatment of HCV among their HIV-infected clients. To read the full text of the letter from the Director of the AIDS Institute, please click HERE.

July 1, 2014

New Upgrade to the Health Commerce System (HCS)

The Health Commerce System (HCS) Portal version 4 is now available at https://hcsv4.health.state.ny.us for test drive with many thanks to collaborative efforts from HCS Portal, Informatics and UPHN teams.

The HCS version 4 has been rebuilt from the ground up with modern web technologies to be lighter using responsive web design with Mobile First strategy.  We also use an agile development strategy to deliver the system and to respond to user requirements faster, so as such this is only the 1st iteration with more improvements to come soon.  Over the last few years, the HCS has become of one of the fastest-growing health information technology platforms in New York, we’ve quadrupled the number of users to more than 230,000 and now support more than 260 applications for all local health departments, health care facilities, providers, local and state government agencies in New York State.  We’ve listened to our users and rebuilt the HCS to provide you with a faster, more reliable HCS available from any Internet connected device!

The best HCS v4.0 user experience is available in modern desktop browsers (Internet Explorer 9, 10 and 11, Chrome, Firefox, and Safari) and Safari or Google Chrome on iOS 5.1 or later, or Android 4.0 or later mobile devices.  HCS v4.0 will continue support for Internet Explorer versions 7 & 8, but with reduced functionality. As support and security for older versions of browsers is reduced significantly, we are working to provide a browser compatibility testing service for all HCS applications and will make an announcement soon.
 
What to expect:

HCS v4 will run in parallel with the existing HCS Portal in production for user testing and feedback, ensure no interruption to the HCS application and smooth transition of user experience.  We will incorporate the feedback from users to finalize HCS v4 and replace the HCS Portal at https://commerce.health.state.ny.us

HCS v4 is a live system!  You may begin using it in place of the HCS Portal immediately.

Users visiting https://commerce.health.state.ny.us on a smartphone will be automatically forwarded to the new https://hcsv4.health.state.ny.us

A new log on page that will warn you if you use an older browser with reduced HCS v4 features so you know to upgrade to the newest version.

A redesigned responsive user interface.  Regardless of how you log on to HCS, via desktop, laptop, tablet, or smartphone, the HCS Portal will display appropriately.

A cleaner design reserving much more space for individual HCS applications.  All of the portal overhead has been moved into a lightweight menu bar at the top of each page.

All classic portal features are still available but redesigned into on the lightweight menu bar at the top of the page.  The My Applications panel is only available on the home page and My Favorites has been moved to a menu item in the top menu bar.

Try out HCS v.4 today: https://hcsv4.health.state.ny.us and let us know if you have any issue or question by email: informatics@health.state.ny.us

 

June 1, 2014

How to Create and Update Your Agency's HIV Confidentiality Policies & Procedures--A Training Webinar (Registration Required)

Wednesday, June 25, 2014
10:00 AM to Noon

The Legal Action Center is pleased to announce a free two-hour webinar on the NY State HIV Confidentiality Law. This webinar is a capacity building session for program managers of hospitals, health care facilities, community-based organizations and other organizations that must comply with New York State’s HIV confidentiality law, Public Health Law Article 27-F. It will provide them with the skills, strategies and resources needed to develop and update their organization’s HIV confidentiality policies and procedures and educate their staff to ensure compliance with the agency’s policies and the law. By the end of the training, participants will be able to:

--State the major requirements of the New York State HIV confidentiality law;
--Develop agency-specific HIV confidentiality policies and procedures that meet legal requirements if the agency does not currently have them;
--Conduct an annual review and update of their agency’s HIV confidentiality policies and procedures;
--Keep their staff current about HIV confidentiality issues and the agency’s HIV confidentiality policies & procedures.

Prerequisite: Participants should have basic knowledge of Article 27-F (you can view the free webinar on this here) and their agency’s current HIV confidentiality policies and procedures.

Audience: Program directors, program managers, and supervisors who are responsible for (i) developing and updating their organization’s HIV confidentiality policies and procedures and/or (ii) ensuring that staff are trained about and comply with New York State’s HIV confidentiality law.

Registration Information:

Registration is required. Please note this is a webinar. Please remember you must now register with the AIDS Institute New Online Registration System here.

Questions? Call Vanessa Severino at 1-800-223-4044 or email, vaseverino@lac.org

May 28, 2014

Older Gay Men and MSM Living with HIV

The AIDS Institute Regional Training Center for the Central New York
and Southern Tier Region is pleased to present an all day interactive training for non-clinical health and human services providers. This training will help providers in:

--Supporting older gay men and MSM with Retention in Medical Care
--Achieving viral load suppression
--Promoting healthy behaviors to prevent transmission of HIV

For more information, click here for the full course description and all other availalbe courses and click here to register.

May 5, 2014

HIV Testing and Confidentiality of HIV Reporting Law Amended

On April 1, 2014, Public Health Law Section 2781 related to HIV testing in New York State, and Section 2135 related to confidentiality of HIV reports, were amended. These recent changes were enacted to further increase HIV testing in the State and promote linkage and retention in care for HIV-positive persons.

The recently enacted amendment allows local and state health departments to share HIV surveillance information with healthcare providers involved in treatment, for purposes of patient linkage and retention in care.

Key provisions of the legislation include:
• Elimination of the requirement for written consent prior to ordering an HIVrelated test in any circumstance outside of correctional facilities.
• Oral notification to be provided to the individual being tested or, if such individual lacks capacity to consent, to the person lawfully authorized to consent to healthcare for such individual.
• The individual to be tested must be told each time an HIV test will be done prior to testing and given the opportunity to decline. All HIV tests must be documented in the patient's medical record.
• Information about HIV testing will be provided via posters, brochures, videos or by providers to the patient with the opportunity to accept or refuse testing.
• When used for purposes of patient linkage and retention in care, patient-specific identifying information may be shared between local and state health departments and healthcare providers currently treating the patient.

These new provisions apply to all HIV testing in New York State and not just for testing as offered to persons between the ages of 13-64 in clinical settings.

Click here to download the announcement form Dr. Nirav R. Shah, Commissioner, New York State Department of Health

For additional information, please visit www.nyhealth.gov.
Questions may be sent to hivtestlaw@health.state.ny.us

April 30, 2014

All Forms Updated to v.8.9.5

All AIRS forms have been updated to v.8.9.5. They can be downloaded on the forms page.

April 22, 2014

AIDS Institute Priorities for 2014-2015 Announced

Dan O'Connell, the Director of the AIDS Institute at the NY State Department of Health, has announced the 5 key priority areas the AIDS Institute will focus on in 2014-2015. They are:

Priority 1. Increase HIV viral load suppression among PLWHA

Priority 2. Maximize participation in health insurance programs

Priority 3. Launch a coordinated effort to reduce new HIV and STD infections among gay men and men who have sex with men (MSM)

Priority 4. Enhance statewide public health efforts addressing Hepatitis C Virus (HCV)

Priority 5. Promote interagency collaboration to address sexual health awareness, education, and treatment and care options for sexually transmitted infections

For more specifics about these AIDS Institute priorities, click HERE.

April 16, 2014

Free On-line Training for Agencies Providing HIV Testing

The HIV Education and Training Program at the AIDS Institute is pleased to announce the availability of a new free on-line training titled:

Updating the HIV Diagnostic Testing Algorithm

This 15-minute online training presents the HIV diagnostic testing algorithm which was updated in 2013 as a result of improvements in HIV testing technologies.

As a result of this training, participants will be able to:

1. Describe the rationale for updating the HIV diagnostic testing algorithm
2. List the steps in the updated multi-test laboratory algorithm
3. Define the different tests at each step in the updated algorithm
4. Correctly interpret reported results
5. Explain the meaning of test results in a manner patients/ clients can understand

Audience:
Health care and support service providers who discuss or offer HIV testing

Prerequisites:
Completion of a basic training in HIV such as the online training Overview of HIV Infection and AIDS.

To register for this training, please click here.

To register for a course, click on the registration link above and enter your account log-in information. If you do not have an account with hivtrainingny.org, you will need to sign up for one prior to registering for a course. For registration assistance, please contact the NYSDOH AIDS Institute’s HIV Education and Training Program at (518) 474-3045.

April 14, 2014

15th Annual Clinical Care Symposium--June 3-4, 2014

The Division of HIV Medicine and the Office of Continuing Medical Education at the Albany Medical College are hosting a Clinical Care Symposium from June 3-4 at the Hilton Garden Inn in Troy, NY. This Symposium will cover the following topics:

-Current standards of care for initial, preferred therapy for HIV infection.
-Recognize the impact of The Affordable Care Act on the Ryan White program.
-Describe the new classes of direct-acting antivirals (DAAs) available for treatment of chronic hepatitis C.
-List the antiretroviral medications which can safely be used with the new
hepatitis C protease inhibitors.
-Describe the indications for human papillomavirus (HPV) vaccination.
-Recognize criteria for the diagnosis of Personality Disorder.
-Discuss how the revised HIV testing algorithm differs from our current
Western blot confirmatory testing.

The symposium will be of interest to physicians, physician assistants, nurse
practitioners, registered nurses, pharmacists, social workers, mental health
practitioners, and case managers who care for those infected with HIV and
Hepatitis C.

For complete description and registration information, click HERE.

February 11, 2014

Having Trouble Using the RSR System on the HRSA Web?

Below is an announcement from HRSA regarding the problems of the RSR System on the HRSA Web:

Dear Colleagues,

Some of you may have had issues using the RSR Web System. Some system users have reported being unable to make or save changes to the Grantee Report and Provider Report forms. Others have found webpages that do not load properly: distorted column widths, tiny fonts, or extra columns that do not appear in the sample screenshots in the RSR Instruction Manual.

If you have had similar problems with the RSR System, please check your Internet browser. The RSR System is designed to be compatible with Internet Explorer (IE) 8. If you are using another browser or a newer version of Internet Explorer, this could be why you have had trouble using the RSR System.

The simplest and most effective way to resolve this problem is to use a computer that has IE 8 (or IE 9) installed.

You can also try these alternatives:
Uninstalling the IE 10 or IE 11 updates to “roll back” to IE 8 or IE 9. Note: Don’t forget to turn off the automatic update feature in Windows until after you’ve completed the RSR. If you don’t turn this off, Windows will reinstall the IE 10 or IE 11 updates the next time it updates your computer.

Setting the compatibility view in newer versions of Internet Explorer to IE 8.

Using Firefox to work on your report.*

Uninstalling or temporarily disabling any programs, browser plug-ins, or extensions that change the way your browser handles JavaScript.

If this does not resolve the problem you are having using the RSR System, please contact Data Support at 1(888) 640-9356, 9:00 a.m. to 5:30 p.m. EST, Monday–Friday.

Thank you!
Ryan White HIV/AIDS Program Data Support

* Providers that choose to try Firefox should log in at: https://performance.hrsa.gov/hab/regloginapp/admin/login.aspx
Grantees, including grantees that are also providers, should log in at:https://grants.hrsa.gov/webexternal

February 5, 2014

Netsmart Technologies is Moving Offices

Netsmart Technologies is in the process of moving their NYC offices and this move could impact telephone support until it has been completed. Agencies should log a support ticket by using the Netsmart support website for AIRS for all AIRS technical support or questions in general, as the ticketing website will not be effected during this period.  Should anyone need a login for the Netsmart support site they can email SUPPORTAIRS@defran.com and one will automatically be provided to them.

January 31, 2014

RSR Newsletter from HRSA's Target Center

Below is a newsletter from HRSA about this year's RSR submission process. For Ryan White funded agencies, this information will be very helpful in manging the RSR submission process.

Dear Colleague,

RSR reporting is just around the corner! On Monday, January 6, the RSR Web System opened for providers to begin work on their RSR Provider Reports and upload their client-level data files.

Upload your files early and often!
We would like to encourage you to use the features in the RSR Web System – the Validation Report, Confirmation Report and Completeness Report – to check the quality of your data. You can always replace inaccurate data before submission.

New Feature!
HAB also developed a new feature to help you assess data quality through the RSR Web System: client-level drill down! The system will provide you with a list of encrypted Unique Client Identifiers (eUCIs) that trigger a given validation message.

HAB Data Completeness Communication Strategy
The completeness of client-level data is essential for demonstrating the good work you do. HAB uses three mechanisms to communicate with grantees about providers’ RSR data completeness.

Validation Report: Validate your data after upload to receive the list of clients with “unknown” or missing data.

Completeness Report: Within 48 hours of upload, you can receive a report with the percentage of required clients with “unknown,” known, or missing data. For more information, watch this short video.

Email Follow Up: All RSR data should be complete and accurate to reflect the quality work you do. HAB will again follow-up on the 2013 RSR if less than 90% known values are submitted – that is valid data excluding missing or “unknown” values – for five client-level data elements: federal poverty level, health insurance status, housing status, CD4 count, and viral load. These data elements are required to establish Ryan White eligibility, demonstrate HIV health outcomes, and/or accurately represent the program to Congress and other stakeholders. After RSR submission, HAB will contact grantees with at least one provider with missing or “unknown” data for more than 10% of their clients on one or more of these five key data elements.

Thank you!

Click here for this newsletter as it appears on the Target website.

January 27, 2014

RSR Resources form HRSA for Ryan White HIV/AIDS Programs

The HIV/AIDS Bureau has released a new e-learning module to support the work of its Grantees and Providers funded under the Ryan White HIV/AIDS Program (RWHAP). This online e-learning module is an audiovisual presentation with an interactive component to test your knowledge of the facts presented. The module, Ryan White HIV/AIDS Program Overview, runs about 25 minutes and presents information about the RWHAP, its background and purpose. This module is an excellent resource for first-time Grantees, Providers and new staff on your RWHAP-funded projects.

View the RWHAP Program Overview e-learning module at https://careacttarget.org/library/ryan-white-hivaids-program-overview

Additional technical assistance (TA) for the Ryan White HIV/AIDS Program (RWHAP) is available:

Program Resources: HAB Web Site: http://hab.hrsa.gov

RWHAP Services Report: Data Support: 1 (888) 640-9356, 9:00 a.m.–5:30 p.m. ET; ryanwhitedatasupport.wrma@csrincorporated.com

XML schema issues, Data Completeness and Data Quality in Local Systems: DART Team: Data.TA@caiglobal.org

EHB and RSR Web System: HRSA Contact Center: 1 (877) 464-4772; CallCenter@HRSA.gov

Central Repository for Technical Assistance and Training Resources: TARGET Center Web Site: http://www.careacttarget.org

January 24, 2014

New RSR Patch Released!

For agencies currently running AIRS v8.9.540 a patch has been released to v8.9.542.

All agencies currently on v8.9.540 should apply this patch!

This patch is REQUIRED for Ryan White Funded agencies to ensure the correct reporting of client insurance in the 2013 Ryan White Services Report (RSR).

Additionally, agencies reported problems printing the Agency Intake following the upgrade to v8.9.540. This has also been corrected with this patch.

Agencies currently running version v8.9.450 or v8.9.451 need to complete the full upgrade to v8.9.542.

Both the patch and upgrade with their corresponding instructions as well as the v8.9-5 Release Notes can be downloaded at http://airs.freshdesk.com.

Installation Instructions:

1) Log into Netsmart Technologies' Customer Support: https://airs.freshdesk.com -- A login and password will be required. If you do not know your login, please contact: AIRS Support, airssupport@defran.com.

2) From the Solutions Menu -> AIRS Knowledge Base ->AIRS Release Packages

For those agencies currently on v8.9.540
Please download AIRSv89542.zip, dated 01/23/2014, as well as the patch application instructions, (AIRS89542PATCH-Instructions.pdf).

For those agencies that are currently running v8.9.450 or v8.9.451
You will need to apply the full v8.9.542 upgrade package. Please download the upgrade instructions (UpgInstruct89-5.pdf), upgrade package (AIRSvu8.9.542.zip), and the release notes, (Release_Notes_V89_5.pdf).

If you have questions, require additional information, or need to report an issue, please contact us at:

Netsmart AIRS Support
Internet: http://airs.freshdesk.com
(Login & Password Required)
Need a login?
Email: airssupport@defran.com
Phone: (212) 727-8342 Option #3

January 22, 2014

Ryan White Funded Agencies: New RSR submission procedures for 2013.

 

The following letter was sent to all Ryan White funded agencies. This letter outlines the new RSR submissions procedures as required by HRSA.

RSR Provider Letter 2013

 

Please contact our office at 518-402-6790 if you have any questions. Thank you, and we look forward to working with you on this year's report.

January 6, 2014

New RSR e-Learning Module Available

The HIV/AIDS Bureau has released a new e-learning module to support the work of its Grantees and Providers funded under the Ryan White HIV/AIDS Program (RWHAP). This online e-learning module is an audiovisual presentation with an interactive component to test your knowledge of the facts presented. The module, Ryan White HIV/AIDS Program Overview, runs about 25 minutes and presents information about the RWHAP, its background and purpose. This module is an excellent resource for first-time Grantees and Providers and new staff on your RWHAP-funded projects. The RWHAP Overview e-learning module will be available in January on the Target Center website.

Additional technical assistance (TA) for the Ryan White HIV/AIDS Program (RWHAP) is available:
Other Program Resources
HAB Web Site: http://hab.hrsa.gov
RWHAP Services Report
Data Support: 1 (888) 640-9356, 9:00 a.m.–5:30 p.m., ET; ryanwhitedatasupport.wrma@csrincorporated.com
Data Completeness and Data Quality in Local Systems
DART Team: Data.TA@Caiglobal.org
RSR Web System
HRSA Contact Center: 1 (877) 464-4772; CallCenter@HRSA.gov
Central Repository for Technical Assistance and Training Resources
TARGET Center Web Site: http://www.careacttarget.org