News

January 14, 2015

AIRS Upgrade Version 8.9.725 Released

On behalf of the New York State Department of Health, AIDS Institute, Netsmart Technologies is pleased to announce that the AIRS Upgrade Version 8.9.725 is now available for download from the Netsmart Customer Support site at https://airs.freshdesk.com.    

This upgrade includes several modifications and updates that will impact the 2014 Ryan White Services Report/ Extract (RSR). For this reason, agencies that will be submitting the 2014 RSR must perform this upgrade.  
 
It is recommended that ALL agencies using AIRS run the most recent version of the software. Therefore, all agencies should perform this upgrade ASAP.

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

 AIDS INSTITUTE EXTRACT

  • Client-Program/Funding restrictions have been removed which will reduce the processing time of the AIDS Institute Extract. 

STAFF INFORMATION

  • Programming has been completed to require staff to have unique login names and passwords.
  • Existing staff with the same password as other staff will be required to change their password upon the next login.
  • Staff with the same Login Name are also identified and are required to be changed.

System Administrators will need to update staff that have the same login name. (See the Release Notes for full details)

INSURANCE INFORMATION

  • The check box New York State of Health Marketplace has been added. It is not a required check box and can be used with all providers to designate plans purchased through the marketplace.  

For all records previously identified with the Insurance Provider, New York State of Health Marketplace, a post upgrade step will automatically check off this box. 

Note: Insurance records should be reviewed and updated to better reflect this new structure. (See the Release Notes for full details) 

SERVICE ENCOUNTER/SESSION ENCOUNTERS

  • (00053) Linkage, Retention, & Adherence Services
  • (00054) PrEP/PEP Services 
  • (00055) PrEP/PEP Education

Note New Service Categories! Along with all of the associated encounters and services! (See the Release Notes for full details) 

Installation Instructions:  

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.

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

Locate/download the following files: 

  • AIRSvu8_9_725.zip (This is the version upgrade file.) 
  • AIRS v8.9.725 Upgrade Instructions  (UpgInstruct89-725.pdf) This document will detail the steps necessary to upgrade to version 8.9.725.
  • Release Notes to AIRS v8.9.725 upgrade package (Release Notes_v89-725.pdf) Contains V8.9-725 Release Notes complete with detailed descriptions of additions, changes, and corrections.

Please print/read the upgrade instructions. (Upginstruct89-725.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

January 13, 2015

New Webcast for Ryan White Funded Providers: Understanding the Eligibility Scope Requirememt for 2015 RSR Data

Event Date: Wednesday, January 28, 2015 - 2:00pm to 3:00pm EST

To register for this FREE webinar, click HERE.

Starting with the 2015 calendar year data collection period, Ryan White providers will report data on all clients who received services eligible for Ryan White funding, regardless of the actual funding source used to pay for those services.

If you are a provider who receives Ryan White funding, you ought to attend this webinar.

The webcast will provide an overview of the 2015 data reporting change from funded scope to eligible scope and how that will impact the RSR.

January 8, 2015

Monthly User Group Meetings Resumes

Happy New Year! I hope everyone had a good holiday! Just want to remind everyone that our monthly user group meetings will resume starting this month. For more information and dates and meeting locations of our meetings, click HERE.

December 9, 2014

Clinical Inquiry for : HIV, HCV, STD, PEP, PrEP

If you are a provider with clinical questions regarding your patient with an STD, HIV, HCV, or those in need of PEP or PrEP, please call 1-866-637-2342 for a clinical expert at the Clinical Education Initiative (www.ceitraining.org) of the NYS DOH AIDS Institute.

December 4, 2014

Happy Holidays!

The year is coming to an end and that means the start of the Ryan White Services Report! For those of you who are funded by Ryan White Part B, the year-end means getting your data ready for the Ryan White Services Report (RSR) that's due the first part of the new year. We are also getting ready to help all of our providers get through this process. At the end of the month, we plan to have a software update that will make sure AIRS is ready to capture all the data elements required for the 2014 RSR. We will then send out instructions to all our Ryan White Part B funded agencies on how to submit the RSR to HRSA. Be on the look out for that in the new year.

Other than that, we hope everyone will have a wonderful holiday season!

October 1, 2014

Ending the AIDS Epidemic

The following letter was just released to all AIDS Institute Contractors from the Director of the AIDS Institute

September, 2014

Dear AIDS Institute Contractor:

The AIDS Institute, our contractors and community partners have been charged with a great task. With Governor Cuomo’s June 29th announcement (http://www.governor.ny.gov/press/06292014-end-aids-epidemic), New York is the first state in the nation to establish the goal of ending the AIDS epidemic by 2020. As Director of the AIDS Institute, I am grateful for the grass roots effort that helped lay the groundwork for the End of AIDS plan and I am committed to employing the resources available to the AIDS Institute toward our mission of ending the epidemic. With this in mind, the NYS Cascade of Care serves as a “report card” that is critical for helping us monitor our progress. The 2012 Cascade is now available on the Health Department’s website.

As an AIDS Institute grantee, you are a critical partner with a direct role to play in ending the AIDS epidemic. I have directed all AIDS Institute program managers to review their program’s activities, to establish specific data-driven objectives and work with grantees to ensure that all programmatic activities are clearly aligned with our current goal of ending the epidemic.
Based on the 2012 cascade, we have two critical tasks ahead of us for the coming six years:

Task # 1: Make voluntary HIV testing available to bring all persons who are living with undiagnosed HIV infection into HIV health care.

The cascade estimates that there are thousands of people living with HIV in NYS who are not aware of their infection status. It is critical that we take every step necessary to make voluntary HIV testing available so that these individuals can learn their status and access treatment to improve their health and protect their partners. Since 2010, New York State public health law has required that health care providers offer HIV testing to all patients age 13–64 as a routine part of health care. However, based on a review of HIV testing data from 166 laboratories holding NYS permits to conduct HIV testing, the law resulted in only a modest 13% increase in HIV testing. This year, the state took action that builds upon the existing mandate for health care providers to offer HIV testing by removing the requirement that consent be obtained in writing. This step, which has support from both activists and clinical providers, should pave the way for more people to learn their HIV status. The 2014 update to the HIV testing law also enables health department staff to share patient information with health care providers in cases where diagnosed patients appear to be out of care. The DOH will be issuing updated regulations for public comment sometime this fall. You can access the latest information about this here.

The AIDS Institute continues to take steps to support provision of HIV testing in primary care settings as well as integration of HIV testing in emergency departments and urgent care clinics, which is critical for making testing available to individuals who access health care services only sporadically. Likewise, it is critical that community based organizations (CBOs) charged with HIV testing focus their efforts to reach those at highest risk. CBOs should employ effective outreach strategies, work to address remaining HIV stigma and promote knowing one’s HIV status as a community norm. In order to reach our End of AIDS objectives, community based testing initiatives will have to make every effort to meet or exceed AIDS Institute-established seropositivity targets for testing efforts among high risk populations and for initiatives targeting MSM and transgender persons. These targets may be adjusted somewhat based on geographic location, community prevalence rates and related factors. Further, it is absolutely essential that all sites offering HIV testing redouble their efforts to ensure linkage of newly diagnosed patients to HIV health care.

Task # 2: Promote retention in care and sustained viral load suppression for all patients known to be living with HIV who are not currently receiving the full benefit of HIV treatment.

The cascade estimates that while there are thousands of persons known to be living with HIV and virally suppressed, there are a significant number of people living with HIV and possibly receiving sub-optimal treatment. Lack of viral suppression is associated with negative health outcomes and potential for transmission to partners. Helping these individuals access continuous care and achieve viral load suppression is critical for reducing morbidity and mortality and reducing the number of new infections in our state.

All AIDS Institute contractors should review their programmatic activities and take steps to ensure that no opportunity is missed to promote linkage to care, retention in care and HIV treatment adherence for the clients they serve, and in the larger communities in which they work. As a state, we have made good strides toward reaching or exceeding our National HIV/AIDS Strategy goals of increasing viral suppression rates among MSM and patients of color by 20%, but we must not rest there. In order to reach our End of AIDS goals, AIDS Institute contractors will have to set measurable objectives, actively monitor data and use program evaluation tools to refine their activities.
The AIDS Institute has been involved in much work to promote linkage, retention, adherence and viral load suppression. Some of the highlights include:

  • Full funding for HIV Uninsured Care Programs (ADAP) to ensure that all patients with HIV, regardless of income, have access to the best HIV treatments available;
  • NY Links which is bringing communities together across the state to focus on linkage and retention and disseminating effective strategies for linkage and retention;
  • Positive Pathways which is a joint venture with the Department of Corrections and Community Supervision to increase testing and treatment for incarcerated persons and linkage to care upon community re-entry;
  • Expanded Partner Services Program which is using partner services staff to play a role in linking patients who are not in care to HIV treatment services;
  • Quality improvement efforts to support clinics in increasing rates of viral load suppression;
  • Partnering with FQHCs to decrease morbidity/ mortality among racial/ethnic minorities;
  • Retention and treatment adherence initiatives which fund clinics serving patients with HIV to offer additional support to promote treatment adherence and sustain viral suppression.

In New York, we have seen how alignment of policy initiatives and on-the-ground prevention programs can foster great success in preventing new cases of HIV infection. The state’s HIV Perinatal Transmission Prevention Program capitalized on biomedical advances, timely implementation of regulatory requirements and high levels of collaboration among providers to reduce the number of perinatally infected infants from approximately 475 in 1990 to only 3 cases in 2012, meeting the criteria for elimination of mother to child transmission of HIV. Similarly, the legalization of syringe exchange and efforts to increase syringe access and disposal have resulted in reducing the percent of new infections among drug users from 50% of all newly diagnosed cases in 1992 to less than 4% of newly diagnosed cases in 2012. The AIDS Institute remains committed to continuing support for our successes in prevention as we explore promising, science-based prevention interventions. Pre-exposure prophylaxis (PrEP) for HIV represents an important new advance in HIV prevention. For more information about the AIDS Institute’s activities regarding PrEP, please see my “Dear Colleague” letter dated July 24, 2014.

In closing, I would like to say that we are in a time where “business as usual” is not acceptable. To achieve our 2020 goal of reducing new infections to less than 750 and bring about an overall reduction in the number of people living with HIV, we will have to identify innovative strategies, find more effective ways of engaging clients and create an environment where all people with HIV feel empowered in their health care. The AIDS Institute is committed to reviewing all innovative strategies. If you have ideas that may help us achieve our goal, please discuss them with your contract manager.

Sincerely,
Dan O’Connell
Director
AIDS Institute

September 16, 2014

The RSR Upgrade is Now Available

On behalf of the New York State Department of Health, AIDS Institute, Netsmart Technologies is announcing the AIRS Upgrade to Version 8.9.703 is now available for download from the Netsmart Customer support website. https://airs.freshdesk.com.

This upgrade includes several modifications and updates that will impact the 2014 Ryan White Services Report/ Extract (RSR). For this reason, agencies that will be submitting the 2014 RSR must perform this upgrade.

It is recommended that ALL agencies using AIRS run the most recent version of the software. Therefore, All agencies should perform this upgrade as a best practice.

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

AGENCY INTAKE
The following Hispanic Details have been added:
•Spanish
•Other Hispanic, Latino/a or Spanish Origin

RSR CLIENT LIST
•This report has been reprogrammed to use the same methods used for the creation of the RSR- Ryan White Services Report/ Extract.

RSR CLIENT DETAIL REPORT
•This report has been reprogrammed to use the same methods used for the creation of the RSR- Ryan White Services Report/ Extract.
•Questions and Responses that are no longer reported have been removed.
•Questions that are found unanswered will display No Information Found.

RYAN WHITE SERVICES REPORT/EXTRACT
Numerous deletions and changes were included to both the schema and content of the RSR- Ryan White Services Report/Extract.
•A handful of questions were deleted.
•HIV Diagnosis Year’ was added while ‘AIDS Diagnosis Year’ was removed. AIRS will only consider the clients’ HIV Status entries.
•Most of the questions remove “Unknown” as a valid reporting option

See the Release Notes for full details

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

3) Locate/download the following files:
• AIRSvu8_9_703.zip (This is the version upgrade file.)
• AIRS v8.9.703 Upgrade Instructions (UpgInstruct89-7.pdf)
This document will detail the steps necessary to upgrade to version 8.9.703.
• Release Notes to AIRS v8.9.703 upgrade package (Release Notes_v89-7.pdf)
This file contains V8.9-703 Release Notes complete with detailed descriptions of additions, changes, and corrections.

Please print/read the upgrade instructions. (Upginstruct89-7.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

 

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