Positivity Rate - EHCSF

Positivity rate

3.4%Q2 2020

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Why Is This Important?

The positivity rate let's us know how well we're doing in testing those who are highly impacted by HCV. For example, a low positivity rate might let us know we're not reaching and testing the right people, therefore we should shift our stratgies, location of services, etc.

Story Behind the Curve

	Positive	Negative
Internal	The performance measure (PM) also includes data from Jail Health Services (JHS) and Latino Wellness Center.	JHS is missing data for 2019 Q3 and Q4 - which is why this PM has no data for those two quarters. As a point of reference, JHS made up 10-20% of all antibody tests in the first two quarters 2020 Q1 and Q2 data is preliminary - data is still being submitted and recorded, which helps explain the low/small positivity rate
External		San Francisco implemented a Stay at Home order on March 16th 2020 (end of Q1), limiting the hours and operations of many CBOs, thus severely reducing the # of tests that could be done.

Quality Improvement Plan

Technical Notes

Description of data: The percent of positive antibody tests among all hep C antibody tests given at SFDPH-funded CBOs per quarter.

Time:

Data time frame: 2019-current
Data as of September 29, 2020

Inclusion/Exclusion Criteria: 11 SFDPH-funded CBOs, including Jail Health Services (JHS) and Latino Wellnes Center.

Description of Data Source: CBOs complete an SFDPH HCV data testing form for every client that receives testing services. CBOs can complete the form via paper or submit electronically.

Reference for QI Plan:

Relevant PTL Strategic Priorties:

SP1 - increase mobile testing
SP2 - increase venue-based testing
SP4 - support rapid HCV start initiatives for PWID
SP7 - improve awareness of HCV among the public
SP8 - reduce HCV-related stigma via social marketing campaign
SP9 - improve community leadership
SP11 - engage and empower community members