Section 1 of 9
STI self-collection & mail-order tests
With your contribution, the National Association of County and City
Health Officials (NACCHO) is creating a repository to expand the knowledge base
of local health departments (LHDs) about STI and HIV self-collection and
mail-order tests that are available and encourage more partnerships. As there
are many options available in the market, this repository will serve as a guide
to inform our members at LHDs on the information that will allow them to
identify the best option for them and the communities they serve.
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1. What STI and HIV self-collection and mail-order test company do you represent?
1. What STI and HIV self-collection and mail-order test company do you represent?
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Section 2 of 9
Testing
2. What do you test for? (Check all the apply.)
2. What do you test for? (Check all the apply.)
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Chlamydia
Gonorrhea
Syphilis
HIV
HAV
HBV
HCV
HPV
Gardnerella vaginalis
Mycoplasma
Ureaplasma
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3. What is the cost per test kit?
3. What is the cost per test kit?
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4. Do you accept insurance?
4. Do you accept insurance?
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5. What collection/anatomical sites does your test swab?
5. What collection/anatomical sites does your test swab?
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Throat/Pharynx
Vagina
Rectum
Urethrogenital
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6. What sample/specimen is collected?
6. What sample/specimen is collected?
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Urine
Salivia
Blood
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Do you provide instructions or information in different languages? If so, what language(s)?
Do you provide instructions or information in different languages? If so, what language(s)?
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7. Do you send reminder(s) for sample collection?
7. Do you send reminder(s) for sample collection?
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7a. If yes, via what avenues? (Check all that apply)
7a. If yes, via what avenues? (Check all that apply)
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Section 3 of 9
Reminders
8. Do you send reminder(s) for sending
back the kit?
8. Do you send reminder(s) for sending
back the kit?
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8a. If yes, via what avenues? (Check all that apply)
8a. If yes, via what avenues? (Check all that apply)
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Section 4 of 9
Lab
9. Is the laboratory in-house or are specimens sent to an outside/contracted lab?
9. Is the laboratory in-house or are specimens sent to an outside/contracted lab?
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Section 5 of 9
Portal
10. When are results uploaded to the portal or available to the patient/LHD (i.e., 2-5 days)?
10. When are results uploaded to the portal or available to the patient/LHD (i.e., 2-5 days)?
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11. Who can receive results?
11. Who can receive results?
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Patient
Local Health Department
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12. Do you follow up or provide guidance to patients who test results are reactive or positive?
12. Do you follow up or provide guidance to patients who test results are reactive or positive?
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12a. If yes, do you offer telehealth or virtual clinical consultation?
12a. If yes, do you offer telehealth or virtual clinical consultation?
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Section 6 of 9
Follow-up
13. Are self-collect instructions available upon kit activation?
13. Are self-collect instructions available upon kit activation?
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Section 7 of 9
Training
14. Do you provide training or any onboarding offerings for new users interfacing with your platform?
14. Do you provide training or any onboarding offerings for new users interfacing with your platform?
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15. Are clinicians/providers (e.g., nurses, physician assistant or medical doctors) available through your platform to address user/patient's questions or concerns?
15. Are clinicians/providers (e.g., nurses, physician assistant or medical doctors) available through your platform to address user/patient's questions or concerns?
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16. Do you offer medication?
16. Do you offer medication?
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17. What medication options are available to the patient?
17. What medication options are available to the patient?
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Mail-Order Medication
E-prescription sent to a pharmacy
Direct referrals to the local health department for treatment
Expedited Partner Therapy/Treatment (EPT)
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18. What is the cost for mail-order medication?
18. What is the cost for mail-order medication?
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19. Do you offer partner services? According to the CDC, an important part of Partner Services is partner notification, a process through which infected persons are interviewed to elicit information about their partners, who can then be confidentially notified of their possible exposure or potential risk.
19. Do you offer partner services? According to the CDC, an important part of Partner Services is partner notification, a process through which infected persons are interviewed to elicit information about their partners, who can then be confidentially notified of their possible exposure or potential risk.
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20. Do you have any partnerships with local health departments (LHDs) or community-based organizations (CBOs)?
20. Do you have any partnerships with local health departments (LHDs) or community-based organizations (CBOs)?
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20a. If yes, please share the LHDs and CBOs that you are partnered with?
20a. If yes, please share the LHDs and CBOs that you are partnered with?
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Section 8 of 9
System Integration
21. Does your platform have the ability to integrate with public health Electronic Health Records (EHR) and surveillance systems?
21. Does your platform have the ability to integrate with public health Electronic Health Records (EHR) and surveillance systems?
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21a. If yes, which EHR systems?
21a. If yes, which EHR systems?
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Section 9 of 9
POC
22. Are you willing to contract with an LHD?
22. Are you willing to contract with an LHD?
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23. Are you an affiliate business partner with NACCHO?
23. Are you an affiliate business partner with NACCHO?
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Interested in becoming one!
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24. Who is your point-of-contact for LHDs to contact for procurement or partnership opportunities?
24. Who is your point-of-contact for LHDs to contact for procurement or partnership opportunities?
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25. Any comments?
25. Any comments?
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