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January 28, 2021 0

Announced today, President Biden is set to sign two Executive Orders in his efforts to improve health care access and affordability to Americans. The Department of Health and Human Services (HHS) is expected to re-open a “Special Enrollment Period” this year to the Health Insurance Marketplace, from Feb. 15-May 15, allowing citizens in need of insurance to sign up for health coverage during the pandemic.

The President has also instructed federal agencies to re-examine the following policies to assess whether they are in need of additional strengthening as well:

  • “Policies that undermine protections for people with pre-existing conditions, including complications related to COVID-19;
  • Demonstrations and waivers under Medicaid and the ACA that may reduce coverage or undermine the programs, including work requirements;
  • Policies that undermine the Health Insurance Marketplace or other markets for health insurance;
  • Policies that make it more difficult to enroll in Medicaid and the ACA; and
  • Policies that reduce affordability of coverage or financial assistance, including for dependents.”

Furthermore, a Presidential Memorandum is going to be issued to “protect and expand access to comprehensive reproductive health care.” The Memorandum also “directs the Department of Health and Human Services to take immediate action to consider whether to rescind regulations under its Title X family planning program.”

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January 27, 2021 0

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Samantha Brown, Director of Business Development at Mesmerize, discussed the impacts COVID-19 has had on their business in a recent interview with Bob Ehrlich, Chairman & CEO of DTC Perspectives.  She shares how Mesmerize used this time to focus on expanding its point of care footprint and establishing new partnerships, while continuing to educate and engage consumers via Mesmerize’s vast network of essential businesses.

Bob Ehrlich: How has COVID-19 affected the point of care (POC) industry?

Samantha Brown: While COVID-19 affected in-office visits early on in the pandemic, we’ve already seen the vast majority of our specialty networks return to pre-COVID traffic levels or beyond.  COVID-19 highlighted the need for innovative, dynamic solutions, like Mesmerize’s digital TV screens, at the point of care.  Our digital TV screens allow us to continue delivering dynamic educational content to the offices within our network and serve as a powerful channel to activate on behalf of COVID-19 consumer education, disseminating trusted information by partners, such as the CDC and WHO.  In order to maintain safe social distancing, many practices no longer allowed non-essential visits, including pharmaceutical reps, to their offices.  Our digital network affords advertisers the ability to reach both patients and physicians with their brand’s messaging in a safe, efficient, and effective way.  The addition of QR codes to our printed media allows for patients to scan a QR code on the physical materials within an office and interact with that same content digitally on their mobile device.  The ability to access this content digitally allows patients to bring this information home with them and share it with their caregivers and/or loved ones.

The role of the pharmacist has also evolved dramatically as they continue to serve on the front lines of the COVID-19 epidemic.  Local pharmacists see more patients on a daily basis than any other healthcare provider, and that’s proven to be particularly true in the wake of COVID-19, as pharmacists were licensed to administer COVID-19 tests, and now the COVID-19 vaccine.  COVID-19 highlighted the pharmacist’s role in connecting patients and customers with access to care, increasing awareness of the wide range of vaccines and immunizations pharmacists are able to administer, including COVID-19, as well as protection against HPV, Hepatitis, Flu, and more.  At a time when pharmacists were seeing increasing foot traffic and patient visits, Mesmerize’s TV screens and other point of care tactics played a large role in educating consumers and encouraging them to speak with their pharmacist, a reliable source of counseling and information for general health and wellness concerns, as well as COVID-19.

Bob: It’s been impressive to see what Mesmerize has been able to accomplish this past year, despite COVID-19.  You’ve been busy lately growing your network, most recently with partnerships with Benasource, ASP Cares, Gaudenzia, and GMHC.  What do these partnerships mean to brands working with Mesmerize?

Samantha: Despite the challenges presented by COVID-19, we made a conscious decision as an organization to use this time to double down our focus on network expansion and re-engaging new partnership opportunities.  In 2019, we acquired a digital network of independent pharmacies and have been working to expand upon the existing network since.  In 2020, we partnered with ASP Cares and Benasource, installing Mesmerize’s Digital TV screens in all ASP Cares U.S. locations and Benzer Pharmacy locations.  Specialty pharmacies have unique expertise and experience treating a multitude of conditions including: HIV/AIDS, Hepatitis, Rheumatology, Oncology, Cardiovascular Disease, Gastroenterology, Addiction Management, and more, making them a critical venue for reaching patients with these conditions.

The team worked tirelessly to expand our digital network beyond the pharmacy, first with a partnership with Gaudenzia Addiction Treatment & Recovery Services, followed by a partnership with GMHC, the world’s first HIV/AIDS Services Organization (ASO).  Our partnership with Gaudenzia allows us to provide best-in-class patient education across their drug and alcohol treatment, mental health, and HIV/AIDS programs, reaching nearly 20,000 individuals annually.  Partnering with renowned organizations like Gaudenzia and GMHC, which are vital to improving the community’s health and helping them to achieve a better quality of life, helps Mesmerize fulfill its mission to connect individuals, families, and communities affected by HIV and other infectious disease and/or mental illness to accessible care, treatment, and education.  Mesmerize is excited to work with our new partners to uplift those affected by these diseases and we look forward to continuing to work together to address the underlying causes of new diagnosis, combat stigma and discrimination, and promote healthy behaviors.  Adding our digital TV screens to these locations allows us to effectively reach and connect with affected individuals and communities, and offers advertisers a unique opportunity to reach their target audiences at the places they are seeking care.

Bob: Clearly, 2020 was a very busy year for Mesmerize.  What’s next in the pipeline?

Samantha: We continue to actively seek out opportunities to grow our pharmacy network and remain heavily involved with the HIV/AIDS community.  2021 growth will focus on expanding into additional Community-Based Organizations and AIDS Service Organizations, increasing our reach across these organizations that are vital to improving people’s health and helping them to achieve a better quality of life.  We have a lot of exciting things in the pipeline in terms of content, and our full-service digital signage studio is working around the clock to produce best-in-class patient education speaking to HIV/AIDS and infectious disease specifically, in addition to general health and wellness and other condition-specific content.  After seeing great success building out our digital network of infectious disease offices, AIDS Service Organizations, and Community-Based Organizations, we look forward to rolling out our digital network in specialty doctors’ offices, aligning with client-demand and connecting patients and physicians with valuable information and resources speaking to a multitude of conditions, including: Respiratory/COPD, Rheumatology, Oncology, Gastroenterology, and more.  We are very excited about our most recent partnership with Quest Diagnostics labs, reaching nearly 8.5 million monthly viewers at over 2,000 Quest Diagnostics sites nationwide.  We’ve also begun working with major supermarket/grocery retailers, installing digital TV screens within their on-site pharmacies.  2020 was a busy year and we expect 2021 to be the same!

Bob: How is Mesmerize able to utilize its vast out-of-home (OOH) network at point of care, point-of-sale, transit, and other specialty areas to bring more value to clients?

Samantha: In addition to point of care media, Mesmerize has a vast network of transit and place-based media opportunities, serving as a one-stop shop for cross-channel advertising that allows our advertisers to reach consumers at multiple touchpoints along their out-of-home journey.  Our larger OOH network affords advertisers the ability to reach consumers non-disruptively at every point throughout their daily lives, from their commute to and from the doctor’s office via our network of fixed-route and paratransit buses, to their visit to the pharmacy, grocery, or convenience store following their doctor’s office, ASO, or community-based organization visit.  Mesmerize’s place-based opportunities ensure our advertisers are reaching their target audiences on days they are not visiting their healthcare practitioner, via advertising in cafes, coffee shops, financial service centers, laundromats, restaurants, and more.  When stay-at-home orders were issued and businesses were forced to close as a result of COVID-19, Mesmerize’s point of care, transit, and financial service networks were deemed essential services and remained open for business, continuing to serve as vital touchpoints for reaching consumers.

Samantha Brown


January 27, 2021 0

As part of President Biden's National Action Strategy to combat the global pandemic, he has instructed his COVID-19 Response Coordinator to work with the Department of Health and Human Services (HHS) in securing an additional 100 million doses of each of the two COVID-19 vaccines that have been approved by the FDA from Pfizer-BioNTech and Moderna. According to a White House news brief, this “increases the total vaccine order for the U.S. by 50%, from 400 million to 600 million with these additional doses expected to deliver this summer. With these additional doses, the U.S. will have enough vaccine to fully vaccinate 300 million Americans by the end of this summer.”

Moderna confirmed this news yesterday, stating that they are in talks with the US government, noting that the delivery will be in the third quarter of 2021. The previous amount purchased by the US government was 200 million doses of Moderna's and Pfizer-BioNTech's vaccinations each.

Last Friday, Pfizer and BioNTech had announced “an advance purchase agreement with COVAX for up to 40 million doses of the Pfizer-BioNTech COVID-19 Vaccine. The doses will be delivered throughout 2021.” COVAX is the collaboration of the Global Alliance for Vaccines and Immunization (GAVI), the Coalition for Epidemic Preparedness Innovations (CEPI), and the World Health Organization (WHO), to ensure fair global distribution of COVID-19 vaccines.

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January 27, 2021 0

The Point of Care Communication Council, PoC3, updated its official guidance regarding Verification and Validation. The 2021 guidance provides three major changes:

  • the expansion of network audits to include a company's asset management system's internal control and procedures;
  • the volume of campaign audits required for certification will be based on annual campaign volume (not individual campaign spend);
  • the frequency of campaign audits has been changed to every six months.

Given the current industry and challenges faced by COVID-19, the POC3 Verification & Validation Committee decided to review the previous 2019 guidance to better reflect today's world and appropriately meet its needs. These new amendments also allowed PoC3 to create their own auditing and certification process for POC companies – available to both PoC3 member and non-member companies. PoC3 collaborates with the Alliance for Audited Media and BPA Worldwide to “validate network-related items including network size, network health and campaign performance,” stated the news release.

Certifications will be reviewed and disseminated on a first come, first served basis. On January 22, the first group of certifications was issued to member companies Phreesia, PatientPoint, Health Media Network, and CheckedUp, as well as non-member company Outcome Health.

“PatientPoint is generating monthly reports audited by AAM for every campaign running on our digital networks. This is an important milestone in our 30-year legacy of going above and beyond to deliver compelling results that marketers can trust,” said PatientPoint Founder and CEO Mike Collette in their news statement. “These automated reports resemble the dashboard reports sponsors receive when running an online digital campaign and can give sponsors the same level of confidence investing in Point of Care as in any other digital media channel.”

“From day one, Phreesia has been an industry leader, exemplifying the importance of transparency and the integrity of our data,” said David Linetsky, Phreesia’s Senior Vice President of Life Sciences and a PoC3 board member in their press announcement. “We appreciate AAM’s diligence in validating the measures of trust and accountability we value so highly, and we thank PoC3 for recognizing our continued commitment to delivering the highest level of quality to our partners.”

AAM audited PatientPoint and Phreesia; BPA Worldwide audited Health Media Network, CheckedUp, and Outcome Health.

“This is an exciting day for the POC3 organization, and for the companies that have achieved these initial certification seals,” Richard Murphy, Executive Vice President, BPA Worldwide, told DTC Perspectives. “Thank you to the volunteer members of the POC3 organization who worked tirelessly to create and update these guidelines.  And congratulations to CheckedUp, Health Media Network, Patient Point, Phreesia, and Outcome Health on this accomplishment.  These companies made significant investments in their organizations to obtain this certification.  I am glad to see their dedication, commitment and efforts recognized.”

The Committee will continue to evaluate and update guidance as needed based on “industry evolution and feedback.”

Editor's note: This post has been updated to correct the companies certified as per our article title. The article has been updated to add in a quote from BPA Worldwide as well.

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December 9, 2020 0

This column is not about a DTC advertising campaign that already exists. Instead, it is about what should happen after the Covid-19 vaccine is approved. Unfortunately, too many Americans are skeptical of a vaccine. 

Trump clearly showed that he was not medically accurate in many of his Covid related treatment statements. His vaccine program was doubted by some for being an election booster if it could be fast tracked and approved before the election. His Democrat opponents cast doubt on any vaccine developed under his watch. Several states said they would independently review vaccine data even after the FDA approved it.

Now that Pfizer and Moderna have announced the phenomenal results, the hard work begins after approval in terms of timely distribution and getting enough Americans to take it. DTC must play a role in convincing Americans the vaccine is the solution to this worldwide nightmare. 

The conundrum is how much should a drug maker spend on DTC when they can sell all they make. Should the front runners Pfizer and Moderna run DTC even though they don’t need to create demand? The answer is yes. This is a case where all drug makers of vaccine have an ethical responsibility to make Americans want to get this vaccine as soon as it is available to them. We know that vaccine makers have done a good job creating ads for their other vaccines. The DTC goal is reassurance that the vaccine is safe and will end the pandemic.

It will be interesting to see the creative on Covid vaccines. The challenges are to first ensure that safety concerns are dealt with as safety data is only over a short period. We don’t want Americans to hold back and let their friends and neighbors go first. The second challenge is the two shots needed. Drug makers are going to have to convince us to get shots a month apart. Third, is the concern that the shot may only last months not years. 

Of course, we can expect that drug makers will see massive government investment in consumer outreach. Federal and state health departments will spend to get the message out. Employers will be adding their own efforts to get employees vaccinated. So, my estimate is we will see over $100 million invested in vaccine DTC. Money should not be a limitation given the Covid pandemic has cost this country hundreds of billions in economic losses. We can hope government will be setting aggressive targets to raise the percent of those vaccinated. Experts think we need at least 70% of the population vaccinated to nearly eradicate Covid. 

Particularly important is convincing African-Americans to take the vaccine. According to Pew Research only 42% said they are definitely or probably going to get vaccinated. The number among the total population is 60%, and among Hispanics it is 63%. All these are under the estimated 70% it will take to get herd immunity. DTC is one of the fastest ways to get Americans convinced the vaccine is necessary. All constituencies, public and private, need to invest in a major DTC effort and accelerate adoption.

Bob Ehrlich,
Chairman
DTC Perspectives, Inc.

Bob Ehrlich


November 18, 2020 0

Early this morning, Pfizer and BioNTech issued a news release stating that the Phase 3 study of their MRNA-based COVID-19 vaccine met all primary efficacy endpoints. “Analysis of the data indicates a vaccine efficacy rate of 95% (p<0.0001) in participants without prior SARS-CoV-2 infection (first primary objective) and also in participants with and without prior SARS-CoV-2 infection (second primary objective), in each case measured from 7 days after the second dose,” stated the announcement. For those older than 65 years of age, the efficacy is reportedly over 94%.

No serious safety concerns have been reported by the Data Monitoring Committee for the study. According to the findings, “most solicited adverse events resolv[e] shortly after vaccination” – with 3.8% experiencing fatigue after their first or second dose and 2% recording headaches after their second dose. The FDA-required safety milestone for an EUA (Emergency Use Authorization) has been met, and thus, the two companies plan to submit an EUA request to the agency in the coming days.

Dr. Albert Bourla, Pfizer Chairman and CEO, issued a statement as per the news release: “The study results mark an important step in this historic eight-month journey to bring forward a vaccine capable of helping to end this devastating pandemic. We continue to move at the speed of science to compile all the data collected thus far and share with regulators around the world. With hundreds of thousands of people around the globe infected every day, we urgently need to get a safe and effective vaccine to the world.”

Expressing a concurring sentiment, Ugur Sahin, M.D., CEO and Co-founder of BioNTech stated: “We are grateful that the first global trial to reach the final efficacy analysis mark indicates that a high rate of protection against COVID-19 can be achieved very fast after the first 30 µg dose, underscoring the power of BNT162 in providing early protection. These achievements highlight the potential of mRNA as a new drug class. Our objective from the very beginning was to design and develop a vaccine that would generate rapid and potent protection against COVID-19 with a benign tolerability profile across all ages. We believe we have achieved this with our vaccine candidate BNT162b2 in all age groups studied so far and look forward to sharing further details with the regulatory authorities. I want to thank all the devoted women and men who contributed to this historically unprecedented achievement. We will continue to work with our partners and governments around the world to prepare for global distribution in 2020 and beyond.”

The news release added that Pfizer and BioNTech “expect to produce globally up to 50 million vaccine doses in 2020 and up to 1.3 billion doses by the end of 2021.”

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November 18, 2020 0

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Over 200 days into the COVID-19 pandemic, people around the country and the world are, at the very least, becoming normalized to the new normal. Kids are back in school, sports have returned and, depending on where you live, some restrictions may have been relaxed.

This more relaxed approach to life possibly in combination with the cooler weather is resulting in a third surge in the number of COVID-19 cases in the United States. According to John Hopkins data, the U.S. one-weekly daily average of new cases is 101.8K as of Nov. 8, which is an increase of +114% from Oct. 8. This uptick prompts the obvious question of how will patient traffic within the doctor’s office be impacted?

Contrary to some expectations, the data suggest patient traffic is not affected by increasing incidence of COVID. Except for the late-March / mid-April timeframe, patient traffic and COVID numbers have moved independently of each other, as can be seen by the graph below. Patient traffic has steadily increased since mid-April even as the number of new COVID cases have fluctuated. People are again comfortable going about their lives and taking care of their daily needs.

Based on the data trend and the positive news regarding the success of vaccine trials, the outlook for patient traffic and treatment going into 2021 is positive. We can expect patient office traffic across most specialties and disease states to remain within normal seasonal levels. The possible exception to this will be with acute illnesses primarily within primary care and pediatrics as masks and social distancing may result in a milder cold and flu season.

For marketers, this means as much as things have changed, the future is looking very similar to what it did pre-COVID. As we are still seeing signs that practices are catching up on some of the delayed care from earlier this year, it is probably more important than ever that marketing plans are being made at scale.

At PatientPoint, we are continuing to work with our clients to access our market insights based on our data assets and analytical capabilities. Using these insights, we are able to better help brands plan, execute, and optimize in order to maximize the impact of their point-of-care campaigns.

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November 18, 2020 0

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There’s a lot of brand managers who prioritize patient engagement, but not many who really understand how patient ready their brand is. Let’s try and clarify what that means.

These days, brand marketers widely acknowledge how important it is to have a plan for engaging their patient communities. However, drawing up such a plan presents some challenges: Professionals need to reconcile competing goals, from financial constraints, to privacy requirements to legal, regulatory, and compliance considerations. Overcoming these hurdles requires a systematic situation analysis. Taking the time to do this will offer an overview of which resources need to be obtained, which are already available, and which can be improved for enhanced patient centricity. The result will be a foundational guide that helps you make strategic decisions based on the environment today.

While there may be tempting shortcuts, doing it right is an opportunity to build solid relationships with the patients your brand serves—a valuable asset for any brand. To build such a relationship, brands need to make themselves patient ready. Why is that so, and what does it even mean, to be “patient ready?”

Patient ready brands engage with patients in meaningful ways, with the right tone and content that’s authentic and in sync with people’s own experiences. Such a brand makes an effort to identify needs in the community and to find out whether others are already addressing those needs and in what way. A patient ready brand will then take measure of internal capabilities and resources, and match those to unmet needs still existing. Thus, we create brand value through patient value by communicating to a receptive audience in ways that resonate.

All good and well, but how do we achieve this gold standard when facing educated and savvy patients? That really depends on three dimensions that circumscribe what it means to be patient ready:

Dimension 1: Understanding patient needs

Fundamentally, understanding the needs of patients and caregivers is at the heart of any patient ready assessment. At Snow, our proximity to many patient communities uniquely positions us to recognize and understand the importance of patients’ ever-changing needs. Our State of the Patient Study spans many different disease states and conditions to track the trends and behaviors across the patient journey. It also focuses on the experience gaps and issues with services and products currently available to them through pharma brands or other stakeholders. The community has concerns, expectations, and hopes—and research that focuses directly on your disease category, quantitatively and through first-hand interactions with patients themselves, can capture all of that. Insights such as these can guide a brand towards becoming a trusted and credible partner to the community.

Dimension 2: Understanding competitive benchmarks

Building on top of this foundation of thoroughly understanding the patient community, the next logical step is to explore the competitive landscape: What’s currently working, what isn’t? Which activities match expectations, which ones fall short? What’s the general sentiment towards competitor products and services? By finding answers to questions like these, we can set the benchmark: This is what it will take to keep up and to stand out among the competitors. It’s not about imitating all their good work while avoiding their mistakes. It’s about finding your brand’s unique role in supporting patients throughout their journey. It’s about positioning your initiatives in such a way they’re meeting a need, so you don’t have to create demand. Because the demand is already there, and you’ll be armed with evidence to prove it.

Dimension 3: Understanding resource requirements and availability

At the risk of sounding like a broken record: pharmaceuticals are highly regulated. Anyone engaged in marketing, especially directly with patients, must have a thorough understanding of the legal and regulatory rules that apply. They must also work alongside numerous other stakeholders, which means process, training, policy, and procedure. Respecting and working within this reality is the only way you’ll be able to execute on any patient engagement plans. No one person or department can bring all the needed parts to the table: Partnering with experts who have specialized knowledge is the most effective way to mitigate risks and finding solutions that are known to work.

How to Get There: The Snow Patient Ready Model

Exploring these three dimensions is a tall task. Fortunately, Snow can help you zero in on those answers. Our Patient Ready Model can help you understand and evaluate your brand’s needs in order to design and deliver strategic and compliant patient engagement solutions.

The Patient Ready Model is powered by data that sheds light on all three dimensions of patient engagement:

  1. Insights: Understanding patient needs
  2. Benchmarks: Understanding the competitive landscape
  3. Resources: Determining specialized resources and requirements

Being familiar with your brand’s performance and requirements along each of these axes is valuable in its own right. Together, they paint the full picture of how your brand can better engage with patients. And Snow is uniquely positioned to help you pull that portrait together. We’ve spent decades working with thousands of patients across a spectrum of categories, so we have the experience, tools, and data to help you become truly patient ready. Once that happens, the path to building positive and sustainable patient relationships opens up. And it is relationships such as these that will ultimately make or break brand success.

Are you ready to find out if your brand is patient ready? Go to AreYouPatientReady.com and follow the directions to take a short survey.

Molly Scarbrough


November 16, 2020 0

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About 29 million people in the United States rely on community-based organizations (CBOs), which provide care to low-income and uninsured patients, often living with infectious disease including HIV/AIDS and Hepatitis C [9].  Since the onset of the HIV epidemic, community-based organizations have proved vital to the United States’ HIV prevention efforts, delivering the most effective HIV prevention strategies to those who need them the most and are at the greatest risk of infection [1].  As the U.S. continues to battle COVID-19, community-based organizations are facing unprecedented demands to combat COVID-19 while continuing to deliver essential HIV prevention and treatment services [2]. 

According to Kelsey Louie, GMHC, CEO:

“COVID-19 created unprecedented challenges for GMHC in ensuring that we could sustain our services for our clients during the pandemic.  We pivoted many of our programs to remote delivery using video conferencing and implemented at-home HIV testing so these vital services could continue to be accessible to our communities.  The new technologies that we have embraced during COVID-19 including telehealth and Mesmerize’s patient education platform, will continue to be vital parts of our programming well after the pandemic ends.”  

Many CBOs shared case studies demonstrating the impact of COVID-19 on their organizations at the 2020 United States Conference on HIV/AIDS (USCHA).  Here are 5 ways COVID-19 affects community-based organizations and their efforts to end the country’s HIV epidemic:

1. Testing is the only way to know if you have HIV.  If everyone knew their status, we could protect ourselves and each other, bringing us closer to ending the epidemic.  As a result of COVID-19, however, community-based organizations were forced to think outside of the box to maintain client access to essential HIV prevention and care services including HIV, Hepatitis C (HCV) and STI testing.

Community-based organizations that have been providing long-standing and proven-effective HIV, HCV and STI testing to communities at risk have had to change their standard testing procedures to continue providing these vital services while also addressing COVID-19 [6].  As a result of COVID-19, most CBOs were forced to change their traditional methods of care to continue in-person appointments while prioritizing the safety of their staff and clients and preventing the transmission of COVID-19.  Changes to care included pre-screening prior to scheduling appointments, integrating HIV screening services into existing workflows, designating exam rooms to patients who are known to be at risk of COVID-19, and disinfecting all exams rooms after each appointment [5].  While there are options for at-home HIV testing, STI testing requiring bloodwork must be done by a practitioner on-site.  CBO staff are working hard to ensure that newly diagnosed patients are immediately linked to treatment and existing patients are adhering to their medications, while simultaneously working to prevent an already vulnerable population from getting COVID-19.

2. Community-based organizations are working to address and integrate COVID-19 with their existing HIV, Hepatitis, and STI care and prevention programs.  Their deep community roots and relationships make them uniquely equipped to handle the transition from protecting vulnerable populations from infectious disease to include COVID-19 as well.

CBO staff have reported adding COVID-19 work to their scope of usual services and are calling for additional resources to address emerging COVID-19 related needs among their clients [6]. Most organizations reported some level of involvement in COVID-19 related activities, including educating clients about COVID-19 risks and protective measures, conducting COVID-19 testing and contact tracing, and providing counseling and care for clients with COVID-19 [7].  Compared to the traditional doctor’s office, community-based organizations have deep community roots as well as strong expertise in addressing social supports such as mental and personal care within the communities they serve [10].  This makes CBOs uniquely positioned to transition their staff’s expertise from sexual health to general health and makes them well equipped to incorporate questions pertaining to COVID-19 concerns including mental health and wellness, social isolation and current events, into previously routine testing appointments [8].  Some organizations still reported the need for additional staff training and educational materials on COVID-19 to distribute to clients, which Mesmerize continues to provide to these organizations in conjunction with the Center for Disease Control (CDC) [7].

3. Community-based organizations have adopted and executed new measures and strategies to address COVID-19 related needs among their clients.

Many community-based organizations have adopted new strategies to continue providing quality service to the communities they serve.  New strategies include digitizing client forms and medical records, as well as utilizing virtual care as an additional means for providing health education and counseling [6].  While the pace at which these organizations were able to execute such new strategies is remarkable, many reported needing additional resources to properly implement these strategies, including technical assistance to integrate COVID-19 within HIV, HCV and STI services, technology training, and structured clinical support for staff [7].  Additionally, while technology has been able to solve for some of the problems facing CBOs, there are many services these organizations provide to the community that must be addressed in-person, including STI testing, affordable housing, and meal services.  In an effort to continue providing these essential in-person services, CBOs have had to purchase additional PPE for their staff, as well as hand sanitizer and masks for community distribution, requiring significant investment from these organizations [7].

4. CBOs have a history of facing financial challenges, with many organizations having few or no financial reserves, running persistent operating deficits, and having a lack of access to capital for investment in resources and technology [8].  Community based organizations have incurred immediate expenses connected to the COVID-19 epidemic [7].

Many community-based organizations have limited or no financial reserves, making them extremely vulnerable to fluctuations in expected revenue and cost levels [8].  COVID-19 has resulted in immediate expenses for CBOs, including the implementation of safety measures, infrastructure enhancement, and changes to their standard provision of services [7].  While many organizations were able to quickly and creatively implement new methods to continue providing quality HIV, HCV and STI care throughout the COVID-19 epidemic, these rapid enhancements require significant investment from CBOs, including investments in Electronic Health Records (EHR), computers, and hotspots [7].  Many organizations are tapping into their funds amidst the cancelling of fundraising events [7].  Even those with unrestricted funds are concerned about the long-term sustainability of implementing safety and procedural measures to address COVID-19 while continuing to provide foundational HIV and Hepatitis prevention and care services [6].  CBOs present at USCHA also expressed concern over their ability to strategically separate funds so that money reserved for HIV and Hepatitis prevention and care is not spent fighting COVID-19 [7].  Organizations are hopeful that the next round of government funding will provide valuable support for CBOs to continue providing these valuable services, while also offsetting some of the losses they’ve incurred fighting COVID-19, and better preparing them for the future.

5. While adopting new methods and strategies to simultaneously fight both the AIDS and COVID-19 epidemics has been costly, many CBOs believe these new practices are for the better of the organization and will be adopted long-term with lasting impact.

Many CBOs invested in technology upgrades, provision of virtual services, and HIV/HVC/STI program adaptation to continue providing essential services to their clients while simultaneously navigating new measures in place to address COVID-19.  While COVID-19 has created unprecedented and numerous challenges to community-based organizations, The Stronger Together Partnership (comprised of The Black AIDS Institute, San Francisco Community Health Center and Latino Commission on AIDS) applauds these organizations for their ability to “take on the challenges by implementing team approaches to problem solving, embracing technological upgrades, and fostering innovation.  Many leadership staff have identified lessons learned from this pandemic and are doing their best to see this as an opportunity to develop new strategies and expand their service portfolio” [6].  Many organizations also reported that the new strategies and measures put in place to respond to COVID-19 will prepare them for emergency responses in the future, allowing them to better serve their community and be prepared for whatever may impact them next.

Sources

[1] CDC NCHHSTP. “CDC Awards $216 Million to Community-Based Organizations to Deliver the Most-Effective HIV Prevention Strategies to Those in Greatest Need.” HIV.gov, 1 July 2015, www.hiv.gov/blog/cdc-awards-216-million-to-community-based-organizations-to-deliver-the-most-effective-hiv-prevention-strategies-to-those-in-greatest-need.

[2] “COVID-19 and HIV.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 10 Aug. 2020, www.cdc.gov/hiv/covid-19/index.html.

[3] “The COVID-19 Pandemic's Impact of HIV and Hepatitis Programs.” NASTAD, NASTAD, 12 Aug. 2020, www.nastad.org/sites/default/files/resources/docs/covid19-impact-hiv-hepatitis-programs.pdf.

[4] Dreyfus, Susan, and Tracy Wareing Evans. “The Importance of Community-Based Organizations in Human Services.” Independent Sector, Independent Sector, 23 Jan. 2018, independentsector.org/news-post/the-importance-of-community-based-organizations-in-human-services/.

[5] Hadayia, Jennifer. “US Conference on HIV/AIDS.” Legacy Community Health, Expansion/Integration: HIV Testing & PrEP During a Pandemic, 19 Oct. 2020, vevents.virtualtradeshowhosting.com/event/USConferenceonHIVAIDS/en-us#!/Workshops/n820161. .

[6] Hucks-Ortiz, Christopher, et al. “COVID-19 National Rapid Assessment Preliminary Report: The Institutional Impact of COVID-19 on Organizations of Color Providing HIV/STI/HCV Services to People of Color across the U.S., Puerto Rico, U.S. Virgin Island, and Affiliated Pacific Island Jurisdictions.” Institute for Latinx Health Equity, 2020, ilhe.org/stronger-together-partnership-c19-national-rapid-assessment-preliminary-report/.

[7] Hucks-Ortiz, Christopher, et al. “US Conference on HIV/AIDS.” Stronger Together Partnership (STP), Impact of COVID-19 on Organizations of Color Providing HIV/STI/HCV Services, 19 Oct. 2020, vevents.virtualtradeshowhosting.com/event/USConferenceonHIVAIDS/en-us#!/Workshops/n820161.

[8] Shaw, John, et al. “US Conference on HIV/AIDS.” The Project of Primary Healthcare, A New Normal: HIV/HCV/STI Testing during Covid-19, 20 Oct. 2020, vevents.virtualtradeshowhosting.com/event/USConferenceonHIVAIDS/en-us#!/Workshops/n820161.

[9] Stone, Will. “Under Financial Strain, Community Health Centers Ramp Up For Coronavirus Response.” NPR, NPR, 24 Mar. 2020, www.npr.org/sections/health-shots/2020/03/24/821027067/under-financial-strain-community-health-centers-ramp-up-for-coronavirus-response.

[10] Super, Nora Mary Kaschak Elizabeth, et al. “Health Care And Community-Based Organizations Have Finally Begun Partnering To Integrate Health And Long-Term Care: Health Affairs Blog.” Health Affairs, 2 Feb. 2018, www.healthaffairs.org/do/10.1377/hblog20180130.620899/full/.

Samantha Brown


November 16, 2020 0

In mid-October, the latest wave of research tracking COVID's impact on outpatient visits was published by Commonwealth Fund, Harvard, and Phreesia. The latest data found that overall outpatient care visits in the prior month have finally returned to prepandemic levels, after dropping nearly 60% during the spring. (This fifth wave data set tracked trends through October 10th.) Not only did overall visit counts per week return to normal levels, but they even “slightly exceed” pre-COVID counts. But, as researchers noted, “there is considerable variation by patient age, geographic area, clinical specialty, and insurance coverage.”

While all age groups are on an upward trajectory again since the spring weeks, “visits for younger children remain substantially below the prepandemic baseline,” noted the report. Those aged 6 years or older all exceed prepandemic levels (6% above baseline for ages 6-17; 4% for ages 18-64; 5% for ages 65-74; 4% for ages 75+). Children ages 0-2 years are recording at 18% below baseline and ages 3-5 are coming in at 10% below baseline.

Weekly visits to dermatologist offices and adult primary care appointments are showing the highest level of rebounds, coming in at 17% and 13% above baseline, respectively. Areas such as OBGYN and Oncology are even with baseline. While pulmonology, otolaryngology, and behavioral health visits each track well below baseline at -20%, -17%, and -14%, respectively.

The researchers also detailed that while “telemedicine use has slowly but steadily declined” after peaking in April, its usage is still “well above the prepandemic baseline of very few telemedicine visits.” The use of telehealth varies depending on the medical specialties: areas such as surgical record low level usage (2% of total visits), but behavioral health outpaces other areas significantly (41% of total visits). Telemedicine's implementation does vary by provider organization as well. For example, “organizations of six or more clinicians use more telemedicine than practices of one to five.” Additionally, the report finds that approximately 32% of organizations “never adopted [it] at all”. Those that did, however, have seen their use of it decrease to Minimal usage in the fall after Heavy or Moderate usage in the spring.

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