| HIV Clinical
Performance Measure: # 7 |
| Stated
Performance Measure: Percentage
of clients with HIV infection who had been
screened for Hepatitis C virus infection |
| Numerator: |
Number
of clients with HIV infection who:
- were seen within the measurement
year, and
- had HCV status documented in their
medical record[1]
|
| Denominator:
|
Number of
clients with HIV infection who were seen
within the measurement year |
| Data
Sources: |
- Electronic Medical Record/Electronic
Health Record
- CAREWare, Lab Tracker, or other electronic
data base
- HIVQUAL reports on this measure for
grantee under review
- Medical record data abstraction by
grantee of a sample of records that
is negotiated with the OPR Review Team
|
| National Goals, Targets,
or Benchmarks for Comparison |
- IHI Goal: 95%[2]
- National HIVQUAL Performance Data:
[3]
| |
2003 |
2004 |
2005 |
| Top
10% |
100% |
100%
|
100% |
| Top
25% |
99.4% |
100% |
100% |
| Median* |
93.0% |
95.6% |
96.7% |
*from HAB data base |
| Basis
for Selection: |
Chronic
hepatitis C infection is common in persons
with HIV infection, and although it is
a source of substantial morbidity and
mortality, it may be amenable to treatment.
HIV/ hepatitis C co-infection may predispose
HIV-infected patients to liver toxicity
from HAART [4]and
HCV treatment may exacerbate the side
effects of some ARV medications.[5] |
| US Public
Health Guidelines: |
| “All
HIV-infected patients should be screened
for HCV infection” [6]
(6/14/02) |
| References/Notes: |
1 Unless
there is concern about ongoing exposure
(e.g., via active injection drug use), annual
re-screening is not generally recommended.
2 IHI Measure
reads, “Percent of Patients/Clients
with Known Hepatitis C Status”
(http://www.ihi.org/IHI/Topics/HIVAIDS/HIVDiseaseGeneral/Measures/PercentofPatientsClientswithKnownHepatitisCStatus.htm)
3 (http://www.hivguidelines.org/admin/files/qoc/hivqual/proj%20info/HQNatlAggScrs3Yrs.pdf)
4 AIDS
Institute, New York State Department of
Health. Criteria for the Medical Care of
Adults with HIV Infection, Hepatitis C Virus
Updated September 2004 [Text taken from
the NYSDOH AI publication - "Criteria
for the Medical Care of Adults with HIV
Infection"]( http://www.hivguidelines.org/public_html/hep-c/hepc.pdf)
5 Guidelines
for the Use of Antiretroviral Agents in
HIV-1-Infected Adults and Adolescents (http://aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf)
6 Centers
for Disease Control and Prevention. Guidelines
for Preventing Opportunistic Infections
Among HIV-Infected Persons — 2002
Recommendations of the U.S. Public Health
Service and the Infectious Diseases Society
of America. MMWR 2002;51(No. RR-8) (http://www.cdc.gov/mmwr/PDF/rr/rr5108.pdf
or http://aidsinfo.nih.gov/ContentFiles/OIpreventionGL.pdf) |
