| HIV Clinical
Performance Measure: # 18 |
| Stated
Performance Measure: Percentage
of case managed clients with HIV infection
who had a Case Management care plan documented
and updated at least every 6 months |
| Numerator: |
Number
of case managed clients with HIV infection
who:
- were seen within the calendar year
of interest, and
- had > 3 case management visits
over >6 months, and
- had a Case Management care plan documented/updated
in the medical record at least twice
in the calendar year of interest, <6
months apart
|
| Denominator:
|
Number of
case managed clients with HIV infection
who were seen within the calendar year
of interest |
| Data
Sources: |
- Electronic Medical Record/Electronic
Health Record
- CAREWare, Lab Tracker or other electronic
database
- 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: 90%[1] |
| Basis
for Selection: |
|
Case management is a process to ensure
timely assessment and coordination of
medical and psychosocial services for
persons living with HIV/AIDS. It includes
a complete intake, assessment of health
and support service needs, service planning,
advocacy, consultation, psycho-social
support, supportive counseling and client
education.[2]
The purpose and goals of case management
are to: 1) coordinate services across
funding streams; 2) reduce service duplication
across providers; 3) assist the client
with accessing services; 4) use available
funds and services in the most efficient
and effective manner; 5) increase the
clients’ adherence to the care plan;
6) empower clients to remain as independent
as possible; 7) improve service outcomes;
and 8) control cost while ensuring that
the clients’ needs are properly
addressed.[3] |
| US Public
Health Guidelines: |
In
the absence of data, a reasonable response
is to address and monitor adherence during
all HIV primary care encounters and incorporate
adherence goals in all patient treatment
plans and interventions. This might require
the full use of a support team, including
bilingual providers and peer educators for
non-English–speaking populations,
incorporation of adherence into support
group agendas and community forums, and
inclusion of adherence goals and interventions
in the work of chemical-dependency counselors
and programs.
[4]
(Review of several RWCA-funded case
management programs revealed that the “practice
standard” is to complete a comprehensive
case management plan and reassessment of
the care plan at least every 6 months.)
|
| References/Notes: |
1
IHI Measure reads, “Percentage of
Patients/Clients with a Completed Psychosocial
Assessment in the Past 6 months” (http://www.ihi.org/IHI/Topics/HIVAIDS/HIVDiseaseGeneral/Measures/PercentofPatientsClientswithCompletePsychosocialAssessmentinthePast6Months.htm)
2 Standards
for HIV/AIDS Case Management; New York State
Department of Health AIDS Institute, 2006
( http://www.health.state.ny.us/diseases/aids/standards/casemanagement/index.htm)
3 Coordinated
Case Management Standards of Service, Miami-Dade
County Ryan White Title I Program February
18, 2005 (http://www.miamidade.gov/RyanWhite/coord_case_mgt.asp)
4 http://www.aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL_AdherenceSupPDA.pdf |
