| HIV Clinical
Performance Measure: # 1 |
| Stated
Performance Measure: Percentage
of clients with HIV infection who had a
medical visit in an HIV care setting at
least every 6 months |
| Numerator: |
Percentage of
clients with HIV infection who had a medical
visit in an HIV care setting at least every
< 6 months apart [1] |
| Denominator:
|
Number of clients with HIV
infection who were seen within the measurement
year |
| Data Sources: |
- CADR, Section 5, Items 42 and 43
may provide data useful in establishing
a baseline for this performance measure
- 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 |
None available at this time. |
| Basis
for Selection: |
| Greater experience
among primary care physicians in the care
of persons with AIDS improves survival.
[2] |
| US Public
Health Guidelines: |
| Multiple studies
have demonstrated that better outcomes are
achieved in patients cared for by a clinician
with expertise. This has been shown in terms
of mortality, rate of hospitalizations,
compliance with guidelines, cost of care,
and adherence to medications. The definition
of expertise in these studies has varied,
but most rely on the number of patients
actively managed. Based on this observation,
the Panel recommends HIV primary care by
a clinician with at least 20 HIV-infected
patients and preferably at least 50 HIV-infected
patients. Many authoritative groups have
combined the recommendation based on active
patients, along with fulfilling ongoing
CME requirements on HIV-related topics.
[3] (10/10/06) |
| References/Notes: |
1
An HIV care setting is one which received
RWCA funding to provide HIV care and has
a quality management program in place to
monitor the quality of care and address
gaps in quality of HIV care.
2
Kitahata MM, Van Rompaey
SE, Dillingham PW, Koepsell TD, Deyo RA,
Dodge W, Wagner EH. Primary care delivery
is associated with greater physician experience
and improved survival among persons with
AIDS. J Gen Intern Med. 2003 Feb;18(2):157-8.
3Guidelines
for the Use of Antiretroviral Agents in
HIV-1-Infected Adults and Adolescents (http://aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf).
|
