| HIV Clinical
Performance Measure: # 5 |
| Stated
Performance Measure: Percentage
of adult clients with HIV infection who
had a test for syphilis within the measurement
year |
| Numerator: |
Number
of clients with HIV infection who:
- were >18 years old in the measurement
year [1],
and
- were seen within the measurement
year, and
- had a serologic test for syphilis
at least once in the measurement year
|
| Denominator:
|
Number of
clients with HIV infection who:
- were >18 years old in the measurement
year, and
- were seen within the measurement
year
|
| Data
Sources: |
- CADR, Section 5, Items 42 and 48
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 |
- IHI Goal: 90%[2]
- National HIVQUAL Data: [3]
| |
2003 |
2004 |
2005 |
| Top
10% |
99.0% |
100%
|
100% |
| Top
25% |
90.4% |
92.2% |
95.7% |
| Median* |
77.7% |
83.6% |
86.3% |
*from HAB data base |
| Basis
for Selection: |
HIV-1
infection appears to alter the diagnosis,
natural history, management, and outcome
of T. pallidum infection |
| US Public
Health Guidelines: |
| “HIV-infected
patients should be screened for behaviors
associated with HIV transmission by using
a straightforward, nonjudgmental approach.
This should be done at the initial visit
and subsequent routine visits or periodically,
as the clinician feels necessary, but at
a minimum of yearly. Any indication of risky
behavior should prompt a more thorough assessment
of HIV transmission risks. Screening for
STDs should be repeated periodically (i.e.,
at least annually) if the patient is sexually
active or if earlier screening revealed
STDs. Screening should be done more frequently
(e.g., at 3–6-month intervals) for
asymptomatic persons at higher risk.[4]
(7/18/03) |
| References/Notes: |
1
Onset of sexual activity is not reliably
reported or recorded. The lower age bracket
of 18 years is selected for performance
measurement purposes only and should not
be interpreted as a recommendation about
the age at which screening should begin
to occur.
2
IHI Measure reads, “Percent of Patients
with Annual Syphilis Screen”
(http://www.ihi.org/IHI/Topics/HIVAIDS/HIVDiseaseGeneral/Measures/PercentofPatientswithAnnualSyphilisScreen.htm)
3 (http://www.hivguidelines.org/public_html/center/quality-of-care/hivqual-project/hivqual-workshop/03-04-natl-score-top10-25.pdf)
4 Centers
for Disease Control and Prevention. Incorporating
HIV prevention into the medical care of
persons living with HIV: recommendations
of CDC, the Health Resources and Services
Administration, the National Institutes
of Health, and the HIV Medicine Association
of the Infectious Diseases Society of America.
MMWR 2003;52 (No. RR-12) (http://aidsinfo.nih.gov/ContentFiles/HIVPreventionInMedCare_TB.pdf
or http://aidsinfo.nih.gov/ContentFiles/HIVPreventionInMedCare_TB.pdf) |
