| HIV Clinical
Performance Measure: # 9 |
| Stated
Performance Measure:Percentage
of new clients with HIV infection who had
been screened for mental health issues |
| Numerator: |
Number
of clients with HIV infection who:
- initiated care with the grantee during
the measurement year, and
- had 2 or more medical visits with
the grantee during the measurement year,
and
- were screened for mental health issues
during the measurement year[1]
|
| Denominator:
|
Number of
clients with HIV infection who:
- initiated care with the grantee during
the calendar year of interest, and
- had 2 or more medical visits with
the grantee during 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 |
- National HIVQUAL Data:[2]
| |
2003 |
2004 |
2005 |
| Top
10% |
100% |
100%
|
80.6% |
| Top
25% |
93.0% |
89.5% |
35,1% |
| Median* |
72.9% |
66.7% |
2.2% |
*from HAB data base
|
| Basis
for Selection: |
Patients
living with HIV infection must often cope
with multiple social, psychiatric, and
medical issues. |
| US Public
Health Guidelines: |
|
“Patients living with HIV infection
must often cope with multiple social,
psychiatric, and medical issues. Thus,
the evaluation [of each patient initially
entering care] should also include assessment
of substance abuse, economic factors,
social support, mental illness, co-morbidities,
and other factors that are known to impair
the ability to adhere to treatment and
to alter outcomes.
Patient factors clearly associated with
the risk of decreased adherence - such
as active substance abuse, depression,
and lack of social support - need to be
addressed with patients before initiation
of antiretroviral therapy."[3]
(10/10/06)
|
| References/Notes: |
1 The Mental
Health/Substance Use Subcommittee of the
National HIVQUAL Clinical Advisory Committee
include the following components for an
annual Mental Health Screening for people
with HIV: Cognitive function assessment,
including mental status; Depression screening;
Anxiety screening; Sleeping habits assessment;
Appetite assessment; Domestic violence screening;
Post Traumatic Stress Disorder screening;
Psychiatric history (optional); Psychosocial
assessment (optional)
2
(http://www.hivguidelines.org/admin/files/qoc/hivqual/proj%20info/HQNatlAggScrs3Yrs.pdf)
3 Guidelines
for the Use of Antiretroviral Agents in
HIV-1-Infected Adults and Adolescents (http://aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf). |
