| HIV Clinical
Performance Measure: # 14 |
| Stated
Performance Measure: Percentage
of clients with HIV infection who received
risk reduction counseling within the measurement
year |
| Numerator: |
Number of clients with HIV infection
who:
- were seen within the measurement
year, and
- received risk reduction counseling
during at least one appointment
|
| 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
Electronic Medical Record/Electronic
Health Record
|
| National Goals, Targets,
or Benchmarks for Comparison |
None available
at this time. |
| Basis
for Selection: |
Reducing
transmission of human immunodeficiency
virus (HIV) in the United States requires
new strategies, including emphasis on
prevention of transmission by HIV-infected
persons. Through ongoing attention to
prevention, risky sexual and needlesharing
behaviors among persons with HIV infection
can be reduced and transmission of HIV
infection prevented. Medical care providers
can substantially affect HIV transmission
by screening their HIV-infected patients
for risk behaviors; communicating prevention
messages; discussing sexual and drug-use
behavior; positively reinforcing changes
to safer behavior; referring patients
for
services such as substance abuse treatment;
facilitating partner notification, counseling,
and testing; and identifying and treating
other sexually transmitted diseases.[1]
|
| 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." 1 (7/18/03) |
| References/Notes: |
| 1
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://www.cdc.gov/mmwr/PDF/rr/rr5212.pdf
or http://aidsinfo.nih.gov/ContentFiles/HIVPreventionInMedCare_TB.pdf) |
