| HIV Clinical
Performance Measure: # 8 |
| Stated
Performance Measure:Percentage
of new clients with HIV infection who had
been screened for substance abuse (alcohol
& drugs) |
| 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 substance abuse
during the measurement year[1]
|
| Denominator:
|
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
|
| 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 |
- IHI Goal: 90%[2]
- National HIVQUAL Performance Data:[3]
| |
2003 |
2004 |
2005 |
| Top
10% |
100% |
100%
|
100% |
| Top
25% |
99.4% |
100% |
100% |
| Median* |
93.0% |
95.6% |
96.7% |
*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."[4]
(10/10/06)
|
| References/Notes: |
1 A substance
use screen includes documentation of a discussion
of substance use, past and current, in the
HIV primary care record.
2
IHI Measure reads, “Percent of Patients/Clients
Assessed for Substance Use and/or Tobacco
Use in the Past 12 Months”
(http://www.ihi.org/IHI/Topics/HIVAIDS/HIVDiseaseGeneral/Measures/PercentofPatientsClientsAssessedforSubstanceUseandorTobaccoUseinthePast12Months.htm)
3 (http://www.hivguidelines.org/admin/files/qoc/hivqual/proj%20info/HQNatlAggScrs3Yrs.pdf)
4 Guidelines
for the Use of Antiretroviral Agents in
HIV-1-Infected Adults and Adolescents (p.
13) (http://aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf) |
