• New York State Department of Health AIDS Institute HIV Quality of Care Program. Adult and adolescent indicators. [internet]. New York: New York State Department of Health AIDS Institute; 2000-2004 [cited 2005 Aug 10]. [3 p]. Available: http://www.hivguidelines.org/Content.aspx?PageID=36.

Does not apply to this measure

The AIDS Institute is committed to promoting, monitoring and supporting the quality of HIV clinical services for people with HIV in New York State. Clinical guidelines are developed in accordance with newly emerging clinical and research developments. By developing indicators based on the guidelines, the AIDS Institute has created a mechanism for measurement of HIV clinical performance.

These indicators measure critical aspects of the HIV Clinical Management for adult and adolescent HIV-infected patients.

Note: Although developed in New York State, these indicators are intended to be used by clinicians caring for patients with HIV in an ambulatory care setting in any locale.

HIV; pregnant women; counseling and testing

HIV-infected pregnant women (see the related "Denominator Inclusions/Exclusion" field in the Complete Summary)

The number of pregnant women with counseling offered and testing performed during the prenatal period

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence
• A formal consensus procedure involving experts in relevant clinical, methodological, and organizational sciences
• One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Use of this measure to improve performance

• New York State Department of Health AIDS Institute. Clinical management of HIV infection. Quality of care performance in New York State 1999-2001. New York: New York Department of Health AIDS Institute; 2003 Sep 1. 62 p.

Current routine use

Internal quality improvement

Ambulatory Care

Advanced Practice Nurses
Physician Assistants
Physicians

Individual Clinicians

Age greater than or equal to 13 years

Female (only)

Unspecified

Over one million persons in the United States are estimated to be living with HIV/AIDS. The prevalence rate for adults and adolescents is estimated at 168.8 per 100,000.

• Centers for Disease Control and Prevention. HIV/AIDS surveillance report, 2004. Vol. 16.Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention; 2005. 46 p.

Minority and risk groups, including poverty populations, medically uninsured, immigrants, and homeless persons

• Centers for Disease Control and Prevention. HIV/AIDS surveillance report, 2004. Vol. 16.Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention; 2005. 46 p.

Unspecified

Unspecified

Unspecified

Living with Illness

Effectiveness
Patient-centeredness

Users of care only

• All HIV adults and adolescents 13 years and over*
• Patients incarcerated and with no ambulatory clinic visits during any four-month review period are not eligible for review during that period.

*During the quality of care reviews a more selective criteria is applied in determining which cases are reviewed: for adult and adolescent indicators it is all HIV-infected patients with at least two medical visits in the last 12 months and one visit in the last 6 months.

Patients associated with provider

Inclusions
HIV-infected pregnant women

Exclusions

• Patients with fewer than 2 annual clinic visits or no visits in the last 6 months
• Patients less than 13 years of age
• Patients who are incarcerated

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition
Encounter

Time window precedes index event

Inclusions
The number of pregnant women with counseling offered and testing performed during the prenatal period

Exclusions
None

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Episode of care

Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

External comparison at a point in time
External comparison of time trends
Internal time comparison

Review tools are pilot tested by peer review agent prior to full implementation.

The sample size is constructed by a statistical consultant based on a facility's caseload to ensure reliability. A statewide HIV Quality of Care Advisory Committee reviews indicators to ensure validity.

• Hatton TE. (Quality of Care Program Manager, AIDS Institute - NYSDOH). Personal communication. 2006 Mar 13.  1 p.

Counseling and testing of pregnant women.

New York State Department of Health AIDS Institute

A combination of the United States (U.S.) Government and New York State funds.

New York State Department of Health AIDS Institute employees, AIDS Institute consultants, clinical experts from New York State

None

Measure was not adapted from another source.

2000 Jul

2004 Jun

This is the current release of the measure.

• New York State Department of Health AIDS Institute HIV Quality of Care Program. Adult and adolescent indicators. [internet]. New York: New York State Department of Health AIDS Institute; 2000-2004 [cited 2005 Aug 10]. [3 p]. Available: http://www.hivguidelines.org/Content.aspx?PageID=36.

This NQMC summary was completed by ECRI on November 14, 2005. The information was verified by the measure developer on March 13, 2006.

No copyright restrictions apply.