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The HIV/AIDS Program: HAB Performance Measures
 

HAB Performance Measures

Overview of HAB Performance Measures
Measures
Technical Assistance
 
Overview of HAB Performance Measures  TOP

The HAB HIV/AIDS Core Clinical Performance Measures for Adults & Adolescents are being released in phases to allow for staged implementation. Listed below are Group 1 and Group 2 Measures. If a clinical program has no performance measures, Group 1 measures provide an excellent start and can serve as a foundation on which to build. Group 2 measures are important measures for a robust clinical management program and should be seriously considered. The measures can be used by all programs funded by the Ryan White HIV/AIDS Program and can be used either at the provider or system level.  Grantees are encouraged to include the core clinical performance measures in their quality management plans. While data are not required to be submitted to HAB at this time, grantees are strongly encouraged to track and trend data on these measures to monitor the quality of care provided.  Grantees are encouraged to identify areas for improvement and to include these in their quality management plans.  This type of information can provide rich discussion opportunities with HAB Project Officers.

To assist grantees in the use and implementation of the core clinical performance measures, a reference guide has been developed: HAB HIV Core Clinical Performance Measures for Adults & Adolescents: Companion Guide.

HAB is extremely interested in receiving feedback regarding the core clinical performance measures, particularly as it relates to the use of the measures. If you have any information you would like to share in regards to the utility, suggestions for improvement or examples of how the information has been used, please send an e-mail to HIVmeasures@hrsa.gov.

 
Measures  TOP
 
GROUP 1 MEASURES (Updated August 2008)

Download the Complete Document (pdf 106KB) or download an individual Measure from the list below:

    Measure
Adobe
   
    ARV Therapy For Pregnant Women pdf 43KB
    CD4 T-Cell Count pdf 43KB
    HAART pdf 46KB
    Medical Visits pdf 44KB
    PCP Prophylaxis pdf 45KB
 
GROUP 2 MEASURES (New August 2008)

Download the Complete Document (pdf 227KB) or download an individual Measure from the list below:

    Measure
Adobe
   
    Adherence Assessment and Counseling pdf 55KB
    Cervical Cancer Screening pdf 58KB
    Hepatitis B Vaccination pdf 53KB
    Hepatitis C Screening pdf 51KB
    HIV Risk Counseling pdf 45KB
    Lipid Screening pdf 51KB
    Oral Exam pdf 53KB
    Syphilis Screening pdf 51KB
    TB Screening pdf 73KB
 
Technical Assistance  TOP

This section is intended to explore some of the quality-related issues raised by programs that receive Ryan White HIV/AIDS Treatment Modernization Act of 2006 (Ryan White HIV/AIDS Program) funds. The document focuses on issues specifically related to the HIV/AIDS AIDS Bureau's (HAB) HIV Core Clinical Performance Measures for Adults & Adolescents: Companion Guide (pdf 120KB) and will be updated as necessary. For ease of review, information from the Companion Guide has been extracted for Web browsing below.

For questions related to broader topics on quality management and the Ryan White HIV/AIDS Program, please refer to Developing an Effective Quality Management Program in Accordance with the Ryan White HIV/AIDS Treatment Modernization Act of 2006: Frequently Asked Questions.

For ease of review, information from the HAB HIV Core Clinical Performance Measures for Adults & Adolescents: Companion Guide (pdf 120KB) has been extracted below:

  Scope of HAB Core Clinical Performance Measures
  1. Are the core clinical performance measures applicable to all Parts?
  2. How are these performance measures different from ones previously released by HAB?
  3. Does this mean that HAB considers these 14 measures the really important ones?
  4. Why aren't general health indicators included in the HAB core performance measures?
  5. Why aren't performance measures for case management or other supportive services included in the HAB core performance measures?
  6. What is the difference between a performance measure and standard of care?
  7. Will data be used for punitive purposes?
  Elements of HAB Core Clinical Performance Measures
  1. OPR measures are referenced in the upper right hand corner of the performance measure table. What does this refer to?
  2. What are patient exclusions?
  3. Data are presented on national goals, targets, and benchmarks. How are these to be used?
  4. Why have outcome measures been added to the performance measures?
  5. What constitutes an HIV care setting?
  6. What constitutes a medical visit?
  7. Can a lab test be used as a surrogate marker for medical visit?
  8. Can a phone consultation be counted as a medical visit?
  9. What is meant by "HAART"?
  10. Why do the performance measures focus on prescribing a treatment rather than offering it to the client?
  11. Why isn't CD4+ percentage included as a point of PCP prophylaxis initiation?
  12. What constitutes adherence assessment and counseling and who can provide it?
  13. What constitutes risk counseling and who can provide it?
  14. If a woman has had a hysterectomy, should she be screened for cervical cancer?
  15. If a patient has undergone male-to-female transgender surgery, should she be screened for cervical cancer?
  16. Does Medicare cover fasting lipid panels?
  17. For Hepatitis B vaccination, are the numerator and denominator measuring two different populations? Why are new patients excluded?
  18. Hepatitis B vaccination is a one-time series for immunization. How will this be monitored over time?
  19. In terms of Hepatitis B immunization, should patients with isolated anti-HBc be included or excluded in the denominator?
  20. Dental care is not readily available in many communities. Why is this included as a core clinical performance measure?
  21. What is the difference between an oral exam and dental screening? Can the oral exam be completed by a physician?
  22. Many of the measures reflect aspects of care that require referrals, yet the measures do not address this. Are we expected to follow-up?
  Data Collection & Reporting
  1. Are Ryan White HIV/AIDS Program grantees required to submit data to HAB on the defined performance measures?
  2. Does CAREWare tabulate data for HAB's clinical performance measures?
  3. What is the measurement year?
  4. Can client self-report be used?
  5. Is the denominator for the measures reflecting data available statewide through surveillance (such as number of CD4+ tests and test values) only clients served by a Ryan White HIV/AIDS Program-funded service (seen in the reporting year) or may we report on all known, living PLWH/A in the aggregate?
  Resource Materials & Feedback
  1. Have any chart review tools been created that are specific to the HAB core clinical performance measures?
  2. Where can I get more information about the HAB core clinical performance measures?
  3. Where can I get more information about quality improvement?
  4. How can I provide feedback on HAB's core clinical performance measures?