|
On
October 1st, 2002, HRSA awarded six (6) grants
to better assess the impact of various information
technologies utilized in the care of HIV infected
patients. The initiative will assess the extent
to which IT, applied in various HIV care settings,
can contribute to measurable and sustainable improvements
in the delivery, quality and cost-effectiveness
of care for people living with HIV (PLWH), especially
among communities of color and underserved populations.
Columbia
University Mailman School of Public Health
722 West 168 St. Room 1121.4
New York, NY 10032
Funding
Period: 2003-2006
A
web-based, interactive decision-support system
will be used as a point of care for physicians
when they are formulating a patient's medication
regimen. The system will suggest optimal anti-retroviral
treatment, review proposed medication plans and
warn physicians of potentially dangerous drug
interactions and serious side effects. An agency
and provider information technology (IT) needs
assessment will identify institutional barriers
and physicians' readiness for such IT applications.
The intervention will be implemented in 42 agencies
in at least three states.
MENU
OF GRANT SITES
Cornell
University, Dept of Public Health
Weill Medical College of Cornell
411 East 69th Street
New York, NY 10021
Funding
Period: 2003-2006
Computer
workstations will be established in HIV clinics
for patients to review information from their
own medical record and complete confidential screening
questionnaires related to treatment adherence,
side effects, substance use and depression. The
goal is to enhance shared decision-making and
improve patient outcomes through the identification
of adherence problems and co-morbidities. The
feasibility and cost-effectiveness of the intervention
within a Medicaid managed care environment will
also be tested.
MENU
OF GRANT SITES
Department
of Health Services, County of Los Angeles
6th Floor
600 South Commonwealth Avenue
Los Angeles, Ca 90005-4001
Funding
Period: 2003-2006
The
HIV/AIDS Interface Technology Systems (HITS) is
designed to establish new computer interfaces
with existing information systems that will improve
client access to services. HITS will: 1) identify
individuals who test HIV-positive but do not return
for their results; 2) minimize delays between
testing HIV-positive and entering an HIV system
of care; and 3) improve local ability to appropriately
screen patients for service eligibility. Service
delivery, quality of care and cost-effectiveness
will be assessed as part of the project.
MENU
OF GRANT SITES
Duke
University Center for Health Policy, Law &
Management
125 Old Chemistry Building
PO Box 90253
Durham, NC 27708-0253
Funding
Period: 2003-2006
A
statewide computer network will be used to gather
data and evaluate the effectiveness of IT technology
on integration of HIV care at both the provider
practice and patient outcome level. The effects
of the IT network on health status, quality of
health and social services, and cost of health
care will be assessed. The project goals include:
1) improving the quality of care through IT-facilitated
case coordination, ongoing discussions among providers
and implementation of standard care protocols
(Care Maps); and 2) reducing health care costs
as improved medication adherence impacts the client's
need for costly health interventions.
MENU
OF GRANT SITES
Johns
Hopkins University
1830 E. Monument Street, Suite 8059
Baltimore, MD 21287
Funding
Period: 2003-2006
An
audio, computer-assisted self-interview (ACASI)
will be used to evaluate patient adherence to
treatment regimens and solicit information about
behaviors that might interfere with adherence,
e.g. illicit drug use. The study will conduct
a randomized clinical trial in the John Hopkins
HIV clinical program to assess if ACASI enhances
the delivery of HIV care and improves clinical
outcomes. A group of patients, who are starting
HAART regimen, will be randomized to ACASI with
no provider feedback, while another group will
have an ACASI report generated for the provider
to review at the time of each clinical visit.
Primary and secondary outcomes to be evaluation
include HIV-1 RNA suppression, CD4 lymphocyte
change, durable HIV-1 RNA suppression, and duration
of HAART use. Acceptance of the information technology
by providers and patients will also be assessed
during the project.
MENU
OF GRANT SITES
Louisiana
State University
LSUHSC Health Care Service Division
8550 United Plaza Blvd.
Baton Rouge, LA 70809
Funding
Period: 2003-2006
The
impact of an electronic patient database, LabTracker,
to optimize delivery of HIV care, improve morbidity
and mortality outcomes among patients, and improve
the quality of HIV outpatient care being delivered
will be evaluated. The cost effectiveness of this
IT strategy, which is utilized at nine hospitals,
will also be assessed.
MENU
OF GRANT SITES
|
