XIX International AIDS Conference

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TUPE670 - Poster Exhibition


HRSA HIV core clinical performance measures: need for provider education and training

S. Moreno1, E. Ohagi2, D. Olivarez2, P. Keiser3

1Parkland Health & Hospital System, HIV, Dallas, United States, 2Parkland Health & Hospital System, Dallas, United States, 3University of Texas Medical Branch, Infectious Diseases, Galveston, United States

Background: In accordance with the mandate to train clinicians who treat people living with HIV/AIDS, the local performance sites affiliated with the TX/ OK AIDS Education & Training Center (AETC) have worked to meet the clinical performance goals stipulated by HRSA. Data from clinical encounters at the Parkland HIV clinics have been reviewed in order to determine the strategic areas of need with regard to education and training. The Parkland system utilizes Epicar/EMR and the HIV Department supports HIV data collection with a custom database.
Methods: Clinical data on adult patients have been collected from 2007 through 2011 for various performance measures based on the clinical performance indicators. The outcomes from these have been compared with the national goals. Measurement areas include medical visits, CD4 T-Cell counts, ARV therapy, HAART, PCP Prophylaxis, adherence, and screening.
Results: Results indicate considerable success and consistent progress in performance measures in various areas: PCP Prophylaxis (99.5%), HAART (99.5%), and ARV Therapy for pregnant women (93.8%). Results are different in the areas of adherence to medical visits and routine CD4 t-cell counts which produced averages of 79.4% and 82% respectively. Though these are not considered far from the mark, screening has proven a major area of concern. Of special importance are the results for screening of cervical cancer to hepatitis C with values ranging from 53.5% to 95.1% respectively.
Conclusions: The Parkland HIV clinical program has been successful in providing health workers with expert HIV clinical environments for training with the required skills to care for patients living with HIV/AIDS. It has remained successful over the past years in most of the clinical performance measures as recommended by HRSA. Results also reveal a need for a reassessment of current clinical practices and/or data management strategies focused on the identified area of need - screening for > 5000 HIV patients.


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