This NQC Guide, ‘Guideline-based Quality Indicators for HIV Care,’ provides eleven sets of HIV-specific performance measures that have been derived from established clinical guidelines that were developed by panels of experts sponsored by the United States Department of Health and Human Services (DHHS) and the New York State Department of Health AIDS Institute (NYSDOH AI) HIV Clinical Guidelines Program. These indicators are designed to serve as easy-to-use “off the shelf” measures that can be easily adapted by HIV programs. They are designed to help providers deliver the highest standards of HIV care and complement existing indicator sets by extending into additional aspects of HIV care and treatment.
This publication is unique in that it follows the methodological guidance recommended by the Agency for Healthcare Research and Quality (AHRQ). The guideline developers participated in selecting the most important recommendations from their respective guidelines. Each measure is described by citing relevant guidelines, scientific background information and detailed indicator definitions.
Indicators are provided for the following areas:
- HIV Medical Care for Adults and Children
- Perinatal Care
- Postpartum Care
- TB, STD, and Hepatitis Indicators
- Prevention and Treatment of Opportunistic Infections
- Mental Health
- Substance Use
- HIV Prevention
- Occupational Post-Exposure Prophylaxis
- Oral Health
The DHHS/NQC measures differ greatly from the recently released HAB measures both in the process used to develop them and the ultimate functional intent of the measures. While the aim of the HAB measures is to provide Ryan White Program funded grantees opportunities for streamlined measures (“measures [that] can be used by all programs funded by the Ryan White HIV/AIDS Program…either at the provider or system level”), the intent of the DHHS/NQC measures is to simply provide HIV providers a wide portfolio of HIV-specific measures for their selection. The DHHS/NQC measures offer busy providers easy access HIV-specific indicators that are developed by guideline panels and prioritized by clinical experts.
These indicators represent an important component of the work of the NQC and represent the commitment of the HIV/AIDS Bureau to providing evidence-based information to HIV providers in order to assure that the best possible care is offered to persons living with HIV. This set of measures complement available measures, such as the HAB measures and/or HIVQUAL indicators, allowing HIV providers to choose the most appropriate measures for their ambulatory HIV program.