Collaborative management of HIV infection in the community: an effort to improve the quality of HIV care

AIDS Care
M F ParryG X McLeod

Abstract

Our hospital led a multidisciplinary community team to improve the quality of care delivered to HIV-infected clients utilizing a disease management approach in a US metropolitan community of 150,000 people. Community needs assessment and client and community surveys were used to define the problems. Patient care flowcharting and the creation of an electronic patient database facilitated patient tracking across the entire community. Clinical guidelines and a consultation and referral immunology clinic standardized care practices. Measurable improvements in the quality of care were noted in multiple areas. Flowchart completion rates rose from 44% to 100%; medication adherence assessment rose from 82% to 100%; immunization rates rose from a mean of 72% to a mean of 87%; PPD screening rose from a low of 35% to a high of 87%; perinatal transmission rates fell from 31% to 4%; and Emergency Department utilization decreased. Two essential components of the effort were the establishment of a full-time leadership position in the form of a clinical nurse practitioner and the creation of an electronic database with flowcharting to standardize the measurement, delivery and tracking of care. The programme has become an example of successful ...Continue Reading

References

Mar 1, 1995·The Journal of the Association of Nurses in AIDS Care : JANAC·R L Sowell
Jul 1, 1997·The Journal of the Association of Nurses in AIDS Care : JANAC·M Crespo-Fierro
Feb 10, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·D Franchi, R P Wenzel
Jun 6, 1998·Journal of Public Health Management and Practice : JPHMP·K A BaldwinM K Rodine
Jun 22, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M A Chesney
Oct 14, 2000·New Directions for Mental Health Services·M Forstein
Jan 13, 2001·International Journal of Technology Assessment in Health Care·D A MarshallM Youle
Jun 9, 2001·The New England Journal of Medicine·K A Sepkowitz
Jul 17, 2001·AIDS Care·S E LehrmanJ Freedman
Dec 12, 2001·Controlled Clinical Trials·V JournotUNKNOWN ALBI Study Group
Jul 4, 2002·JAMA : the Journal of the American Medical Association·Patrick G YeniPaul A Volberding
Sep 3, 2002·AIDS Care·R Conviser, M B Pounds
Nov 5, 2002·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Charles E BegleyAlix Teleki

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Citations

Mar 29, 2008·AIDS and Behavior·José A BauermeisterAnke A Ehrhardt
Mar 2, 2006·American Journal of Public Health·Kathryn WhettenDalene Stangl
Aug 3, 2012·The Journal of the Association of Nurses in AIDS Care : JANAC·Verusia Chetty, Sonil S Maharaj
Nov 22, 2017·AIDS and Behavior·Theresa Ann SipeAnn O'Leary
Feb 20, 2020·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Rogério M PintoMelanie M Wall

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