Effectiveness of Care: HIV/AIDS 2009 National Healthcare Quality and Disparities ReportsThe National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness. Effectiveness of Care: HIV/AIDSTesting for HIV Infection Women ages 15-44 who completed a pregnancy in the last 12 months and received an HIV test as part of prenatal care People ages 15-44 who ever received an HIV test outside of blood donation People ages 15-44 with any HIV risk behaviors in the last 12 months who received an HIV test outside of blood donation in the last 12 months Management of HIV/AIDS New AIDS cases per 100,000 population age 13 and over Adult patients with HIV and CD4 count ≤200 who received Pneumocystis pneumonia (PCP) prophylaxis Adult patients with HIV and CD4 count <50 who received Mycobacterium avium complex (MAC) prophylaxis HIV infection deaths per 100,000 populationTesting for HIV InfectionMeasure TitleWomen ages 15-44 who completed a pregnancy in the last 12 months and received an HIV test as part of prenatal care.Measure SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Family Growth (NSFG).TableData table will not be presented this year.Data SourceCDC, NCHS, NSFG.DenominatorWomen ages 15-44 who completed a pregnancy in the last 12 months.NumeratorSubset of the denominator who had an HIV test as part of prenatal care.Top of PageTesting for HIV InfectionMeasure TitlePeople ages 15-44 who ever received an HIV test outside of blood donation.Measure SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Family Growth (NSFG).TableData table will not be presented this year.Data SourceCDC, NCHS, NSFG.DenominatorU.S. civilian noninstitutionalized adults ages 15-44.NumeratorSubset of the denominator who ever had an HIV test outside of blood donation.Top of PageTesting for HIV InfectionMeasure TitlePeople ages 15-44 with any HIV risk behaviors in the last 12 months who received an HIV test outside of blood donation in the last 12 months.Measure SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Family Growth (NSFG).TableData table will not be presented this year.Data SourceCDC, NCHS, NSFG.DenominatorPeople ages 15-44 who reported risk behaviors for HIV in the past 12 months.NumeratorSubset of the denominator who reported ever having an HIV test outside of blood donation.Top of PageManagement of HIV/AIDSMeasure TitleNew AIDS cases per 100,000 population age 13 and over.Measure SourceHealthy People 2010.Tables5_2_1.1 New AIDS cases per 100,000 population age 13 and over, United States, 2000 and 2007.5_2_1.2 New AIDS cases per 100,000 population age 13 and over, United States, 2007, by:Ethnicity.Data SourceCenters for Disease Control and Prevention (CDC), National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), National HIV/AIDS Surveillance System (HIV/AIDS-SS).DenominatorU.S. population age 13 and over.NumeratorNumber of reported new AIDS cases among adolescents and adults age 13 and over.CommentsThe AIDS case definition used by the HIV/AIDS Reporting System for an AIDS case is provided by CDC. Data are adjusted for reporting delay. Data exclude cases from U.S. dependencies, possessions, and independent nations in free association with the United States.CDC Adult HIV/AIDS Confidential Case Report, Form 50.42A, Rev. 7/93.This measure is referred to as measure 13-1 in Healthy People 2010 documentation.Top of PageManagement of HIV/AIDSMeasure TitleAdult patients with HIV and CD4 count ≤200 who received Pneumocystis pneumonia (PCP) prophylaxis.Measure SourceHIV Research Network (HIVRN).Tables5_2_2.1 Adult patients with HIV and CD4 count ≤200 who received Pneumocystis pneumonia (PCP) prophylaxis, United States, 2004 and 2006.5_2_2.2 Adult patients with HIV and CD4 count ≤200 who received Pneumocystis pneumonia (PCP) prophylaxis, United States, 2006, by:Race/ethnicity.Data SourceHIV Research Network, sponsored by multiple Federal agencies: AHRQ, Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and National Institutes of Health Office of AIDS Research (HIVRN).DenominatorPatients diagnosed with HIV with CD4 counts ≤200 cells/mm.NumeratorSubset of denominator who received PCP prophylactic therapy.CommentsThe taxonomy of the PCP organism has been changed; Pneumocystis jiroveci refers to the distinct species that infects humans. The abbreviation PCP is still used to designate Pneumocystis pneumonia.For further information, refer to Centers for Disease Control and Prevention. Treating opportunistic infections among HIV-infected adults and adolescents: recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association/Infectious Diseases Society of America. MMWR 2004;53 (No. RR-15). Available from the CDC Website at http://www.cdc.gov/mmwr/.Top of PageManagement of HIV/AIDSMeasure TitleAdult patients with HIV and CD4 count <50 who received Mycobacterium avium complex (MAC) prophylaxis.Measure SourceThe HIV Research Network.Tables5_2_3.1 Adult patients with HIV and CD4 count ≤50 who received Mycobacterium avium complex (MAC) prophylaxis, United States, 2004 and 2006.5_2_3.2 Adult patients with HIV and CD4 count ≤50 who received Mycobacterium avium complex (MAC) prophylaxis, United States, 2006, by:Race/ethnicity.Data SourceHIV Research Network, sponsored by multiple Federal agencies: AHRQ, Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and National Institutes of Health Office of AIDS Research (HIVRN).DenominatorPatients diagnosed with HIV with CD4 counts ≤50 cells/mm.NumeratorSubset of denominator who received MAC prophylactic therapy.CommentsFor further information, refer to Centers for Disease Control and Prevention. Treating opportunistic infections among HIV-infected adults and adolescents: recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association/Infectious Diseases Society of America. MMWR 2004;53 (No. RR-15). Available from the CDC Website at http://www.cdc.gov/mmwr/.Top of PageManagement of HIV/AIDSMeasure TitleHIV infection deaths per 100,000 population.Measure SourceHealthy People 2010.National Tables5_2_4.1 HIV infection deaths per 100,000 population, United States, 1999 and 2006.5_2_4.2 HIV infection deaths per 100,000 population, United States, 2006, by:Race.Ethnicity.National Data SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System — Mortality (NVSS-M).National DenominatorU.S. resident population.National NumeratorNumber of deaths due to HIV infection (ICD-10-CM codes B20-B24).State Tables5_2_4.3 HIV infection deaths per 100,000 population, by State, 1999 and 2006.State Data SourceCDC, NCHS, NVSS-M.State DenominatorPopulation, by State.State NumeratorSame as National.CommentsData are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. Resident death data are based on information from death certificates filed in the 50 States and the District of Columbia.This measure is referred to as measure 13-14 in Healthy People 2010 documentation. AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers | Plain Writing Act U.S. Department of Health & Human Services | The White House | USA.gov: The U.S. Government's Official Web PortalAgency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 Telephone: (301) 427-1364 Current as of March 2010 Internet Citation: Effectiveness of Care: HIV/AIDS: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/measurespec/HIV_AIDS.html