Effectiveness: HIV and AIDS

2010 National Healthcare Quality and Disparities Reports

The 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.

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 population
Adult patients with HIV who received HAART, 2007
Adult patients with HIV who had two or more outpatient visits during the year, 2007
Adult patients with HIV who had two or more CD4 tests during the year, 2007
 


Management of HIV/AIDS

Measure Title

New AIDS cases per 100,000 population age 13 and over.

Measure Source

Healthy People 2010.

National Tables

5_2_1.1 New AIDS cases per 100,000 population age 13 and over, United States, 2000-2007

5_2_1.2 New AIDS cases per 100,000 population age 13 and over, United States, 2007, by:

  • Ethnicity.

National Data Source

National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), HIV/AIDS Surveillance System.

Denominator

U.S. population age 13 and over.

Numerator

Number of reported new AIDS cases among adolescents and adults age 13 and over.

Comments

The AIDS definition is provided by the Centers for Disease Control and Prevention (CDC). CDC Adult HIV/AIDS Confidential Case Report, Form 50.42A, Rev. 7/93. Data are adjusted for reporting delay. Data exclude cases from U.S. dependencies, possessions, and independent nations in free association with the United States.

This measure is referred to as measure 13-1 in Healthy People 2010 documentation.

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Management of HIV/AIDS

Measure Title

Adult patients with HIV and CD4 count <200 who received Pneumocystis pneumonia (PCP) prophylaxis.

Measure Source

HIV Research Network (HIVRN).

National Tables

5_2_2.1 Adult patients with HIV who received Pneumocystis pneumonia (PCP) prophylaxis during the year, United States, 2004-2007

5_2_2.2 Adult patients with HIV and CD4 count of 200 or less who received Pneumocystis pneumonia (PCP) prophylaxis during the year, United States, 2007, by:

  • Race/ethnicity.

National Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), HIVRN.

Denominator

Patients diagnosed with HIV who have a CD4 count <200 cells/mm.

Numerator

Subset of denominator who received PCP prophylactic therapy.

Comments

The 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, see 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 at: http://www.cdc.gov/mmwr/.

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Management of HIV/AIDS

Measure Title

Adult patients with HIV and CD4 count <50 who received Mycobacterium avium complex (MAC) prophylaxis.

Measure Source

HIV Research Network (HIVRN).

National Tables

5_2_3.1 Adult patients with HIV and CD4 cell counts of 50 or less who received Mycobacterium avium complex (MAC) prophylaxis during the year, United States, 2004-2007

5_2_3.2a Adult patients with HIV and CD4 cell counts of 50 or less who received Mycobacterium avium complex (MAC) prophylaxis during the year, United States, 2007, by:

  • Race/ethnicity.

National Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), HIVRN.

Denominator

Patients diagnosed with HIV with CD4 counts <50 cells/mm.

Numerator

Subset of denominator who received MAC prophylactic therapy.

Comments

For further information, see 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 at: http://www.cdc.gov/mmwr/.

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Management of HIV/AIDS

Measure Title

HIV infection deaths per 100,000 population.

Measure Source

Healthy People 2010.

National Tables

5_2_4.1 HIV infection deaths per 100,000 population, United States, 2004-2007

5_2_4.2 HIV infection deaths per 100,000 population, United States, 1993-2004

5_2_43a-c HIV infection deaths per 100,000 population, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Education.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System - Mortality (NVSS-M).

National Denominator

U.S. resident population.

National Numerator

Number of deaths due to HIV infection (ICD-10-CM codes B20 - B24).

State Table

5_2_4.4 HIV infection deaths per 100,000 population, by State, 1999-2007

State Data Source

CDC, NCHS, NVSS-M.

State Denominator

Population, by State.

State Numerator

Same as National.

Comments

Data 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.

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Management of HIV/AIDS

Measure Title

Adult patients with HIV who received highly active antiretroviral therapy (HAART), 2007.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), HIV Research Network (HIVRN).

National Table

5_2_5.1 Adult patients with HIV who received highly active antiretroviral therapy (HAART) during the year, United States, 2007

National Data Source

AHRQ, CDOM, HIVRN.

Denominator

Adult patients with HIV, national sample.

Numerator

Subset of the denominator who received HAART in 2007.

Comments

Adult HIV patients who were "in care" and who had at least one CD4 test result of 350 or less. "In care" is defined as having at least one CD4 test and at least one outpatient visit during the year.

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Management of HIV/AIDS

Measure Title

Adult patients with HIV who had two or more outpatient visits during the year, 2007.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), HIV Research Network (HIVRN).

National Table

5_2_6.1 Adult patients with HIV who had two or more outpatient visits during the year, United States, 2007

National Data Source

AHRQ, CDOM, HIVRN.

Denominator

Adult patients with HIV who were enrolled in an HIVRN clinic prior to July 2007 and had at least one outpatient visit in 2007.

Numerator

Subset of the denominator who had two or more outpatient visits during the year.

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Management of HIV/AIDS

Measure Title

Adult patients with HIV who had two or more CD4 tests during the year, 2007.

Measure Source (National)

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), HIV Research Network (HIVRN).

National Table

5_2_7.1 Adult patients with HIV who received two or more CD4 tests during the year, United States, 2007

National Data Source

AHRQ, CDOM, HIVRN.

Denominator

Adult patients with HIV who were enrolled in an HIVRN clinic prior to July 2007 and had at least one outpatient visit in 2007.

Numerator

Subset of the denominator who reportedly received two or more CD4 tests during the year.

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Return to Measure Specifications

Page last reviewed February 2011
Internet Citation: Effectiveness: HIV and AIDS: 2010 National Healthcare Quality and Disparities Reports. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/measurespec/hiv_aids.html