Effectiveness of Care: HIV/AIDS

2011 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
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 highly active antiretroviral therapy (HAART).
Adult patients with HIV who had two or more outpatient visits during the year
Adult patients with HIV who had two or more CD4 tests during the year
 


 

Management of HIV/AIDS

Measure Title

New AIDS cases per 100,000 population.

Measure Source

Healthy People 2020.

National Tables

5_2_1.1 New AIDS cases per 100,000 population age 13 and over, United States, 2000-2009

5_2_1.2 New AIDS cases per 100,000 population age 13 and over, by ethnicity, United States, 2009

National Data Source

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

National Denominator

U.S. population age 13 and over.

National Numerator

Reported new AIDS cases among adolescents and adults age 13 and over.

State Table

5_2_1.3 New AIDS cases per 100,000 population age 13 and over, by State, United States, 2009

State Data Source

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

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Data include 50 States and the District of Columbia. Data are adjusted for reporting delays. Estimates may be affected by incomplete reporting.

This measure is referred to as measure HIV-4 in Healthy People 2020 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

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

National Tables

5_2_2.1 Adult patients with HIV and at least two CD4 cell counts of 200 or less who received Pneumocystis pneumonia prophylaxis during the year, United States, 2004-2008

5_2_2.2 Adult patients with HIV and at least two CD4 cell counts of 200 or less who received Pneumocystis pneumonia prophylaxis during the year, by race/ethnicity, United States, 2008

National Data Source

AHRQ, CDOM, HIVRN.

National Denominator

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

National Numerator

Subset of the denominator who received PCP prophylactic therapy in the past year.

Comments

The taxonomy of the PCP organism has changed; Pneumocystis jiroveci refers to the distinct species that infects humans. The abbreviation PCP is still used to designate Pneumocystis pneumonia.

More information is available in: 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), http://www.cdc.gov/mmwr/.

HIVRN obtains, analyzes, and disseminates current information about the delivery of services to people with HIV infection. HIVRN currently includes 18 medical practices across the United States that treat more than 14,000 patients. Each practice collects information on their HIV patients' clinical and demographic characteristics, medications they are prescribed, frequency of their outpatient clinic visits, and number of inpatient admissions. Each practice sends information to the data coordinating center at the Johns Hopkins School of Medicine, which consolidates this information into a single uniform database. Statistics in HIVnet are based on this database.

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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

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

National Tables

5_2_3.1 Adult patients with HIV and at least two CD4 cell counts of 50 or less who received Mycobacterium avium complex prophylaxis during the year, United States, 2004-2008

5_2_3.2 Adult patients with HIV and at least two CD4 counts of 50 or less who received Mycobacterium avium complex prophylaxis during the year, by race/ethnicity, United States, 2008

National Data Source

AHRQ, CDOM, HIVRN.

National Denominator

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

National Numerator

Subset of the denominator who received MAC prophylactic therapy in the past year.

Comments

More information is available in: 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), http://www.cdc.gov/mmwr/.

HIVRN obtains, analyzes, and disseminates current information about the delivery of services to people with HIV infection. HIVRN currently includes 18 medical practices across the United States that treat more than 14,000 patients. Each practice collects information on their HIV patients' clinical and demographic characteristics, medications they are prescribed, frequency of their outpatient clinic visits, and number of inpatient admissions. Each practice sends information to the data coordinating center at the Johns Hopkins School of Medicine, which consolidates this information into a single uniform database. Statistics in HIVnet are based on this database.

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Management of HIV/AIDS

Measure Title

HIV infection deaths per 100,000 population.

Measure Source

Healthy People 2020.

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, 2000-2003

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

  1. Race.
  2. Ethnicity.
  3. 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.

State Tables

5_2_4.4 HIV infection deaths per 100,000 population, by State, United States, 2000-2007

State Data Source

CDC, NCHS, NVSS-M.

State Denominator

Population, by State.

State Numerator

Same as national.

Comments

Estimates are age adjusted to the 2000 U.S. standard population. Age data are unadjusted. Respondents for which age is not reported are not included in the age adjustment calculations and are excluded from numerators.

This measure is referred to as measure HIV-12 in Healthy People 2020 documentation.

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Management of HIV/AIDS

Measure Title

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

Measure Source

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

National Tables

5_2_5.1 Adult patients with HIV and at least one CD4 cell count of 350 or less who received highly active antiretroviral therapy during the year, United States, 2007-2008

5_2_5.2 Adult patients with HIV and at least one CD4 cell count of 350 or less who received highly active antiretroviral therapy during the year, by race/ethnicity, United States, 2008

National Data Source

AHRQ, CDOM, HIVRN.

National Denominator

Adult HIV patients who were "in care" and 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.

National Numerator

Subset of the denominator who received HAART during the year.

Comments

HIVRN obtains, analyzes, and disseminates current information about the delivery of services to people with HIV infection. HIVRN currently includes 18 medical practices across the United States that treat more than 14,000 patients. Each practice collects information on their HIV patients' clinical and demographic characteristics, medications they are prescribed, frequency of their outpatient clinic visits, and number of inpatient admissions. Each practice sends information to the data coordinating center at the Johns Hopkins School of Medicine, which consolidates this information into a single uniform database. Statistics in HIVnet are based on this database.

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Management of HIV/AIDS

Measure Title

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

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, 2007-2008

5_2_6.2 Adult patients with HIV who had two or more outpatient visits during the year, by race/ethnicity, United States, 2008

National Data Source

AHRQ, CDOM, HIVRN.

National Denominator

Adult HIV patients enrolled in an HIVRN medical practice in the prior year, excluding patients who died or did not have a CD4 test in the year.

National Numerator

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

Comments

HIVRN obtains, analyzes, and disseminates current information about the delivery of services to people with HIV infection. HIVRN currently includes 18 medical practices across the United States that treat more than 14,000 patients. Each practice collects information on their HIV patients' clinical and demographic characteristics, medications they are prescribed, frequency of their outpatient clinic visits, and number of inpatient admissions. Each practice sends information to the data coordinating center at the Johns Hopkins School of Medicine, which consolidates this information into a single uniform database. Statistics in HIVnet are based on this database.

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Management of HIV/AIDS

Measure Title

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

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, 2007-2008

5_2_7.2 Adult patients with HIV who received two or more CD4 tests during the year, by race/ethnicity, United States, 2008

National Data Source

AHRQ, CDOM, HIVRN.

National Denominator

Adult patients with HIV who were enrolled in an HIVRN medical practice prior to the year. The 2008 data exclude patients who died or did not have an outpatient visit in the year.

National Numerator

Subset of the denominator who reported that they received two or more CD4 tests during the year.

Comments

HIVRN obtains, analyzes, and disseminates current information about the delivery of services to people with HIV infection. HIVRN currently includes 18 medical practices across the United States that treat more than 14,000 patients. Each practice collects information on their HIV patients' clinical and demographic characteristics, medications they are prescribed, frequency of their outpatient clinic visits, and number of inpatient admissions. Each practice sends information to the data coordinating center at the Johns Hopkins School of Medicine, which consolidates this information into a single uniform database. Statistics in HIVnet are based on this database.

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Page last reviewed March 2012
Internet Citation: Effectiveness of Care: HIV/AIDS: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/measurespec/hiv_aids.html