HIV/AIDS Clinical Care Quality Assurance Project: Trends in Clinical Performance & Clinical Outcomes at Enhanced Medical Management

Download this publicationSince 2002, JSI has conducted biannual reviews of HIV/AIDS primary medical care provided in 21 sites for a clinical care quality assurance project funded by the Massachusetts Department of Public Health HIV/AIDS Bureau as part of their Enhanced Medical Management Services (EMMS). The purpose of this project is to evaluate performance in HIV clinical services and to identify opportunities for improving care and health outcomes for people living with HIV.

Data elements and methods used in this project were adopted from a data collection strategy initially developed by JSI for the Massachusetts Department of Public Health ACT Now Program, which pre-dated EMMS. Same methods were used in data collection at both EMMS and Boston Public Health Commission’s Ryan White Part A clinics.

Three cycles of review have been completed and seven years of data are available (2000 to 2006) for each participating site (Appendix). Our sample includes the original cohort of a random set of patients reviewed since 2000, patients newly entering care at the sites in 2001 and 2002, and patients newly diagnosed with HIV and entering care between 2003 and 2006.

JSI nurses and trained research assistants performed detailed medical chart reviews on a random sample of all active patients at each site (all patients were reviewed at sites with smaller HIV caseloads). In more recent years, many clinics have converted to electronic medical records and thus both paper and electronic sources were used to ensure the fullest data capture.

Kunches, Laureen M., PhD, Reinhalter, Nancy E., RN, CCRC, Chow, Wendy, MPH, Steiner, Jacqueline, Musoline, Joseph, Hirschhorn, Lisa R., MD, MPH, JSI Research & Training Institute, Inc. 2008.

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