Performance Measure: HIV Positivity

National Quality Forum#: None

Description: Percentage of HIV positive tests¹ in the measurement year

Numerator: Number of HIV positive tests¹ in the 12-month measurement period

Denominator: Number of HIV tests conducted in the 12-month measurement period

Patient Exclusions: None

Data Elements:

1. Number of HIV tests conducted in the measurement year
   
   1. Of the number of HIV tests conducted, number that were HIV positive¹

National goals, targets, or benchmarks for comparison

This HIV/AIDS Bureau measure aligns with the following national indicators:

• Healthy People 2030
  • Objective HIV-01: Reduce the number of new HIV infections. Most recent data 37,000 persons (2017); target 3,000 persons.
  • Objective HIV-02: Increase knowledge of HIV status. Most recent data 85.8% (2017); target 95%.
  • Objective HIV-03: Reduce the number of new HIV infections. Most recent data 37,000 persons (2017); target 3,000 persons.
• National HIV/AIDS Strategy (2022-2025)
  • Indicator 1: Increase knowledge of status. Baseline result 85.8% (2017); target by 2025, increase to 95%.
  • Indicator 2: Reduce new HIV infection. Baseline result 37,000 (2017); target by 2025, reduce incidence by 75% from baseline. By 2030, reduce incidence by 90% from baseline.
  • Indicator 3: Reduce new HIV diagnoses. Baseline result 38,351 (2017); target by 2025, reduce diagnoses by 90% from baseline. By 2030, reduce diagnoses by 90% from baseline.
• Ending the HIV Epidemic in the U.S. initiative
  • Indicator 1: Most recent result 34,800 new HIV infections (2019); target to reduce the number of new HIV infections by 75% by 2025 and 90% by 2030.
  • Indicator 2: Knowledge of status. Most recent result 86.7% of people estimated to be living with HIV have received a diagnosis (2019); target to increase knowledge of status by 95% by 2025.
  • Indicator 3: Most recent result 36,337 people were diagnosed with HIV (2019); target to decrease confirmed HIV diagnoses to 25% by 2025 and 8% by 2030.

The HIV Quality Measures (HIVQM) Module is a tool within the Ryan White HIV/AIDS Services Report portal. It allows recipients to enter aggregate data specific to HRSA HAB Performance Measures. The HIVQM Module allows recipients to conduct point-in-time benchmarking across Ryan White HIV/AIDS Programs that use the module.

Department of Health and Human Services Clinical Practice Guidelines

None

Use in other federal programs

• U.S. Department of Health and Human Services HIV measures: Sebelius Approves Indicators for Monitoring HHS-Funded HIV Services
• This measure is linked to an exact or similar indicator(s) within Healthy People 2030, the National HIV/AIDS Strategy (2022-2025), and the Ending the HIV Epidemic in the U.S. initiative.

References/notes

¹ "Test positive" includes only a confirmatory HIV test, regardless of the test used.