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Performance Measure Portfolio

Our performance measure portfolio focuses on key areas of HIV care and treatment. It aligns with important stages in the HIV care continuum. The key areas are:

  • Identifying core performance measures that are most critical to the care and treatment of people with HIV
  • Combining performance measures to address people of all ages with HIV
  • Promoting relevant performance measures used in other federal programs
  • Archiving performance measures that aren't consistent with the Department of Health and Human Services guidelines or don't apply to the general population

We encourage Ryan White HIV/AIDS Program (RWHAP) recipients to use these revised performance measures to improve the health of people with HIV. The core performance measures completed the rigorous National Quality Forum infectious disease endorsement process.

RWHAP recipients may track these measures over time and analyze the data for disparities in care. The data may show differences in outcomes by gender, race/ethnicity, age, insurance status, HIV risk, and other factors.

How do you provide services using technology?

Our performance measures often include a medical visit.  A medical visit is an encounter between a patient and a provider with prescribing privileges (such as a physician, nurse practitioner, or physician assistant). A medical visit can occur face-to-face, via telehealth, and in other settings.  

We encourage RWHAP recipients to consider all methods and means (PDF - 172 KB) in providing services.  This includes using technology such as telehealth. The settings for Outpatient/Ambulatory Health Services can include clinics, medical offices, mobile vans, using telehealth technology, and urgent care facilities for HIV-related care.

We’ve outlined the revised performance measure portfolio:
 

Frequently asked questions

Category Documentation

Frequently Asked Questions:

  • General Information
  • Children
  • Oral Health
  • System
  • Adolescent/Adult

General FAQ (PDF - 44 KB)

Children FAQ (PDF - 65 KB)

Oral Health FAQ (PDF - 37 KB)

System FAQ (PDF - 51 KB)

Adolescent/Adult FAQ (PDF - 174 KB)

Core:

  • HIV Viral Suppression
  • Prescription of HIV Antiretroviral Therapy
  • HIV Medical Visit Frequency
  • Gap in HIV Medical Visits
  • PCP Prophylaxis
  • Annual Retention in Care
 Core Measures

All Ages:

  • HIV Drug Resistance Testing Before Initiation of Therapy
  • Influenza Immunization
  • Lipid Screening
  • Tuberculosis Screening
 All Ages Measures

Adolescent/Adult:

  • Cervical Cancer Screening
  • Chlamydia Screening
  • Gonorrhea Screening
  • Hepatitis B Screening
  • Hepatitis B Vaccination
  • Hepatitis C Screening
  • HIV Risk Counseling
  • Oral Exam
  • Pneumococcal Vaccination
  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
  • Preventive Care and Screening: Tobacco Use - Screening and Cessation Intervention
  • Substance Abuse Screening
  • Syphilis Screening
 Adolescent and Adult Measures

Children:

MMR Vaccination

 Children Measures

HIV-Exposed Children:

  • Diagnostic Testing to Exclude HIV Infection in Exposed Infants
  • Neonatal Zidovudine Prophylaxis
  • PCP Prophylaxis for HIV-Exposed Infants
 HIV Exposed Children Measures

Medical Case Management (MCM):

  • Care Plan
  • Gap in HIV Medical Visits
  • HIV Medical Visit Frequency
 MCM Measures

Oral Health:

  • Dental and Medical History
  • Dental Treatment Plan
  • Oral Health Education
  • Periodontal Screening or Examination
  • Phase I Treatment Plan Completion
 Oral Health Measures

Systems-Level:

  • Waiting Time for Initial Access to Outpatient/Ambulatory Medical Care
  • HIV Test Results for People Living with HIV
  • HIV Positivity
  • Late HIV Diagnosis
  • Linkage to HIV Medical Care
  • Housing Status
 System Measures

AIDS Drug Assistance Program (ADAP): 

  • ADAP Application Determination (REVISED)
  • ADAP Inappropriate Anti-Retroviral Regimen (REVISED)
  • Viral Suppression for ADAP Clients
  • Loss of ADAP Services Due to Failure to Confirm Eligibility​
  • Timely Payment of Health Insurance Premiums ​
  • Enrollment in Health Care Coverage (including Medicaid, Medicare Part D and private health insurance)
 ADAP Measures

Date Last Reviewed: