Performance Measure: Oral Exam

National Quality Forum #: None

Description: Percentage of patients with a diagnosis of HIV who received an oral exam by a dentist at least once during the measurement year

Numerator: Number of patients with a diagnosis of HIV who had an oral exam by a dentist during the measurement year, based on patient self-report or other documentation

Denominator: Number of patients with a diagnosis of HIV who had a medical visit with a provider with prescribing privileges¹ at least once in the measurement year

Patient Exclusions: None

Data Elements:

1. Does the patient have a diagnosis of HIV? (Y/N)
   
   1. If yes, did the patient receive an oral exam by a dentist during the measurement year? (Y/N)

National goals, target, or benchmarks for comparison

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

"After completing the initial history and physical examination, do the following: Refer for dental, nutrition, and social services, as well as case management and mental health care, as appropriate."²

"Examination of the oral cavity should be included in both the initial and interim physical examination of all HIV-infected patients. Patients with lesions suspected to be oral manifestations of HIV disease should be referred to a dental health expert with experience in treating oral lesions associated with HIV/AIDS."³

"All patients should have semiannual oral health examinations..."⁴

Use in other federal programs

None

References/notes

¹ A "provider with prescribing privileges" is a health care professional certified in his/her jurisdiction to prescribe medications.

² Department of Health and Human Services, Health Resources and Services Administration, Guide for HIV/AIDS Clinical Care – 2014 Edition (PDF - 5 MB). Rockville, MD: Department of Health and Human Services, 2014. Page 77. Available online. Accessed August 2023.

³ Department of Health and Human Services, Health Resources and Services Administration, Guide for HIV/AIDS Clinical Care – 2014 Edition (PDF - 5 MB). Rockville, MD: Department of Health and Human Services, 2014. Page 603. Available online. Accessed August 2023.

⁴ Aberg JA, Gallant JE, Ghanem KG, Emmanuel P, Zingman BS, Horberg MA; Infectious Diseases Society of America. "Primary care guidelines for the management of persons infected with HIV: 2013 update by the HIV Medicine Association of the Infectious Diseases Society of America." Clin Infect Dis. 2014 Jan;58(1):1-10. PMID: 24343580. Available online. Accessed August 2023.