Presentation on theme: "eHIVQUAL 2013 Adult Review: Overview and New Features"— Presentation transcript:
1eHIVQUAL 2013 Adult Review: Overview and New Features Date: Tuesday, June 24, 2014Time: 12:30 to 1:30 P.M. EDTAudio conference information1. Provide your number when you join the meeting to receive a call back. Alternatively, you can callone of the following numbers:Local:Toll Free:Alternate Toll Free - (For callers not able to call the 844 Toll Free Number):2. Follow the instructions that you hear on the phone.Cisco Unified MeetingPlace meeting ID:Cisco Unified MeetingPlace profile number for meeting host:For assistance1. Go to https://meetny.webex.com/meetny/mc2. On the left navigation bar, click "Support".
2Survey Questions New v. experienced users Role NYS v. other DirectorCoordinatorSecurity CoordinatorNYS v. otherPrimary objective“Look and feel” of new versionSamplingIndicator data entryData importReporting features
3Sampling/Eligibility Up to three review “buckets”Core review no longer requires visit in each half of the yearOptional sampling of supplemental “two-visit” patientsRobust sample that is compatible with previous reviewsThree types of new patientsNewly diagnosedOther new to clinicNewly reengagedDon’t eliminate new patients from core review (or two-visit review)!Web-based sampling tool:
6Import OptionsExcel files can now be used instead of XML (but XML still supported)Updated documentationData dictionaryData import guideSample filesImport data after establishing review parameters but before keying in any other patient dataOne (and only one) import per review “bucket”Besides essential patient identifying information, you can import as many or as few fields as desired/availableExamine the imported dataAdditional information can then be entered “by hand”
9Clinical Indicators: Retained & Revised Retained IndicatorsARV MedicationsColon Cancer ScreeningDigital Rectal ExamGynecology Care – Pap TestLatent TB Infection ScreeningMammographyMental Health ScreeningPCP ProphylaxisTobacco Use ScreeningUpdated IndicatorsAnal Pap SmearBaseline ResistanceCare CoordinationClinical VisitsColon Cancer ScreeningHepatitis C ScreeningHIV MonitoringSexual History TakingSTI TestingSubstance Use Screening
12Reports Default is to run seamlessly across concurrent reviews Can be filtered in many ways, including patient sampleCan and should be exported and shared with your teamNew and updated reportsExpanded set of dashboardsAdditional patient-level reportingExpanded viral load suppression and patient retention reporting
13(And…longitudinal reports coming soon!) 49 CLINICAL REPORTSWithin the 10 categories of reports I mentioned, there are 49 reports based on the clinical information collected in eHIVQUAL. Following this slide I’m going to briefly spotlight ten of them, but just wanted to give the group a sense of how many we have developed for use.Again, longitudinal reports, allowing you to compare your data between the years you have submitted eHIVQUAL data, are in development and should be available soon.Before I begin showing the reports, I also wanted to add a quick disclaimer that these are mockups of the reports we sent to our programmer, but the will look very similar to what you will see when you have real data.(And…longitudinal reports coming soon!)
14HIVQUAL DASHBOARDThis is the updated HIVQUAL Dashboard. It is comprised of six sections each highlighting clinical areas of importance – these are the retention indicators, the viral load suppression, ART therapy, and baseline resistance test indicators, a Sexually Transmitted Infections section, a Hepatitis C section, smoking cessation, diabetes screening, and cervical pap indicators, and results from the mental health screening indicator.
15EXECUTIVE DASHBOARDNew this year we also have an executive dashboard. This features your overall clinic retention score, followed by a facility level “continuum of care” depicted numerically and graphically – highlighting your HIV caseload on ART, those retained in care, those suppressed at last viral load, and those always suppressed.
16VLS RATES: BY THRESHOLD As many of you will remember discussing, our revised Viral Load Suppression indicators will allow us to report scores by threshold. In this table, you can see a breakdown of your scores on last Viral Load, and always suppressed, by <20 copies/mL, <50 copies/mL, <200 copies/mL, and finally < the level of detectability for the assay used for each patient.Underneath, there is also a graph depicting your viral load results on last viral load.
17RETENTION DASHBOARDAnother new report is the “Retention Dashboard.” Although we include the filters in the report generator I described earlier, in this report we highlight your scores on the retention score in a variety of ways – by gender, by risk factor, by language, by housing status, by race, and by age. There is a companion report for your Viral Load Suppression scores as well.
18PATIENT CHARACTERISTICS This is another new report with a series of pre-selected filters, and allows you to see pie charts of some of your patient characteristics, including Gender, Race, Risk Factor, and Age.
19COLON CANCER SCREENING As many of you remember our Colon Cancer Screening indicator has been revised to now include flexible sigmoidoscopy and fecal occult blood testing as additional screening options, and the report has been updated to reflect this.The graph breaks down your screening results by age group, and the report also features how many patients who received a positive screening from one of the newly added options received a follow-up colonoscopy within 60 days.
20DIABETES SCREENING & MGMT Finally, here is the revised diabetes screening and management report. Those of you here will remember our long discussion to change the indicator eligibility for screening to patients with a random blood sugar >100 during the review period, and you will also notice the report includes HbA1c results among existing diabetic patients, a new feature this year.Given emerging research discussed in this committee which suggests Hemoglobin A1c in HIV patients is an underestimate, the report also identifies patients with a result greater than 5.8 as compared to 6.5 the typical cutoff.I’ll now turn it over to her, and ask that you listen to her slide briefly before providing any feedback or asking questions.
21Data Submission and Beyond… NYS deadline is 8/22/2014Run validation reports!NYS submissions will require director’s “signature” and feedback on quality improvement plansBenchmark Report(s)Health.data.ny.gov