Measuring HIV Quality of Care

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00012701
First received: March 14, 2001
Last updated: October 25, 2013
Last verified: July 2005

March 14, 2001
October 25, 2013
Not Provided
Not Provided
Not Provided
Not Provided
Complete list of historical versions of study NCT00012701 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Measuring HIV Quality of Care
Measuring HIV Quality of Care

The VA is the largest single provider of HIV care in the United States. The late 1990's have seen a revolution in the quality standards for this disease with the onset of Highly Active Antiretroviral Therapy (HAART) and other developments.

Background:

The VA is the largest single provider of HIV care in the United States. The late 1990's have seen a revolution in the quality standards for this disease with the onset of Highly Active Antiretroviral Therapy (HAART) and other developments.

Objectives:

Our purpose in this project is to develop a method for assessing quality in two important areas of HIV care - antiretroviral medications and opportunistic infection screening and prophylaxis - and explore the determinants of high quality care in order to suggest quality improvement strategies.

Methods:

The analysis has four parts. First, it will describe the level of adherence to the indicators in VA HIV patients nationwide and compare VA HIV patients to national benchmarks. Second, it will analyze facility and patient level predictors of adherence to indicators of quality of care and compare them with the predictors in the non VA population using staged logistic regressions. Third, it will seek to validate certain indicators (e.g. HAART therapy) against clinical outcomes like hospitalization and immune status. We will also model the clinical "price" that the VA pays in suboptimal clinical outcomes as a result of current performance levels. Fourth, we will compare the performance of the facilities after one year of an intensive targeted indicator-specific feedback group versus those receiving aggregate data only.

Status:

Data analysis.

Observational
Not Provided
Not Provided
Not Provided
Not Provided
Not Provided
  • HIV Positive
  • Facility Level Care
  • Clinical Reminder
Not Provided
Group 1

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
1600
June 2003
Not Provided

Inclusion Criteria:

Facilities with HIV clinics

Exclusion Criteria:

Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00012701
HIS 99-042
No
Department of Veterans Affairs
Department of Veterans Affairs
Not Provided
Principal Investigator: Steven M. Asch, MD MPH VA Palo Alto Health Care System
Principal Investigator: Samuel A. Bozzette, MD PhD VA San Diego Health Care System
Department of Veterans Affairs
July 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP