CHAMP Performance Indicator Definitions
This document describes the performance outcome that are found in the CHAMP reports. The performance outcome reports can be found in CHAMP on the reports screen under quality management. The definitions below describe the data found in the numerator and denominator and any data that may be excluded. Superscripts can be found at the end of the document. Definitions are listed in the order they appear on the report.
Definitions
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Performance Outcomes |
(CHAMP) Numerator/Denominator |
Exclusions (if applicable)
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HIV VL Suppression (2013) ID: 1070 Category: 1. Core Measures
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Number of patients in the denominator with a HIV viral load less than 200 copies/mL at last HIV viral load test during the measurement year Number of patients, regardless of age, with a diagnosis of HIV with at least one medical visit [with a provider with prescribing privileges1 in the measurement year
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None |
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HIV ARV (2013) ID: 1065 Category: 1. Core Measures
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Number of patients from the denominator prescribed HIV antiretroviral therapy during the measurement year Number of patients, regardless of age, with a diagnosis of HIV with at least one medical visit in the measurement year
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None |
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HIV Medical Visit Frequency (2013) ID: 1072 Category: 1. Core Measures |
Number of patients regardless of age, with a diagnosis of HIV/AIDS who had at least one medical visit with a provider with prescribing privileges1 in each 6 month of the 24 month period with a minimum of 60 days between the medical visits. Number of patient, regardless of age, with a diagnosis of HIV/AIDS with at least one medical visit with a provider with prescribing privileges1 in the first 6 months of the 24 month measurement period |
Patients who were documented as deceased at any time during the measurement year |
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Gap In Medical Visits ID: 1071 Category: 1. Core Measures |
Number of patients in the denominator who did not have a medical visit in the last 6 months of the measurement year Number of medical case management patients, regardless of age, with a diagnosis of HIV who had at least one medical visit in the first 6 months of the measurement year
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Patients who were documented as deceased at any time during the measurement year |
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PCP Prophylaxis (2013) ID: 1055 Category: 1. Core Measures |
Number of HIV-infected clients with CD4 count < 200 cells/mm3 who were prescribed MAC prophylaxis Number of HIV-infected clients who had a: • CD4 count < 200 cells/mm3 ; and • medical visit with a provider with prescribing privileges1 at least once in the measurement year
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1. Patients who have disseminated MAC 2. Patients newly enrolled in care during last three months of the measurement year
3. Patients with CD4 T-cell counts below 200 cells/mm repeated within 3 months rose above 200 cells/mm |
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TB Screening ID: 14 Category: 2. All Ages
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Number of clients who received documented testing for LTBI with any approved test since HIV diagnosis Number of HIV-infected clients who: • do not have a history of previous documented culture-positive TB disease or previous documented positive TST or IGRA1; and • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year.
In CHAMP, this is represented by a “YES” answer with a valid test type to Question 8 - TB Screening on the medical tab.
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Screenings with Positive results are excluded |
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Lipid Screening ID: 11 Category: 2. All Ages
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Number of HIV-infected clients who: • were prescribed HAART, and • had a fasting lipid panel in the measurement year Number of HIV-infected clients who are on HAART and who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
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None |
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VL Monitoring ID: 45 Category: 2. All Ages
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Number of patients with a VL test performed at least every 6 months Number of patient, regardless of age, with a diagnosis of HIV/AIDS who had at least two medical visits during the measurement year , with at least 60 days in between each visit
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Newly enrolled in care during the last 6 months |
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Influenza Immunization (2013) ID: 1067 Category: 2. All Ages
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Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization during the current season.
Previous receipt can include: previous receipt of the current season’s influenza Immunization from another provider OR from same provider prior to the visit to which the measure is applied (typically, prior vaccination would include influenza vaccine given since August 1st). All patients aged 6 months and had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, this is represented by answering “YES” to question 24 if the vaccination has been given according to the requirements above.
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Patients allergic to vaccine components |
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CD4 T-Cell Count ( 2 Visits ) ID: 26 Category: 2. All Ages |
Number of HIV-infected clients who had 2 or more CD4 T-cell counts performed at least 3 months apart during the measurement year Number of HIV-infected clients who had a TWO OR MORE MEDICAL VISITS AT LEAST 90 Days apart medical visit with a provider with prescribing privileges1, i.e. MD, PA, NP at least once in the measurement year |
Patients newly enrolled in care during last six months of the year |
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Hepatitis B Screening ID: 35 Category: 3. Adolescent/Adult
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Number of patients in the denominator who have documented HEP B Screening. Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, this is represented by answering “YES” to question 9 on the medical tab.
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Anyone previously positive prior to the measurement year. |
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Tobacco Cessation (2013) ID: 1061 Category: 3. Adolescent/Adult
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Patients who were screened for tobacco2 use at least once within 24 months AND who received tobacco cessation counseling intervention if identified as a tobacco user. All patients aged 18 years and older.
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None |
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Hepatitis C Screening ID: 9 Category: 3. Adolescent/Adult
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Number of patients in the denominator who have a hepatitis C screening Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, this is represented by answering “YES” to question 10 on the medical tab.
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Previous positives are excluded |
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Substance Abuse Screening ID: 22 Category: 3. Adolescent/Adult
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Number of new HIV-infected clients who were screened for substance use within the measurement year Number of HIV-infected clients who: • were new during the measurement year, and • had a medical visit with a medical provider with prescribing privileges1 at least once in the measurement year
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None |
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Mental Health Screening (2013) ID: 20 Category: 3. Adolescent/Adult
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Number of HIV-infected clients who received a mental health screening Number of HIV-infected clients who: • were new during the measurement year, and • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
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None |
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Syphilis Screening ID: 13 Category: 3. Adolescent/Adult
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Number of patients in the denominator who had a serologic test for syphilis performed at least once during the measurement year. Number of HIV-infected clients who were 18 years or older in the measurement year and had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, this is represented by answering “YES” to question 11 on the medical tab.
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Patients who were < 18 years old and denied a history of sexual activity |
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Pneumococcal Vaccination ID: 21 Category: 3. Adolescent/Adult
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Number of HIV-infected clients who ever received pneumococcal vaccine
In CHAMP, this is represented by answering “YES” to question 25 on the medical tab.
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Patients with CD4 counts < 200 cells/mm3 within the measurement year |
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Hepatitis B Vaccination ID: 8 Category: 3. Adolescent/Adult
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Number of HIV-infected clients with documentation of having ever completed the vaccination series for Hepatitis B1,2 Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, this is represented by answering “YES” to question 26 on the medical tab.
*** Exclusions 2 and 3 are represented as reason codes when the vaccination is not completed.
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1. Patients newly enrolled in care during the measurement year 2. Patients with evidence of current HBV infection (Hep B Surface Antigen, Hep B e Antigen, Hep B e Antibody or Hep B DNA) *** 3. Patients with evidence of past HBV infection with immunity (Hep B Surface Antibody without evidence of vaccination) ***
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Oral Exam ID: 12 Category: 3. Adolescent/Adult |
Number of clients who had an oral exam by a dentist during the measurement year, based on patient self-report or other documentation. In CHAMP, this data comes from the direct service or MCM- Add Non RW Visit. Number of clients with HIV infection who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year |
None |
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Chlamydia Screening ID: 15 Category: 3. Adolescent/Adult
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Number of patients in the denominator who had a test for chlamydia Number of HIV-infected clients who: • were either: a) newly enrolled in care; b) sexually active; or c) had a STI within the last 12 months, and • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, this is represented by answering “YES” to question 12 on the medical tab.
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None |
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Cervical Cancer (PAP) ID: 7 Category: 3. Adolescent/Adult
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Number of patients from the denominator who had PAP screen results documented in the last 3 years Number of HIV-infected female clients who: • were at least 18 years of age in the measurement year • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year |
Patients who have had a hysterectomy for non-dysplasia/non-malignant indications |
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Cervical Cancer - (PAP) 3 Year ID: 1077 Category: 3. Adolescent/Adult
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Number of patients from the denominator who had PAP screen results documented in the last 3 years Number of HIV-infected female clients who: • were at least 21 years of age in the measurement year • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year |
Patients who have had a hysterectomy for non-dysplasia/non-malignant indications |
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Gonorrhea Screening ID: 16 Category: 3. Adolescent/Adult
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Number of HIV-infected clients who had a test for gonorrhea Number of HIV-infected clients who: • were either: a) newly enrolled in care; b) sexually active; or c) had a STI within the last 12 months; and • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year |
Patients who were < 18 years old and denied a history of sexual activity |
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Risk Reduction ID: 10 Category: 3. Adolescent/Adult
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Number of patients in the denominator who, as part of their primary care, who received HIV risk counseling Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year
In CHAMP, risk reduction is specified a MCM subtype or part of the Primary medical prescribing visit pop-up screen as seen below
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None |
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MCM - Care Plan ID: 49 Category: 4. MCM
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Number of HIV-infected medical case management clients who had a medical case management care plan developed and/or updated two or more times which are at least three months apart in the measurement year. In CHAMP, the care plan is updated using a direct service subtype Development of care Plan or Re-assessment of Care Plan Number of HIV-infected clients who had a ONE MCM encounter in the measurement year |
1. MCM clients who had initial medical MCM service in the last 6 months of measurement year 2. MCM clients who were discharged from MCM service prior to 6 months of service in the measurement year |
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MCM Medical Visit Frequency (2013) ID: 1064 Category: 4. MCM
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Number of patients regardless of age, with diagnosis of HIV/AIDS who had at least one medical visit with a provider with prescribing privileges1 in each 6 month period of the 24 month period with a minimum of 60 days between the medical visits. Number of patients, regardless of age, with a diagnosis of HIV/AIDS with at least one medical visit with a provider with prescribing privileges1 in the first 6 months of the 24 month measurement period
Question – Currently uses MCM and direct services medical visits but only in the numerator, not the denominator. Should we add top denominator?
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1. Patients who were documented as deceased at any time during the measurement year 2. Patients who were incarcerated for greater than 90 days of the measurement year 3. Patients who were relocated or transferred medical care at any time of the measurement year |
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MCM GAP In HIV Medical Visits (2013) ID: 1063 Category: 4. MCM
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Number of medical case management patients in the denominator who did not have a medical visit in the last 6 months of the measurement year (that is documented in the medical case management record) Number of medical case management patients, regardless of age, with a diagnosis of HIV who had at least one medical visit in the first 6 months of the measurement year
In CHAMP, MCM patients have a MCM direct service on the direct service screen or MCM tab.
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1. MCM clients who had initial medical MCM service in the last 6 months of measurement year 2. MCM clients who were discharged from MCM service prior to 6 months of service in the measurement year |
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Linkage to Medical Care ID: 57 Category: 5. Universal
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Number of persons who attended a routine HIV medical care visit within 3 months of HIV diagnosis. Number of persons with an HIV diagnosis in 12-month measurement period.
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None |
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Linkage to Medical Care - CD4/VL Labs ID: 1076 Category: 5. Universal
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Number of persons who attended a routine CD4 or VL Test within 3 months of HIV diagnosis. Number of persons with an HIV diagnosis in 12-month measurement period.
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None |
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Housing Status ID: 58 Category: 5. Universal
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Number of persons with and HIV diagnosis who were homeless or unstably housed in the 12-month measurement period. Number of persons with an HIV diagnosis receiving services in the last 12 months.
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None |
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HAART - VL < 200 ID: 32 Category: 6. Custom
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Number of clients • have a VL < 200 and are ON HAART • who were prescribed a HAART regimen within the measurement year ( 18 months ) Number of clients who had at least one medical visit with a provider with prescribing privileges1 |
Patients newly enrolled in care during last three months of the measurement year |
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Syphilis Positives ID: 36 Category: 6. Custom
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Number of HIV-infected clients who had Positive result for a serologic test for syphilis performed at least once during the measurement year. Number of HIV-infected clients who: • were >18 years old in the measurement year • had a medical visit with a provider with prescribing privileges1 at least once in the measurement year • Number of HIV-infected clients who had a serologic test for syphilis performed at least once during the measurement year
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Patients who were < 18 years old |
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VL Suppression (under 200) ID: 25 Category: 6. Custom
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Number of patients from the denominator who have VL count < 200 Number of patients, regardless of age, with a diagnosis of HIV/AIDS who had at least two medical visits with prescribing physician1 during the measurement year, with at least 60 days in between each visit, and have been on ARVs for at least 6 months.
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Newly enrolled in care during the last 6 months |
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HAART - VL < 400 ID: 31 Category: 6. Custom
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Number of clients • have a VL < 400 and are ON HAART • who were prescribed a HAART regimen within the measurement year ( 18 months ) Number of clients who had at least one medical visit with a provider with prescribing privileges1 |
Patients newly enrolled in care during last three months of the measurement year |
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HAART - VL < 50 ID: 33 Category: 6. Custom
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Number of clients • have a VL < 50 and are ON HAART • who were prescribed a HAART regimen within the measurement year ( 18 months ) Number of clients who had at least one medical visit with a provider with prescribing privileges1 |
Patients newly enrolled in care during last three months of the measurement year |
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Hepatitis B Vaccination (including in process) ID: 51 Category: 6. Custom
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Number of HIV-infected clients with documentation of having ever completed the vaccination series for Hepatitis B1,2 Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges1 at least once in the measurement year.
In CHAMP, this is represented by answering “YES” to question 26 on the medical tab.
*** Exclusions 2 and 3 are represented as reason codes when the vaccination is not completed.
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1. Patients newly enrolled in care during the measurement year 2. Patients with evidence of current HBV infection (Hep B Surface Antigen, Hep B e Antigen, Hep B e Antibody or Hep B DNA) *** 3. Patients with evidence of past HBV infection with immunity (Hep B Surface Antibody without evidence of vaccination) ***
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HIV Medical Visit Frequency (In Care - Medical Frequency Visit) ID: 1060 Category: 6. Custom
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Number of patients regardless of age, with diagnosis of HIV/AIDS who had at least one medical visit with a provider with prescribing privileges1 in each 6 month of the 24 month period with a minimum of 60 days between the medical visits. Number of patient, regardless of age, with a diagnosis of HIV/AIDS with at least one medical visit with a provider with prescribing privileges1 in the first 6 months of the 23 month measurement period
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Patients who were documented as deceased at any time during the measurement year
Patients who were incarcerated for greater than 90 days of the measurement year
Patients who were relocated or transferred medical care at any time of the measurement year |
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In Care - GAP Measure ID: 37 Category: 6. Custom
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Number of patients who had no medical visit in the last 180 days of measurement year. Number of patient, regardless of age, with a diagnosis of HIV/AIDS who had at least one medical visit with a provider with prescribing privileges1 in the first 6 months of the measurement year. |
Patients who were documented as deceased at any time during the measurement year
Patients who were incarcerated for greater than 90 days of the measurement year
Patients who were relocated or transferred medical care at any time of the measurement year |
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In Care - Patients Newly Enrolled in Medical Care ID: 44 Category: 6. Custom
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Number of patients who had at least one medical visit in each 4-month period of the measurement year Number of patients regardless of age, with diagnosis of HIV/AIDS who were newly enrolled with a with a medical provider with prescribing privileges AND had at least one visit with a medical provider with prescribing privileges1 in the first 4 months of the measurement year
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Patients who were documented as deceased at any time during the measurement year
Patients who were incarcerated for greater than 90 days of the measurement year
Patients who were relocated or transferred medical care at any time of the measurement yea |
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In Care - VL Suppression ID: 24 Category: 6. Custom
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Number of patients with a VL of less than 200 copies/ml at the last VL test of the measurement year Number of patients, regardless of age, with a diagnosis of HIV/AIDS who had at least one medical visit with a medical provider with prescribing privileges1 during the measurement year
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Patients documented as deceased in the measurement year
Patients who were incarcerated for 90 days
Patients who relocated out of the service area |
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PCP Prophylaxis (No Exclusions) ID: 24 Category: 6. Custom
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Number of HIV-infected clients with CD4 count < 200 cells/mm3 who were prescribed MAC prophylaxis Number of HIV-infected clients who had a: • CD4 count < 200 cells/mm3 ; and • medical visit with a provider with prescribing privileges1 at least once in the measurement year
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Patients who have disseminated MAC |
Notes:
1 - Prescribing Visits are subtype provided by one of the following primary medical subtypes
Physician - Initial Interview/Medical Assessment
Physician - Medical Visit
GYN/Reproductive Medical Visit
Nurse Practitioner / Physician Assistant Medical Visit
Physician - Specialty Care Medical Visit - Infectious Disease MD
Physician Specialty Care Visit- Inmate
2- Counseling and Included Screenings –This screen will appear in CHAMP when and MCM or PM Service is provided and the questions have expired.
