data quality and the continuity of care for hiv patients in north dakota
DESCRIPTION
Data Quality and the Continuity of Care for HIV Patients in North Dakota. Krissie Guerard, MS Tracy Miller, MPH Becky Wahl. Where did we start?. eHARS – submits HIV surveillance data to CDC - PowerPoint PPT PresentationTRANSCRIPT
DATA QUALITY AND THE CONTINUITY OF
CARE FOR HIV PATIENTS IN NORTH
DAKOTA
Krissie Guerard, MS Tracy Miller, MPH
Becky Wahl
WHERE DID WE START? eHARS – submits HIV surveillance data to CDC
CAREWare – Ryan White and the AIDS Drug Assistance Program’s client information used for reporting to HRSA
Access Database – houses medication tracking information for ADAP medication rebates
Maven – the electronic disease surveillance system which stores case management data for all mandatory communicable diseases
WHY WASN’T THAT EFFICIENT? Much of the collected information was the
same
Created double and triple data entry which compromised the data quality
Minimal staff and capacity
Not all needed information was found in the HIV systems such as co-morbidities
WHY CHANGE? The use of four systems results in minimal
time for HIV prevention, surveillance and care activities
Improve data quality
Increase the continuity of care for those living with HIV in North Dakota
WHAT WAS THE ANSWER?Maven
The Maven system is not only a disease centric system, but client centric as well and is comprised of three models STD Epidemiology/Immunization TB
METHODS HIV surveillance and Ryan White/ADAP have
been incorporated into the STD model in Maven
All laboratory follow-up is incorporated into a single case including CD4 counts and viral loads
Infections of TB, HCV, chlamydia, or even influenza will be associated to HIV cases when they become reported
HIV CASE IN MAVEN
RISK PACKAGE
LAB DATA
LAB TAB WITH HIV CONFIRMATION
LAB DATA
CO-MORBID INFECTIONS By clicking on client name you will receive a
line list of other infections associated with this client.
CO-MORBID INFECTIONS
LINKED CONTACTS
RYAN WHITE SERVICES
PROVIDER ENROLLMENT PACKAGE
RESULTS The resulting product incorporates all four stand-
alone systems into a single system
Communication improvement between HIV surveillance, Ryan White and all reportable diseases
Allows data sharing between programs with little to no effort
By utilizing this system, we will see an increase efficiency of data entry, reduce staff time, and be an all-encompassing reporting mechanism
IMPROVED CLIENT CARE? HOW?
Staff can spend more time on medication adherence and confirming laboratory results
Co-morbidities
Prevention for positives
LESSONS LEARNED? Communication
Ensure all HIV and Ryan White staff are willing to participate
Ensuring what is requested is what is received Speaking a common language between IT and
Epidemiology Regular meetings between Maven staff and HIV
staff Resource Management
Ensure staff are properly trained Ensure staff time (programmatic and informatics)
is available to make the requested changes Have a configurable software product to
accommodate the changes
CONTACT INFORMATION
Krissie Guerard, MSHIV/STD/TB/Hepatitis Program [email protected]
Becky WahlMaven [email protected]
Tracy Miller, MPHState [email protected]
www.ndhealth.gov/disease701.328.2378