In+care 04: Viral Load SuppressionViral Load suppression = Percentage of HIV+ patients, regardless of age, with viral

load of less than 200 copies/ml at last viral load in the measurement year.

12/1/2

011

3/1/2

012

6/1/2

012

9/1/2

012

12/1/2

012

3/1/2

013

6/1/2

0130

102030405060708090

INC04AINC04

Factors Influencing Data12/1/2011 Data entry issues; transfer of provider & large amount of patients in measurement year2/1/2012-10/1/2012 Part-time/Contract Provider; Short one CM position12/1/2012 New Full-time Provider; Fully Staffed

VL Suppression rose from 38.52% in 2011 to 80.17% in 8/2013

RHG’s goal was 70% by 12/2012-reached goal by 6/2013

New goal set in 6/2013: 80%-- reached this goal as of 8/2013!

Strategies Used to Improve VL Suppression

• Data Review/Clean Up Monthly• FT Provider = Increased Access• FT Provider = Improved Monitoring• Patients Offered Treatment Earlier• Increased Patient Education

• at Every Visit by Provider• Reinforced by Nurse & CMs• Focus on CD4 & VL

• Patients given “My Labs” tracking card with CD4 & VL documented

• Treatment Adherence Nurse Visits• Quicker Access to ADAP/Meds

Highlights of Data