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HIV

The PMC reviewed relevant performance measures and makes the following recommendations.

Printable version of the recommendations.
Addendum to printable version of the recommendations.

ACP does not support this measure.

ID# NQF 0403
Included in Meaningful Use, but not PQRS

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HIV/AIDS: Medical Visit

Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS, with at least two medical visits during the measurement year, with a minimum of 90 and 180 days between each visit
Date Reviewed: July 26, 2014

ACP supports this measure.

ID# NQF 0404
ID# PQRS 159

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HIV/AIDS: CD4 Cell Count or Percentage Performed

Percentage of patients aged six months and older with a diagnosis of HIV/AIDS, with at least two CD4 cell counts or percentages performed during the measurement year at least 3 months apart
Date Reviewed: July 26, 2014

ACP supports this measure.

ID# NQF 0405
ID# PQRS 160

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HIV/AIDS: Pneumocystis jiroveci pneumonia (PCP) Prophylaxis

Percentage of patients aged 6 weeks or older with a diagnosis of HIV/AIDS, who were prescribed Pneumocystis jiroveci pneumonia (PCP) prophylaxis
Date Reviewed: July 26, 2014

ACP does not support this measure.

ID# PQRS 161
[No longer NQF-endorsed]

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HIV/AIDS: Adolescent and Adult Patients who are Prescribed Potent Antiretroviral Therapy

Percentage of patients with a diagnosis of HIV/AIDS, with at least two visits during the measurement year, with at least 90 days between each visit: aged 13 years and older who have a history of a CD4 count less than or equal to 500 cells/mm3; aged 13 years and older who have a history of an AIDS-defining illness, regardless of CD4 count; or who are pregnant, regardless of CD4 count or age, who were prescribed potent antiretroviral therapy
Date Reviewed: July 26, 2014

ACP does not support this measure.

ID# PQRS 162
[No longer NQF-endorsed]

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HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy

Percentage of patients aged 13 years and older with a diagnosis of HIV/AIDS, who had at least two medical visits during the measurement year, with at least 90 days between each visit, who are receiving potent antiretroviral therapy, who have a viral load < 200 copies/mL after at least 6 months of potent antiretroviral therapy
Date Reviewed: July 26, 2014

ACP does not support this measure.

ID# NQF 0409
ID# PQRS 205

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HIV/AIDS: Sexually Transmitted Diseases - Screening for Chlamydia, Gonorrhea, and Syphilis

Percentage of patients aged 13 years and older with a diagnosis of HIV/AIDS, who have received chlamydia, gonorrhea, and syphilis screenings at least once since the diagnosis of HIV infection
Date Reviewed: July 26, 2014

ACP does not support this measure.

ID# NQF 0413

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HIV/AIDS: Screening for High Risk Sexual Behaviors

Percentage of patients, aged 13 years and older, who were screened for high risk sexual behaviors at least once within 12 months.
Date Reviewed: November 7, 2015

ACP supports this measure.

ID# NQF 0579

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Annual cervical cancer screening or follow-up in high-risk women

This measure identifies women age 12 to 65 diagnosed with cervical dysplasia (CIN 2), cervical carcinoma-in-situ, or HIV/AIDS prior to the measurement year, and who still have a cervix, who had a cervical CA screen during the measurement year.
Date Reviewed: November 7, 2015

ACP does not support this measure.

ID# NQF 2079

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HIV medical visit frequency

Percentage of patients, regardless of age, with a diagnosis of HIV who had at least one medical visit in each 6-month period of the 24-month measurement period with a minimum of 60 days between medical visits. A medical visit is any visit in an outpatient/ambulatory care setting with a nurse practitioner, physician, and/or a physician assistant who provides comprehensive HIV care.
Date Reviewed: November 7, 2015

ACP does not support this measure.

ID# NQF 2080

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Gap in HIV Medical Visits

Percentage of patients, regardless of age, with a diagnosis of HIV who did not have a medical visit in the last 6 months of the measurement year. A medical visit is any visit in an outpatient/ambulatory care setting with a nurse practitioner, physician, and/or a physician assistant who provides comprehensive HIV care.
Date Reviewed: November 7, 2015

ACP supports this measure.

ID# NQF 2082

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HIV viral load suppression

Percentage of patients, regardless of age, with a diagnosis of HIV with a HIV viral load less than 200 copies/mL at last HIV viral load test during the measurement year. A medical visit is any visit in an outpatient/ambulatory care setting with a nurse practitioner, physician, and/or a physician assistant who provides comprehensive HIV care.
Date Reviewed: November 7, 2015

ACP supports this measure.

ID# PQRS 401

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Prescription of HIV Antiretroviral Therapy

Percentage of patients, regardless of age, with a diagnosis of HIV prescribed antiretroviral therapy for the treatment of HIV infection during the measurement year. A medical visit is any visit in an outpatient/ambulatory care setting with a nurse practitioner, physician, and/or a physician assistant who provides comprehensive HIV care.
Date Reviewed: November 7, 2015