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Hawaii HIV/AIDS Reporting System. Peter Whiticar, Chief STD/AIDS Prevention Branch Hawaii Department of Health. AIDS Report Since 1983 Name Based. HIV Report Since 08/27/2001 Code Based. HIV Case Reporting . MD Office. Lab. Name+DOB/or UTC. Name+DOB. Name+DOB+UTC (DLS lab).

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hawaii hiv aids reporting system
Hawaii HIV/AIDS Reporting System

Peter Whiticar, Chief

STD/AIDS Prevention Branch

Hawaii Department of Health

aids report since 1983 name based
AIDS ReportSince 1983 Name Based

HIV ReportSince 08/27/2001 Code Based

hiv case reporting
HIV Case Reporting

MD Office

Lab

Name+DOB/or UTC

Name+DOB

Name+DOB+UTC (DLS lab)

UTC (Case Report)

UTC (Positive Test Result)

HIV/AIDS

Surveillance Program

Follow-up Lab Report by UTC,

HSPAMM and other Codes

hiv cases reported as of 03 08 2004
HIV Cases Reported as of 03/08/2004

Lab Reported HIV+ Reports 8,604

Provider HIV+ Reports 1,071

Finalized HIV Cases 840

708 In-State Cases (84%)

132 Out-of-State (16%)

Can’t check for duplicates or award the case

follow up on lab results 07 2002 12 2003 18 months
Follow-up on Lab Results07/2002 - 12/2003 (18 months)

CD4 HIV

Received 302 900

Closed Cases 265 (88%) 645 (62%)

(new or duplicate)

Avg. Days to Close 87 days 106 days

slide6

Challenges (Problems):

  • Providers are too busy; no time to report; don’t want to report; HIPPA concerns
  • Can’t connect UTC with the patient’s name in hospitals or MD offices
  • Providers are not using Name/Code Log
  • Incorrect UTC from labs and physicians
  • Can’t de-duplicate with out-of-state cases (16%)
possible solutions
Possible Solutions
  • Include the UTC on lab report—(ex. DLS)
  • Create and maintain Name/Code Log
  • Physicians use lab accession number to check with labs for unknown patient name
  • Make use of assistance from surveillance staff
next steps
Next Steps
  • Need to implement workable system
  • Is the UTC workable? Named reporting?
  • Communicating with all reporting physicians not present?
  • Evaluation criteria (Minimum):

1. Complete: > 85% of diagnosed cases are actually reported to the surveillance system.

2. Timely: > 66% of cases are reported within 6 months of diagnosis.

3. Accurate: < 5% duplicate case reports and < 5% incorrectly matched case reports.

4. Complete behavioral risk information: > 85% of reported cases or a representative sample should have information regarding behavioral risk for HIV infection after epidemiologic follow-up is completed.

next steps cont
Next StepsCont.
  • Need for reliable HIV data for federal funding and state program planning and management
  • Timeframe <6 months to make UTC work
  • Suggestions for Surveillance Program?
summary
Summary
  • HIV needs to be reported by physicians
  • Work within the current system

-Need to maintain the Name/Code Log

-Need to meet CDC’s evaluation criteria

-Use assistance of Surveillance staff

  • Timeframe < 6 months to make it work
  • Alternative reporting system

-Name reporting?

Thank You

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