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Hawaii HIV/AIDS Reporting System PowerPoint PPT Presentation


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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

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Hawaii hiv aids reporting system l.jpg

Hawaii HIV/AIDS Reporting System

Peter Whiticar, Chief

STD/AIDS Prevention Branch

Hawaii Department of Health


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AIDS ReportSince 1983 Name Based

HIV ReportSince 08/27/2001 Code Based


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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


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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


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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


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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%)


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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


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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.


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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?


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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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