MultiVISN Quality Improvement Improving HIV Testing Rates. Herschel Knapp, Ph.D. Background. Many HIV infected patients do not know their status CDC: 21% of the 1.1 million HIV+ persons in the US are unaware 50 - 70% of VA patients with risk factors have not been tested
MultiVISN Quality Improvement Improving HIV Testing Rates
Herschel Knapp, Ph.D.
Los Angeles, Loma Linda, San Diego,
and Southern Nevada VA facilities
More than 200% increase in
HIV testing among at-risk patients
Program implementation increases HIV testing rates two – threefold at all sites
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As of 8/17/2009, written informed consent NO LONGER REQUIRED.
Verbal consent is sufficient.
HIV clinical reminder automatically pastes an entry in the NOTES:
The patient has verbally consented to HIV testing.
An HIV antibody test has been ordered.
Quarterly statistical feedback
HIV testing rate
Rate of clinical reminder resolution
New materials & methods as needed
Asymptomatic patients are unlikely to request a test; they’re waiting for us to offer the test.