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
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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
Site A Site B Site C Site D Site E
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 REQUIRED.
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.