1905. Real-World Insights into Quality Improvement across 11 HIV Clinics in the United States

Abstract

Background. As people with HIV are living longer, focusing quality improvement (QI) initiatives on health maintenance and comprehensive patient‐centered care is essential. This QI study evaluated chart‐document performance in selected HIV care practices across the United States. Methods. Participants were randomly selected from 11 Ryan White‐funded HIV clinics in community (n = 7), hospital (n = 3), and academic (n = 1) settings. At baseline, 200 consecutive charts ( 20 per clinic) were reviewed for documentation of guideline‐directed practices. Clinic teams participated in audit‐feedback interventions to develop improvement plans. Three months later, consecutive charts were reviewed according to baseline methods. Chi‐square tests were conducted to analyze pre‐ and post‐intervention differences. Results. Significant improvements were seen in sexually transmitted infection (STI) screening, and patient counseling on sexual risk, pre‐exposure prophylaxis (PrEP), and antiretroviral therapy (ART). Documentation of several health maintenance measures improved significantly. Conclusion. Audit‐feedback of QI measures improved performance. This approach can inform future QI initiatives. (Table Presented).