DATA QUALITY AND THE CONTINUITY OF

CARE FOR HIV PATIENTS IN NORTH

DAKOTA

Krissie Guerard, MS

Tracy Miller, MPH

Becky Wahl

WHERE DID WE START?

eHARS – submits HIV surveillance data to CDC

CAREWare – Ryan White and the AIDS Drug Assistance Program’s client information used for reporting to HRSA

Access Database – houses medication tracking information for ADAP medication rebates

Maven – the electronic disease surveillance system which stores case management data for all mandatory communicable diseases

WHY WASN’T THAT EFFICIENT?

Much of the collected information was the same

Created double and triple data entry which compromised the data quality

Minimal staff and capacity

Not all needed information was found in the HIV systems such as co-morbidities

WHY CHANGE?

The use of four systems results in minimal time for HIV prevention, surveillance and care activities

Improve data quality

Increase the continuity of care for those living with HIV in North Dakota

WHAT WAS THE ANSWER?

Maven

The Maven system is not only a disease centric system, but client centric as well and is comprised of three models STD Epidemiology/Immunization TB

METHODS

HIV surveillance and Ryan White/ADAP have been incorporated into the STD model in Maven

All laboratory follow-up is incorporated into a single case including CD4 counts and viral loads

Infections of TB, HCV, chlamydia, or even influenza will be associated to HIV cases when they become reported

HIV CASE IN MAVEN

RISK PACKAGE

LAB DATA

LAB TAB WITH HIV CONFIRMATION

LAB DATA

CO-MORBID INFECTIONS

By clicking on client name you will receive a line list of other infections associated with this client.

CO-MORBID INFECTIONS

LINKED CONTACTS

RYAN WHITE SERVICES

PROVIDER ENROLLMENT PACKAGE

RESULTS

The resulting product incorporates all four stand-alone systems into a single system

Communication improvement between HIV surveillance, Ryan White and all reportable diseases

Allows data sharing between programs with little to no effort

By utilizing this system, we will see an increase efficiency of data entry, reduce staff time, and be an all-encompassing reporting mechanism

IMPROVED CLIENT CARE? HOW?

Staff can spend more time on medication adherence and confirming laboratory results

Co-morbidities

Prevention for positives

LESSONS LEARNED? Communication

Ensure all HIV and Ryan White staff are willing to participate

Ensuring what is requested is what is received Speaking a common language between IT and

Epidemiology Regular meetings between Maven staff and HIV

staff Resource Management

Ensure staff are properly trained Ensure staff time (programmatic and informatics)

is available to make the requested changes Have a configurable software product to

accommodate the changes

CONTACT INFORMATION

Krissie Guerard, MSHIV/STD/TB/Hepatitis Program Managerkguerard@nd.gov

Becky WahlMaven Coordinatorbewahl@nd.gov

Tracy Miller, MPHState Epidemiologisttkmiller@nd.gov

www.ndhealth.gov/disease701.328.2378