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Percent of Patients with Purified Protein Derivative (PPD) Screening in the Past 12 Months


Definition

Mycobacterium tuberculosis (TB), one of the most common systemic bacterial infections among persons with AIDS, is diagnosed in 20-40 percent of patients with AIDS.  The risk of primary progressive TB in HIV-infected persons is as high as 40 percent. 

 

Prophylaxis (preventive therapy) for commonly-encountered opportunistic infections has been shown to successfully prevent their occurrence.  Initiation at specific levels of immune function is recommended based on clinical trials.  Specifically, prophylaxis for Pneumocystis pneumonia, M. avium complex infection, and toxoplasmosis have been proven effective in patients with HIV.

 

Formulas:  Because HIV programs have found it helpful to measure both placement of PPDs and documented PPD screens, two formulas are described below.

 

Completed PPD Screens (Placed and Read)

The number of patients/clients with at least one HIV primary care visit in the past 12 months who also have a documented PPD screen in the past 12 months (as documented in the primary care record). Divide by the number of patients with at least one HIV primary care visit in the past 12 months.  Multiply by 100 to calculate the percent. 

 

PPDs Placed

The number of patients/clients with at least one HIV primary care visit in the past 12 months who also had a PPD placed in the past 12 months (as documented in the primary care record). Divide by the number of patients with at least one HIV primary care visit in the past 12 months.  Multiply by 100 to calculate percent.


Goal
  • Greater than 80 percent of patients/clients will have a PPD screen (placed and read).
  • Greater than 90 percent of patients/clients will have a PPD placed.


Data Collection Plan

Assess a random number of patient records monthly (or at the frequency established by your quality improvement effort). First, identify your sample (patients who have had at least one HIV primary care visit in the past 12 months).  From that sample, count the patients/clients who have had a PPD screen in the past 12 months. Divide by the total number of patients/clients with at least one HIV primary care visit in the past 12 months.  Multiply by 100 to calculate percent. 

 

(Collect data for PPD placement by substituting "PPD placement" for "PPD screen" in the above paragraph).

 

The National HIVQUAL Project’s Minimum Sample Table will help you determine the number of records to include in your sample. The Research Randomizer can generate a random number series to help you select which records to review.

 

Related Changes
Decision Support
Educate Patients about Guidelines
Provide Feedback to Providers on Their Use of Care Guidelines
Delivery System Design
Use the Registry to Proactively Review Care and Plan Visits


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