TY - JOUR
T1 - New York City HIV care continuum dashboards
T2 - Using surveillance data to improve HIV care among people living with HIV in New York City
AU - Braunstein, Sarah L.
AU - Coeytaux, Karen
AU - Sabharwal, Charulata J.
AU - Xia, Qiang
AU - Robbins, Rebekkah S.
AU - Obeng, Beverly
AU - Daskalakis, Demetre C.
N1 - Publisher Copyright:
© 2021 JMIR Publications Inc. All rights reserved.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Background: HIV surveillance data can be used to improve patient outcomes. Objective: This study aimed to describe and present findings from the HIV care continuum dashboards (CCDs) initiative, which uses surveillance data to quantify and track outcomes for HIV patients at major clinical institutions in New York City. Methods: HIV surveillance data collected since 2011 were used to provide high-volume New York City clinical facilities with their performance on two key outcomes: linkage to care (LTC), among patients newly diagnosed with HIV and viral load suppression (VLS), among patients in HIV care. Results: The initiative included 21 facilities covering 33.78% (1135/3360) of new HIV diagnoses and 46.34% (28,405/61,298) of patients in HIV care in New York City in 2011 and was extended to a total of 47 sites covering 44.23% (1008/2279) of new diagnoses and 69.59% (43,897/63,083) of New York City patients in care in 2016. Since feedback of outcomes to providers began, aggregate LTC has improved by 1 percentage point and VLS by 16 percentage points. Conclusions: Disseminating information on key facility-level HIV outcomes promotes collaboration between public health and the clinical community to end the HIV epidemic. Similar initiatives can be adopted by other jurisdictions with mature surveillance systems and supportive laws and policies.
AB - Background: HIV surveillance data can be used to improve patient outcomes. Objective: This study aimed to describe and present findings from the HIV care continuum dashboards (CCDs) initiative, which uses surveillance data to quantify and track outcomes for HIV patients at major clinical institutions in New York City. Methods: HIV surveillance data collected since 2011 were used to provide high-volume New York City clinical facilities with their performance on two key outcomes: linkage to care (LTC), among patients newly diagnosed with HIV and viral load suppression (VLS), among patients in HIV care. Results: The initiative included 21 facilities covering 33.78% (1135/3360) of new HIV diagnoses and 46.34% (28,405/61,298) of patients in HIV care in New York City in 2011 and was extended to a total of 47 sites covering 44.23% (1008/2279) of new diagnoses and 69.59% (43,897/63,083) of New York City patients in care in 2016. Since feedback of outcomes to providers began, aggregate LTC has improved by 1 percentage point and VLS by 16 percentage points. Conclusions: Disseminating information on key facility-level HIV outcomes promotes collaboration between public health and the clinical community to end the HIV epidemic. Similar initiatives can be adopted by other jurisdictions with mature surveillance systems and supportive laws and policies.
KW - Best practices
KW - HIV
KW - Quality of care
KW - Surveillance
UR - http://www.scopus.com/inward/record.url?scp=85102880089&partnerID=8YFLogxK
U2 - 10.2196/13086
DO - 10.2196/13086
M3 - Article
AN - SCOPUS:85102880089
SN - 2369-2960
VL - 5
JO - JMIR Public Health and Surveillance
JF - JMIR Public Health and Surveillance
IS - 2
M1 - e13086
ER -