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Hawaii HIV/AIDS Reporting System

Hawaii HIV/AIDS Reporting System. Peter Whiticar, Chief STD/AIDS Prevention Branch Hawaii Department of Health. AIDS Report Since 1983 Name Based. HIV Report Since 08/27/2001 Code Based. HIV Case Reporting . MD Office. Lab. Name+DOB/or UTC. Name+DOB. Name+DOB+UTC (DLS lab).

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Hawaii HIV/AIDS Reporting System

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  1. Hawaii HIV/AIDS Reporting System Peter Whiticar, Chief STD/AIDS Prevention Branch Hawaii Department of Health

  2. AIDS ReportSince 1983 Name Based HIV ReportSince 08/27/2001 Code Based

  3. HIV Case Reporting MD Office Lab Name+DOB/or UTC Name+DOB Name+DOB+UTC (DLS lab) UTC (Case Report) UTC (Positive Test Result) HIV/AIDS Surveillance Program Follow-up Lab Report by UTC, HSPAMM and other Codes

  4. HIV Cases Reported as of 03/08/2004 Lab Reported HIV+ Reports 8,604 Provider HIV+ Reports 1,071 Finalized HIV Cases 840 708 In-State Cases (84%) 132 Out-of-State (16%) Can’t check for duplicates or award the case

  5. Follow-up on Lab Results07/2002 - 12/2003 (18 months) CD4 HIV Received 302 900 Closed Cases 265 (88%) 645 (62%) (new or duplicate) Avg. Days to Close 87 days 106 days

  6. Challenges (Problems): • Providers are too busy; no time to report; don’t want to report; HIPPA concerns • Can’t connect UTC with the patient’s name in hospitals or MD offices • Providers are not using Name/Code Log • Incorrect UTC from labs and physicians • Can’t de-duplicate with out-of-state cases (16%)

  7. Possible Solutions • Include the UTC on lab report—(ex. DLS) • Create and maintain Name/Code Log • Physicians use lab accession number to check with labs for unknown patient name • Make use of assistance from surveillance staff

  8. Next Steps • Need to implement workable system • Is the UTC workable? Named reporting? • Communicating with all reporting physicians not present? • Evaluation criteria (Minimum): 1. Complete: > 85% of diagnosed cases are actually reported to the surveillance system. 2. Timely: > 66% of cases are reported within 6 months of diagnosis. 3. Accurate: < 5% duplicate case reports and < 5% incorrectly matched case reports. 4. Complete behavioral risk information: > 85% of reported cases or a representative sample should have information regarding behavioral risk for HIV infection after epidemiologic follow-up is completed.

  9. Next StepsCont. • Need for reliable HIV data for federal funding and state program planning and management • Timeframe <6 months to make UTC work • Suggestions for Surveillance Program?

  10. Summary • HIV needs to be reported by physicians • Work within the current system -Need to maintain the Name/Code Log -Need to meet CDC’s evaluation criteria -Use assistance of Surveillance staff • Timeframe < 6 months to make it work • Alternative reporting system -Name reporting? Thank You

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