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Creating A HIV Registry Steven Levine, MD June 2, 2010

Creating A HIV Registry Steven Levine, MD June 2, 2010. Organizational Background. www.institute2000.org. The Institute for Family Health. 15 Community Health Centers – Bronx, 4 Manhattan, 6 Mid-Hudson Valley 8 homeless healthcare sites 1 School based health programs 3 Dental centers

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Creating A HIV Registry Steven Levine, MD June 2, 2010

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  1. Creating A HIV RegistrySteven Levine, MDJune 2, 2010

  2. Organizational Background www.institute2000.org

  3. The Institute for Family Health 15 Community Health Centers – • Bronx, 4 Manhattan, 6 Mid-Hudson Valley 8 homeless healthcare sites 1 School based health programs 3 Dental centers 2 Community Mental Health Centers 2 Free Clinics 230,000 primary care visits 72,000 patients

  4. The Institute has been fully paperless since September 2002 on Epic Systems (Verona, Wisconsin) Electronic Health Record and Practice Management System In 2007 the Institute doubled in size with the acquisition of the Mid Hudson Family Health Institute. In the first month all 6 sites were live on the PMS. Six months later all sites were fully live on the EHR.

  5. Background

  6. Why develop an HIV registry? • Aggregate view of HIV related outcomes; • Timely accessibility of data; and • Discover what interventions are needed and for whom.

  7. Institute’s Strategy • The Institute seeks to ensure that all patients with HIV/AIDS receive high quality care consistent with expert recommendations. • We intend to develop an HIV/AIDS patient registry populated by electronic health record data.

  8. Goals and Objectives • To create and implement a guideline-based registry of patients with HIV/AIDS that can be used as a tool to improve quality of care across multiple care sites; and • Develop a registry of HIV/AIDS patients that can be used to identify and address racial and ethnic disparities in care and outcomes by providing outreach to patients at highest risk of poor outcomes.

  9. Development

  10. Where to start? • Plan • Meet • Design

  11. Who is on the development team? • The team should be multidisciplinary. • Including members from all departments who interact and treat patients with HIV and EHR support staff and a report writer.

  12. Team at the Institute

  13. What standards should be considered?

  14. Documenting the specifications • Identify the specific parameters. • Share with project team • Review a test run of the report

  15. Show screen shot of smart set

  16. Preliminary Findings

  17. HIV/AIDS Patients by Sex and Age

  18. HIV/AIDS Patients by Race and Ethnicity

  19. Percentage of HIV/AIDS Patients Who Received Selected Screening over the Past 12 Months

  20. Final Thoughts • User friendly • Time efficient • Ongoing and always current • Easily display trends • Identify needs quickly and • Effectively plan interventions

  21. Thank You! Steven Levine, MD slevine@institute2000.org 212-633-0800 ext. 1275

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