A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...

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A Guide to Primary Care of People with HIV/AIDS Chapter 17: Quality Improvement REFERENCES Institute for Healthcare Improvement. HIV/AIDS Bureau Collaborations: Improving Care for People Living with HIV/AIDS Disease. Boston: Institute for Healthcare Improvement; 2002. Institute of Medicine. Medicare: A Strategy for Quality Assurance. Vol.1. Washington: National Academy Press; 1990. Institute of Medicine. Crossing the Quality Chasm. Washington: National Academy Press; 2001. Institute of Medicine. Measuring What Matters: Allocation, Planning, and Quality Assessment for the Ryan White CARE Act. Washington, DC: The National Academies Press; 2004. New York State Department of Health AIDS Institute. HIVQUAL Group Learning Guide: Interactive Quality Improvement Exercises for HIV Health Care Providers. New York, NY: New York State Department of Health AIDS Institute. New York State Department of Health AIDS Institute. Measuring Clinical Performance: A Guide for HIV Health Care Providers. New York, NY: New York State Department of Health AIDS Institute; April 2002. 17 148 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau
A Guide to Primary Care of People with HIV/AIDS Chapter 18: Keeping Up-To-Date: Sources of Information for the Practicing Clinician Chapter 18: Keeping Up-To-Date: Sources of Information for the Provider Bruce D. Agins MD, MPH OVERVIEW OVERVIEW HUMAN RESOURCES WRITTEN RESOURCES ELECTRONIC AND WEB-BASED RESOURCES INTEGRATING HIV SPECIALTY INTO PRACTICE KEY POINTS SUGGESTED RESOURCES Doesn ’t the Guide itself provide sufficient information about HIV care? At a pace unlike that in any other field, rapid change characterizes the field of clinical HIV medicine. Fortunately, opportunities to stay current with the fastpaced changes in science and practice are available through a variety of sources. What kinds of resources are available for keeping up-to-date? One approach to identifying educational resources for providers is to consider them an expanding circle of information sources, starting at the local level, and finally reaching the globally available web of information on the Internet. Resources can also be grouped by type of information delivery: Human Resources Conferences, training workshops, case-based presentations, educational consultations (in-person, telephone, distance-learning), preceptorships, audio tapes, video tapes Written Materials Books, journals, newsletters, selfassessment, slides, handouts Web-Based Information Downloadable articles, webcasts, resource directories, search engines, listserves, e-newsletters What kind of standards are available to assure that HIV providers are keeping up-to-date? Professional associations and State governments have developed policies defining HIV specialists that specify the number of patients that providers should directly manage in order to qualify for this experience-driven classification, reinforcing through regulations and requirements the simple notion that providers need to Renslow Sherer, MD Caroline J. Teter, PA-C, MPH keep current in order to provide good care. See last section, Integrating HIV Specialty into Practice, for details. HUMAN RESOURCES How do you identify what’s available in your own community? The single most important step in obtaining current information is to identify local resources. The first step is to determine whether any HIV experts are practicing nearby who provide care to with HIV in the community. HIV specialists are an important source of information – not only about clinical practice, but also about educational opportunities in the area. Local hospitals or clinics may offer grand rounds on topics in HIV clinical care or continuing education programs. Local infectious disease societies or HIV medical associations may sponsor meetings at which new information is disseminated. Every region in the United States is targeted by a regional AIDS Education and Training Center (AETC), funded by the HIV/AIDS Bureau (HAB) of the Health Resources and Services Administration (HRSA), that offers a menu of educational programs designed to fit the specific needs of practicing providers, including physicians, mid-level practitioners, nurses, and dentists (see Figure 18-1). AETC educational sessions also present excellent opportunities to make personal contact with clinical experts. Establishing relationships with local experts can lead to ongoing communication about advances in care, telephone consultations when needed, and the potential for referrals when patient management becomes especially complicated, such as when drug resistance occurs or salvage therapy is required, prompting changes in antiretroviral therapy (ART). 18 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau 149
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