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  • Measure Summary
  • NQMC:010884
  • Dec 2009

AIDS Drug Assistance Program (ADAP): percentage of ADAP applications approved or denied for new ADAP enrollment within 14 days (two weeks) of ADAP receiving a complete application in the measurement year.

Health Resources and Services Administration (HRSA). HAB HIV performance measures. ADAP: AIDS Drug Assistance Program. Rockville (MD): Health Resources and Services Administration (HRSA); 2009 Dec 10. 9 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

Primary Measure Domain

Population Health Quality Measures: Population Process

Secondary Measure Domain

Population Health Quality Measure: Population Access

Description

This measure is used to assess the percentage of AIDS Drug Assistance Program (ADAP) applications approved or denied for new ADAP enrollment within 14 days (two weeks) of ADAP receiving a complete application in the measurement year.

Rationale

Human immunodeficiency virus (HIV)-related morbidity and mortality has dropped dramatically due to advances in HIV/acquired immune deficiency syndrome (AIDS) treatment. But reductions are uneven across HIV-infected populations due to unequal access to care and variable quality of services provided. Quality management seeks to enhance the quality of HIV care provided and increase access to services. They do so by measuring how health and social services meet established professional standards and user expectations.

Timely review for AIDS Drug Assistance Program (ADAP) eligibility can ensure timely access to medications. This quality measure has been used by the Part B Collaborative and Low Incidence Initiative to measure performance and to develop successful improvement projects to decrease the length of time to determine ADAP eligibility or ineligibility by the ADAP program.

U.S. Public Health Service Guidelines

This measure addresses the intent of U.S. Department of Health and Human Services (HHS) treatment guidelines for the use of antiretroviral agents and the prevention and treatment of opportunistic infections in HIV-infected individuals (Panel on Antiretroviral Guidelines for Adults and Adolescents, 2009; Working Group on Antiretroviral Therapy and Medical Management of HIV-Infected Children, 2009; Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission, 2009; Kaplan et al., 2009; Mofenson et al., 2009).

Evidence for Rationale

Health Resources and Services Administration (HRSA). Deliver HIV/AIDS care: quality of care. [internet]. Rockville (MD): Health Resources and Services Administration (HRSA); [accessed 2016 Jun 23].

Health Resources and Services Administration (HRSA). HAB HIV performance measures. ADAP: AIDS Drug Assistance Program. Rockville (MD): Health Resources and Services Administration (HRSA); 2009 Dec 10. 9 p.

Kaplan JE, Benson C, Holmes KH, Brooks JT, Pau A, Masur H, Centers for Disease Control and Prevention (CDC), National Institutes of Health, HIV Medicine Association of the Infectious Diseases Society of America. Guidelines for prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. MMWR Recomm Rep. 2009 Apr 10;58(RR-4):1-207; quiz CE1-4. PubMed External Web Site Policy

Mofenson LM, Brady MT, Danner SP, Dominguez KL, Hazra R, Handelsman E, Havens P, Nesheim S, Read JS, Serchuck L, Van Dyke R, Centers for Disease Control and Prevention, National Institutes of Health, HIV Medicine Association of the Infectious Diseases Society of America, Pediatric Infectious Diseases Society, American Academy of Pediatrics. Guidelines for the prevention and treatment of opportunistic infections among HIV-exposed and HIV-infected children: recommendations from CDC, the National Institutes of Health, the HIV Medicine Association [trunc]. MMWR Recomm Rep. 2009 Sep 4;58(RR-11):1-166.

Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Bethesda (MD): Department of Health and Human Services (DHHS); 2009 Dec 1. 161 p.

Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission. Recommendations for use of antiretroviral drugs in pregnant HIV-infected women for maternal health and interventions to reduce perinatal HIV transmission in the United States. Bethesda (MD): Department of Health and Human Services (DHHS); 2009 Apr 29. various p.

Working Group on Antiretroviral Therapy and Medical Management of HIV-Infected Children. Guidelines for the use of antiretroviral agents in pediatric HIV infection. Bethesda (MD): Department of Health and Human Services (DHHS); 2009 Feb 23. various p.

Primary Health Components

Human immunodeficiency virus (HIV); AIDS Drug Assistance Program (ADAP); enrollment; application determination

Denominator Description

Total number of complete AIDS Drug Assistance Program (ADAP) applications for new ADAP enrollment received in the measurement year (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Number of applications that were approved or denied for new AIDS Drug Assistance Program (ADAP) enrollment within 14 days (two weeks) of ADAP receiving a complete application in the measurement year

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A clinical practice guideline or other peer-reviewed synthesis of the clinical research evidence

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Unspecified

State of Use

Current routine use

Current Use

External oversight/State government program

Internal quality improvement

Population health improvement

Measurement Setting

State/Provincial Public Health Programs

Professionals Involved in Delivery of Health Services

Public Health Professionals

Least Aggregated Level of Services Delivery Addressed

State/Provincial

Statement of Acceptable Minimum Sample Size

Does not apply to this measure

Target Population Age

All individuals, regardless of age

Target Population Gender

Either male or female

Public Health Aims for Quality

Effective

Population-centered

Proactive

National Quality Strategy Aim

Healthy People/Healthy Communities

National Quality Strategy Priority

Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Living with Illness

IOM Domain

Effectiveness

Timeliness

Case Finding Period

The measurement year

Denominator Sampling Frame

Enrollees or beneficiaries

Denominator (Index) Event or Characteristic

Patient/Individual (Consumer) Characteristic

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
Total number of complete AIDS Drug Assistance Program (ADAP) applications for new ADAP enrollment* received in the measurement year

Note: Refer to the original measure documentation for additional data elements.

*Includes applications for all individuals, regardless of age.

Exclusions

  • ADAP applications for new ADAP enrollment* that were incomplete or incorrectly filled out.
  • Complete ADAP applications for new ADAP enrollment** received by ADAP within the last 14 days (two weeks) of the measurement year.

**New ADAP Enrollment: "Refers to individuals who applied to ADAP for the first time ever…(This does not) include individuals who have been recertified as eligible or individuals who have been reinstated as enrolled clients after a period of having been decertified. Examples of clients who should not be included (as a new ADAP enrollment) are the following: 1) clients who have moved out of the State and then returned; and 2) clients who move on and off ADAP because of fluctuations in eligibility for a Medicaid/Medically Needy program, based on whether they met spend down requirements."

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Number of applications that were approved or denied for new AIDS Drug Assistance Program (ADAP) enrollment within 14 days (two weeks) of ADAP receiving a complete application in the measurement year

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

National public health data

State/Province public health data

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Rate/Proportion

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

Internal time comparison

Prescriptive standard

Prescriptive Standard

National Goals, Targets, or Benchmarks for Comparison:

  • Part B Collaborative*: 97%
  • Part B Low Incidence Initiative**: 100%

*Part B Collaborative measure reads "percent of ADAP applicants approved or denied for ADAP enrollment within two weeks of ADAP receiving a complete application."

**Part B Low Incidence Initiative measure reads "percent of applying state ADAP clients approved/denied for ADAP services within two weeks of ADAP receiving a complete application."

Evidence for Prescriptive Standard

Health Resources and Services Administration (HRSA). HAB HIV performance measures. ADAP: AIDS Drug Assistance Program. Rockville (MD): Health Resources and Services Administration (HRSA); 2009 Dec 10. 9 p.

Original Title

ADAP: application determination.

Measure Collection Name

HIV/AIDS Bureau (HAB) Performance Measures

Measure Set Name

AIDS Drug Assistance Program

Submitter

Health Resources and Services Administration - Federal Government Agency [U.S.]

Developer

Health Resources and Services Administration - Federal Government Agency [U.S.]

Funding Source(s)

Unspecified

Composition of the Group that Developed the Measure

Unspecified

Financial Disclosures/Other Potential Conflicts of Interest

Unspecified

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2009 Dec

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

Source(s)

Health Resources and Services Administration (HRSA). HAB HIV performance measures. ADAP: AIDS Drug Assistance Program. Rockville (MD): Health Resources and Services Administration (HRSA); 2009 Dec 10. 9 p.

Measure Availability

Source available from the Health Resources and Services Administration (HRSA) Web site External Web Site Policy.

For more information, contact the HRSA HIV/AIDS Bureau (HAB) at 5600 Fishers Lane, Rockville, MD 20857; E-mail: HIVmeasures@hrsa.gov; Web site: www.hrsa.gov/index.html External Web Site Policy.

NQMC Status

This NQMC summary was completed by ECRI Institute on July 8, 2016.

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