Quality of Care Reviews

IPRO Oversight of State AIDS Intervention Programs

IPRO has an experienced team of HIV clinicians and nurse reviewers, experts in HIV care and clinical process measurement, who have experience designing and operating HIV review, research and quality programs.
IPRO-developed databases now contain more than 300,000 review records of persons living with HIV, including comprehensive reviews of services provided to HIV-positive mothers and their babies.
IPRO staff played a key role in the development of the clinical algorithms used, based on the most up-to-date practice guidelines. These algorithms contain 18 specific performance indicators for measurements that are incorporated into surveillance data collection tools.
IPRO has also been in the forefront of identifying clinical changes in this evolving epidemic to assure that as practice standards evolve, so do the indicators and measures.

IPRO oversees quality of care and utilization review for the New York State AIDS Intervention Management System (AIMS).

IPRO has played a role in the New York State Department of Health's AIDS Institute AIMS Program since its inception more than a decade ago. The main focus of the AIMS program is the Quality of Care (QOC) program in which clinical care is validated by using treatment algorithms. IPRO also conducts utilization review to maximize financial accountability. IPRO provided the clinical performance data that was the basis for New York's public data release on HIV management (the first in the United States) in 2000.

Using advanced statistical and sampling techniques to yield highly precise measurements, facility-specific performance data, collected and analyzed by IPRO, is reported in the New York State Department of Health AIDS Institute's publications: A Consumer's Guide to Quality of HIV Care in New York State, and Clinical Management of HIV Infection: Quality of Care Performance in New York State.

IPRO's work on behalf of New York's HIV-infected patients has continued to adapt to the dynamic changes occurring within the epidemic in its measurement and quality of care monitoring activities. Program emphases have continued to focus on the most current and promising treatment interventions including the administration of combination therapies and the prevention of perinatal transmission.

IPRO conducts nearly 100,000 ambulatory and acute care medical record reviews annually on HIV quality of care, utilization review, and maternal-pediatric HIV prevention and care at more than 150 provider facilities.

For more information about Quality of Care Reviews, contact us.