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. 2019 Jun 19;5(2):e13086.
doi: 10.2196/13086.

New York City HIV Care Continuum Dashboards: Using Surveillance Data to Improve HIV Care Among People Living With HIV in New York City

Sarah L Braunstein  1 , Karen Coeytaux  2 , Charulata J Sabharwal  3 , Qiang Xia  1 , Rebekkah S Robbins  1 , Beverly Obeng  1 , Demetre C Daskalakis  4
Affiliations

New York City HIV Care Continuum Dashboards: Using Surveillance Data to Improve HIV Care Among People Living With HIV in New York City

Sarah L Braunstein et al. JMIR Public Health Surveill. .

Abstract

Background: HIV surveillance data can be used to improve patient outcomes.

Objective: This study aimed to describe and present findings from the HIV care continuum dashboards (CCDs) initiative, which uses surveillance data to quantify and track outcomes for HIV patients at major clinical institutions in New York City.

Methods: HIV surveillance data collected since 2011 were used to provide high-volume New York City clinical facilities with their performance on two key outcomes: linkage to care (LTC), among patients newly diagnosed with HIV and viral load suppression (VLS), among patients in HIV care.

Results: The initiative included 21 facilities covering 33.78% (1135/3360) of new HIV diagnoses and 46.34% (28,405/61,298) of patients in HIV care in New York City in 2011 and was extended to a total of 47 sites covering 44.23% (1008/2279) of new diagnoses and 69.59% (43,897/63,083) of New York City patients in care in 2016. Since feedback of outcomes to providers began, aggregate LTC has improved by 1 percentage point and VLS by 16 percentage points.

Conclusions: Disseminating information on key facility-level HIV outcomes promotes collaboration between public health and the clinical community to end the HIV epidemic. Similar initiatives can be adopted by other jurisdictions with mature surveillance systems and supportive laws and policies.

Keywords: HIV; best practices; quality of care; surveillance.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Overview of New York City HIV care continuum dashboard, site-specific performance. CCD: care continuum dashboard; CD4: cluster of differentiation 4; NYC: New York City.
Figure 2
Figure 2
Overview of New York City HIV care continuum dashboard, linkage to care, and viral suppression rank plots. CCD: care continuum dashboard; CD4: cluster of differentiation 4.
Figure 3
Figure 3
New York City (NYC) human immunodeficiency virus care continuum dashboards (CCDs) release timeline, 2012-2017. CCD releases are generated using data from a previous 12-month period to ensure completeness of the data (eg, the December 2012 release included data for January-December 2011; the June 2013 release included data for July 2011-June 2012, and so on). LTC: linkage to care; VLS: viral load suppression; BTT: below transmission threshold.
See this image and copyright information in PMC

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