VISION: A Regional Performance Improvement Initiative for HIV Health Care Providers. Issue 3 (June 2014)

• Record Type: Journal Article
• Authors: Bruno, Theodore O.; Hicks, Charles B.; Naggie, Susanna; Wohl, David A.; Albrecht, Helmut; Thielman, Nathan M.; Rabin, Daniel U.; Layton, Sherry; Subramaniam, Chitra; Grichnik, Katherine P.; Shlien, Amanda; Weyer, Dianne
• Is Part Of: Journal of continuing education in the health professions. Volume 34:Issue 3(2015:Summer)
• Page Start: 171
• Page End: 178
• Publication Date: 2014-06
• Subjects: Medicine -- Study and teaching (Continuing education) -- Periodicals; Paramedical education -- Periodicals; Medical education -- Periodicals; 610.7
• DOI: 10.1002/chp.21248
• Languages: English
• ISSNs: 0894-1912

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="chp21248-sec-0010" sec-type="section"> <title>Introduction</title> <p>VISION (HIV Integrated Learning ModuleS: Achieving Performance <underline>I</underline>mprovement through CollaboratiON) was a regional performance improvement (PI) continuing medical education (CME) initiative designed to increase guideline‐conforming practice of clinicians who manage patients with HIV infection.</p> </sec> <sec id="chp21248-sec-0020" sec-type="section"> <title>Methods</title> <p>The 3‐part activity consisted of (1) clinical practice assessment and development of an action plan for practice change, (2) completion of relevant education, and (3) reassessment.</p> </sec> <sec id="chp21248-sec-0030" sec-type="section"> <title>Results</title> <p>The activity did not change practitioners' performance in clinical status monitoring and in patient treatment, in large part because guidelines were being appropriately implemented at baseline as well as after the educational intervention. There was a trend toward improvement, however, in practitioner performance in the area of patient medication adherence (increased from 66% to 74%).</p> </sec> <sec id="chp21248-sec-0040" sec-type="section"> <title>Discussion</title> <p>Results observed in the VISION initiative were consistent with HIVQUAL metrics. Ongoing education in HIV is important, and VISION demonstrated performance improvement in medication adherence, a critical aspect of health care.</p> </sec> </abstract>