Transcription of Georgia Ryan White Part B Program
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Georgia Ryan White Part B Program
Georgia Ryan White part B Program clinical Chart Review Summary Report December 2012 By: Georgia Department of Public Health Division of Health Protection Infectious Disease & Immunization Section HIV Office i ACKNOWLEDGEMENTS This clinical chart review would not have been possible without the support of the Ryan White part B Program , the part B Quality Management (QM) Core Team, and the local Ryan White funded clinics. Thanks to the reviewers, Michael Coker, MSN, HIV Nurse Consultant, , Rosemary Donnelly, APRN, clinical Instructor/ Georgia Program Director Southeast AIDS Training and Education Center (SEATEC), Harold P. Katner, MD, HIV Medical Advisor, and the local HIV staff members for their participation. Special thanks to Rachel Powell, MPH, Data Manager for assistance with the final document preparation. ii Table of Contents Introduction 1 Demographic Information 6 Physical & Dental Examinations 8-9 Medical Visits 11 CD4 Counts and HIV Viral Loads 14 Antiretroviral Therapy Management 19 Pelvic Exam and Pap Smears 30 Screening: Syphilis, TB, HBV,HCV, and Lipid 35 PCP and MAC Prophylaxis 43 Discussion 45 Conclusion 47 References 49 Appendices A.
The first two clinical site visits included a detailed chart review of 42 clinical performance measures, a review of appropriate use and management of antiretroviral agents, and a review of clinic operations.
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