Efficient Analysis of HIV Care Indicators and
Dissemination of Data by Federal Agencies
Estimation of the committee’s recommended indicators for clinical HIV care and mental health, substance abuse, and supportive services will often require combining data from multiple data systems. Making valid inferences about the indicators across different populations and over time using data from multiple data systems presents a range of analytic and logistical challenges. Such challenges will change over time and will have to be reevaluated periodically.
Recommendation 6-1. At least once every 2 years, the Department of Health and Human Services should reevaluate mechanisms for combining data elements to estimate key indicators of HIV care and access to supportive services, analyze the combined data, and identify and address barriers to the efficient analysis of such data, including relevant statistical methodologies. To facilitate this process, HHS should engage a center of excellence representing broad areas of expertise that include information technology, statistical methodologies for combining data, and data system content.
Information on the indicators recommended by the committee will be of interest to a variety of stakeholders, including policy makers, health departments, HIV care providers, patients, and researchers. The disseminated information can be used in numerous ways—from informing policy decisions to supporting the development of research projects—that have the potential to improve HIV care quality.
Recommendation 6-2. The Department of Health and Human Services should report to the public at least once every 2 years on indicators of HIV care and access to supportive services to foster improvements in the quality of HIV care and in monitoring progress toward meeting the goals of the National HIV/AIDS Strategy.
The reporting interval of at least once every 2 years allows for regular reporting of the indicator data to monitor the NHAS while minimizing reporting burden and associated costs.