A continuum-based outcome approach to measuring performance in HIV/AIDS case management

Abstract

This methods paper is third in a series addressing client outcomes in HIV/AIDS case management. After introducing earlier work the authors outline their effort to consolidate numerous discrete outcome measures and to establish each outcome indicator along a continuum scale that can be self-abstracted by HIV/AIDS service providers. The paper includes in-depth discussion of challenges and benefits derived from this type of outcome measurement process. Key lessons learned from a pilot study are offered for those considering development of similar client outcomes assessment programmes. The paper concludes with several opportunities for future research for those desiring to work in this relatively uncharted domain.

Acknowledgements

The authors are especially grateful to the AIDS Institute Bureau of Community Support Services staff, the CFP Quality Improvement Committee and CFP case management providers for their dedication and hard work. Financial sponsorship was provided by the New York State Department of Health AIDS Institute via Ryan White CARE Act Title II funding administered through Health Research, Inc.