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The State of Care for Veterans with HIV/AIDS: Preface

for Health Care Providers


The purpose of this report is to characterize the US Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) state of care for its population of Veterans in care for HIV disease. The first step in providing responsive care is to learn about the affected population. This State of Care report describes the distribution of Veterans with HIV/AIDS within VHA and provides basic demographic data on this population. Additionally, the report describes pharmacologic treatment, other conditions commonly seen with HIV, monitoring, screening, and vaccinations. This report is intended to provide data which can be used to assess and guide interventions to improve the quality of care VHA delivers to Veterans with HIV/AIDS.

The report has a series of chapters, each covering a limited aspect of VHA care for Veterans with HIV/AIDS. Please refer to the Table of Contents for a quick reference to key sections within each chapter. The report contains summary information at the national, regional (Veterans Integrated Service Network, or VISN), and local levels, presented in text, tabular, and graphical formats. To improve readability, large tables appear at the end of this report in the Appendix; smaller tables and figures appear within the text. References and general methods are listed at the end of each Chapter.

It is has been several years since the Public Health Strategic Healthcare Group (PHSHG) has presented such a comprehensive summary report on Veterans with HIV/AIDS. At the time of the previous report (2003), access to electronic medical record data was limited to assessing workload/utilization, basic demographics, and antiretroviral medication use. In 2006, the Public Health Strategic Healthcare Group (PHSHG), in conjunction with the Office of Information Technology, launched a new population management tool, the Clinical Case Registry (CCR), which greatly expanded access to medical information both locally and nationally. The current report expands the review of care for Veterans with HIV/AIDS to include co-morbid conditions and indicators of clinical care quality. Where available, comparisons are made between Veterans with HIV/AIDS in recent care and in prior years. PHSHG staff instrumental in the oversight of the CCR and the development of this report, are listed in the acknowledgements section.

We are committed to making these data available to VHA researchers and policy makers to continue to improve care for Veterans with HIV/AIDS. This report would not be possible without the efforts of VHA staff located at VHA facilities across the county. This report is dedicated to them and to the Veterans we serve.