DATA QUALITY AND THE
CONTINUITY OF CARE FOR
HIV PATIENTS IN NORTH
DAKOTA
Krissie Guerard, MS
Tracy Miller, MPH
Becky Wahl
WHERE DID WE START?

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
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eHARS – submits HIV surveillance data to CDC
CAREWare – Ryan White and the AIDS Drug
Assistance Program’s client information used for
reporting to HRSA
Access Database – houses medication tracking
information for ADAP medication rebates
Maven – the electronic disease surveillance
system which stores case management data for
all mandatory communicable diseases
WHY WASN’T THAT EFFICIENT?

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Much of the collected information was the same
Created double and triple data entry which
compromised the data quality
Minimal staff and capacity
Not all needed information was found in the HIV
systems such as co-morbidities
WHY CHANGE?


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The use of four systems results in minimal time
for HIV prevention, surveillance and care
activities
Improve data quality
Increase the continuity of care for those living
with HIV in North Dakota
WHAT WAS THE ANSWER?
Maven

The Maven system is not only a disease centric
system, but client centric as well and is comprised of
three models
STD
 Epidemiology/Immunization
 TB

METHODS



HIV surveillance and Ryan White/ADAP have
been incorporated into the STD model in Maven
All laboratory follow-up is incorporated into a
single case including CD4 counts and viral loads
Infections of TB, HCV, chlamydia, or even
influenza will be associated to HIV cases when
they become reported
HIV CASE IN MAVEN
RISK PACKAGE
LAB DATA
LAB TAB WITH HIV CONFIRMATION
LAB DATA
CO-MORBID INFECTIONS

By clicking on client name you will receive a line
list of other infections associated with this client.
CO-MORBID INFECTIONS
LINKED CONTACTS
RYAN WHITE SERVICES
PROVIDER ENROLLMENT PACKAGE
RESULTS

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The resulting product incorporates all four standalone systems into a single system
Communication improvement between HIV
surveillance, Ryan White and all reportable
diseases
Allows data sharing between programs with little
to no effort
By utilizing this system, we will see an increase
efficiency of data entry, reduce staff time, and be
an all-encompassing reporting mechanism
IMPROVED CLIENT CARE? HOW?

Staff can spend more time on medication
adherence and confirming laboratory results

Co-morbidities

Prevention for positives
LESSONS LEARNED?

Communication
Ensure all HIV and Ryan White staff are willing to
participate
 Ensuring what is requested is what is received
 Speaking a common language between IT and
Epidemiology
 Regular meetings between Maven staff and HIV staff

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Resource Management
Ensure staff are properly trained
 Ensure staff time (programmatic and informatics) is
available to make the requested changes
 Have a configurable software product to
accommodate the changes

CONTACT INFORMATION
Krissie Guerard, MS
HIV/STD/TB/Hepatitis Program Manager
kguerard@nd.gov
Becky Wahl
Maven Coordinator
bewahl@nd.gov
Tracy Miller, MPH
State Epidemiologist
tkmiller@nd.gov
www.ndhealth.gov/disease
701.328.2378