HIV STRATEGIC INFORMATION FOR IMPACT
SEPTEMBER 2020
MODULE FOR ASSESSING AND STRENGTHENING THE QUALITY OF VIRAL LOAD TESTING DATA WITHIN HIV PROGRAMMES AND PATIENT MONITORING SYSTEMS
WEB ANNEX B: MAP OF PATIENT, VIRAL LOAD SAMPLE AND DOCUMENTATION FLOW
IMPLEMENT ATION TOOL
Web Annex B: Map of patient, viral load sample and documentation flow
1
In tr oduc tor y s cr ip t f or d at a a nd s er vic e m ap pi ng Th ank y ou f or h av in g us a t y ou r f ac ili ty t od ay . W e w ou ld l ik e t o lo ca te an d fi x an y da ta d ef ec ts o r b ot tle ne ck s w ith in t he d at a w or kfl ow t o i m pr ov e t he q ua lit y o f in fo rm at io n g at he re d i n r ea l t im e an d m ov in g f or w ar d. W e w ou ld l ik e t o h el p t o st reng th en a nd s tre am lin e t he p ro ce ss for v al id at ing pa tie nt h ea lth in for m at ion . To da y, w e ar e i nt er es te d i n le ar ni ng a bo ut t he d at a an d s er vi ce q ua lit y c ha lle ng es an d s uc ce ss es a t y ou r s ite . T he se g ui di ng q ue st io ns an d t he s ite v is it w ill b e an op po rt un ity t o d el ve d ee p i nt o t he c ha lle ng es , s uc ce ss es , b es t p rac tic es an d in no va tio n i n t he h ea lth i nf or m at io n s ys te m s h er e a t y ou r f ac ili ty . T o b eg in , w e w ou ld li ke y ou t o w al k u s t hr ou gh t he p ro ce ss o f o rd er in g a v ir al l oa d te st f or a p at ie nt . W he re d oe s t he p at ie nt g o f or s am pl e c ol le ct io n, w ha t ha pp en s i f a p at ie nt d oe s n ot g et a s am pl e d ra w n? W ha t h ap pe ns w he n vi ra l l oa d te st r es ul ts a re n ot r ec ei ve d? I s t he re a m ec ha ni sm t o f ol lo w u p w it h t he l ab or at or y o n te st s t ha t h av e o rd er ed b ut n o r es ul ts r ec ei ve d? A re t he re a ny b ot tl en ec ks i n t he p ro ce ss a nd , i f s o, w he re a re t he y? In st ru ct io n: s ke tc h a m ap o f s er vi ce d el iv er y fl ow b as ed o n t he r es po ns es t o t he qu es tio ns h ig hl ig ht ed a bo ve .
N am e o f i nt er vie w ee Fa cili ty c od e
WEB ANNEX B MAP OF PATIENT, VIRAL LOAD SAMPLE AND DOCUMENTATION FLOW
IN ST RU CT IO NS : S KE TC H A R OU GH M AP A ND M AK E N OT ES O F S PE CI FIC B ES T P RA CT IC ES O R P OT EN TI AL I M PR OV EM EN TS F OR E FF IC IE NC Y I N D AT A F LO W
Guiding questions Sketch flow • Is viral load testing performed routinely or targeted at specific populations? • Are any prompts or tools used to remind service providers to order a viral load test for eligible patients? • What tools are used to order a viral load test and who completes them? • How often are viral load samples picked up for transport to the laboratory? Is the schedule for pick-up followed? Reasons for deviations? • How are results transmitted from the lab to the antiretroviral therapy clinic? • What tools are used to record viral load test results • Are any tools used to support the follow-up of patients with elevated viral load? • How are the returned results entered into patient files and by whom? • How are viral load results provided to patients? • What is the process of updating registers after patient visits? • Who enters the data in registers or electronic medical records (if relevant) • Are any tools used to monitor sample collection kits and blood draw–related commodities?N am e o f fa ci lit y
Web Annex B: Map of patient, viral load sample and documentation flow
2
List any best practices in viral load patient, sample and documentation flow 1. 2. Provide any comments or recommendations to improve efficiencies in patient, sample and documentation flow 1. 2. List 3–5 critical challenges impacting viral load monitoring and scale-up in your facility 1. 2. 3. 4. 5. Provide any comments, best practices or recommendations for strengthening viral load monitoring and scale-up that could be applicable to other settings 1. 2. 3. 4. 5.
