Indicators and Implementation Guidance to Advance Value-Based HIV Care Through People-Centered Metrics

Figures & Tables

TABLE 1.

Innovative Approaches to Integrating Value-Based Care in HIV Programming

Building Blocks of Value-Based Care	Innovators and Innovations
Create tools to measure what matters for PLHIV	The International Consortium for Health Outcomes Measurement creates standard metric sets on people-centered outcomes. PROgress Implementation Toolkit integrates patient-reported outcomes (PROs) assessments into routine HIV care.
Amplify PLHIV voices and create agency	Ritshizde conducts community-led clinic monitoring and advocacy.
Address social determinants	Seek-GSP organizes group therapy to address mental health of PLHIV.
Transform provider culture	Beyond Bias addresses provider bias to improve client trust. Wild4Life builds trust in the health system to improve care-seeking behavior.
Align payment models with outcomes	PPO Serve leverages private practices to improve PLHIV care.
Integrate measurement, delivery and payment for a holistic approach to value-based care	OLVG integrates value-based care principles in HIV care across the client journey in high-income settings.

TABLE 2.

Client Experience of HIV Care and Quality of Life Indicators

Category	Domains	Indicator Number and Name
Care experience	Service level Client-provide interactions (effective bidirectional communication) Dignity of care (including nondiscrimination, autonomy, confidentiality, and kindness)^a Privacy User-centered health system (including user voices, ease of use of the system, waiting times, choice of provider)^a	1. Percentage of surveyed clients who would recommend an HIV health service as a proxy measure of their own care
Quality of life	Symptom control and side effects	2. Percentage of surveyed clients who report minimal HIV-related symptoms
	Mental well-being	3. Percentage of surveyed clients who report experiencing minimal mental or emotional problems in the past 2 weeks
	Social support	4. Percentage of surveyed clients who report feeling socially supported by family and/or friends
	Stigma and discrimination	5. Percentage of surveyed clients who report experiencing minimal discrimination as a result of their HIV status
	Financial burden	6. Percentage of surveyed clients who experience financial hardship associated with their HIV diagnosis and/or their HIV-related treatment and care