title: VISION: a regional performance improvement initiative for HIV health care providers.
abstract: BACKGROUND
  VISION (HIV Integrated Learning ModuleS: Achieving Performance Improvement through CollaboratiON) was a regional performance improvement (PI) continuing medical education (CME) initiative designed to increase guideline-conforming practice of clinicians who manage patients with HIV infection.
  
  
  METHODS
  The 3-part activity consisted of (1) clinical practice assessment and development of an action plan for practice change, (2) completion of relevant education, and (3) reassessment.
  
  
  RESULTS
  The activity did not change practitioners' performance in clinical status monitoring and in patient treatment, in large part because guidelines were being appropriately implemented at baseline as well as after the educational intervention. There was a trend toward improvement, however, in practitioner performance in the area of patient medication adherence (increased from 66% to 74%).
  
  
  CONCLUSIONS
  Results observed in the VISION initiative were consistent with HIVQUAL metrics. Ongoing education in HIV is important, and VISION demonstrated performance improvement in medication adherence, a critical aspect of health care.
authors.forename: Theodore O
authors.initials: TO
authors.lastname: Bruno
authors.forename: Charles B
authors.initials: CB
authors.lastname: Hicks
authors.forename: Susanna
authors.initials: S
authors.lastname: Naggie
authors.forename: David A
authors.initials: DA
authors.lastname: Wohl
authors.forename: Helmut
authors.initials: H
authors.lastname: Albrecht
authors.forename: Nathan M
authors.initials: NM
authors.lastname: Thielman
authors.forename: Daniel U
authors.initials: DU
authors.lastname: Rabin
authors.forename: Sherry
authors.initials: S
authors.lastname: Layton
authors.forename: Chitra
authors.initials: C
authors.lastname: Subramaniam
authors.forename: Katherine P
authors.initials: KP
authors.lastname: Grichnik
authors.forename: Amanda
authors.initials: A
authors.lastname: Shlien
authors.forename: Dianne
authors.initials: D
authors.lastname: Weyer
mesh_terms: D004502:Education, Medical, Continuing / Q000379:methods*; D019983:Guideline Adherence / Q000592:standards; D015658:HIV Infections; D006282:Health Personnel / Q000193:education* / Q000592:standards*; D006801:Humans; D010342:Patient Acceptance of Health Care; D058996:Quality Improvement; D000066477:Work Performance / Q000592:standards*
keywords: HIV; PI-CME; VISION; evaluation-educational intervention; performance improvement CE; quality improvement/Six Sigma/TQM; self-assessment; self-directed learning