Implementation of an Opt-Out Outpatient HIV Screening Program

Lifetime HIV screenings before and after interventions to increase HIV screening. The control chart demonstrates the completion of lifetime HIV screening for the eligible population in the pre- and postintervention periods. Implementation of each intervention is illustrated over time. Intervention 1: Health care maintenance HIV screening alert implemented; Intervention 2: provider performance-based incentive for HIV screening initiated; Intervention 3: HIV screening BPA implemented. The red dotted lines represent the upper and lower control limits beyond 3 standard deviations from the mean. These values were recalculated after initiating interventions after 12/1/2021. The center blue line represents the average values before and after interventions. Colors of individual data points represent data stability (blue) and instability (red) per QI Macro rules. The pentagons numbered 1 to 3 represent the start point of the 3 interventions in order.