Quality Improvement
-
QI Toolkits
- Hospital Acquired Infection Prevention (rev. MARCH 2008)
- Improving Initial Lung Function: Surfactant and Other Means (2005)
- Antenatal Corticosteroid Therapy (rev. OCTOBER 2009)
- Postnatal Steroid Administration (rev. 2003)
- Nutritional Support of the VLBW Infant - (rev. DECEMBER 2008)
- Care and Management of the Late Preterm Infant Toolkit (rev. APRIL 2007)
- Delivery Room Management of the Very Low Birth Weight (VLBW) Infant Toolkit (rev. OCTOBER 2006)
- Severe Hyperbilirubinemia Prevention (rev. OCTOBER 2005)
- Prevention of Perinatal Group B Streptococcus Disease Toolkit (rev. AUGUST 2008)
- Prevention of Perinatal HIV Toolkit (rev. SEPTEMBER 2008)
- CPQCC/CCS Healthcare Associated Infection (HAI) Collaborative
- Webcast Recordings
- PQIP Members
- CCS/CPQCC High Risk Infant Follow-up Quality of Care Initiative (HRIF QCI)
- Collaborative #2: CPQCC/CCS Breastmilk Nutrition QI Collaborative
Prevention of Perinatal HIV Toolkit (rev. SEPTEMBER 2008)
Prevention of Perinatal HIV Toolkit
Revision Date: 9/1/2008
Downloads:
1,2) Prevention of Perinatal HIV Table of Contents/Intro/Rationale (CPQCC Toolkit Revision Date: 9/1/2008) (483.3 KB 
)
3 ) Supporting Evidence Documents (CPQCC Toolkit Revision Date: 9/1/2008) (36.6 MB )
Appendices:
4.A ) Policy and Procedures (CPQCC Toolkit Revision Date: 9/1/2008) (503.2 KB )
4.B ) Staff Education Tools (CPQCC Toolkit Revision Date: 9/1/2008) (9.2 MB )
4.C) Patient Education/Referral Information (CPQCC Toolkit Revision Date: 9/1/2008) (1.5 MB )
4.D) Miscellaneous Documents (CPQCC Toolkit Revision Date: 9/1/2008) (1.3 MB )
4.E) AAP Updated Materials (CPQCC Toolkit Revision Date: 9/1/2008) (350.2 KB )
4.G) Website on quality improvement in HIV care (CPQCC Toolkit Revision Date: 9/1/2008) (38.8 KB )
Overview of the Perinatal HIV Toolkit:
Table of Contents
1) Introduction Letter
2) Backgroud/Rationale
A) California Perinatal Quality Care Collaborative, 2008 Standards of Care for the Prevention of Perinatal HIV Transmission
3) Supporting Evidence Documents
A) REVISED CDPH Perinatal Policy Feb 7 2008
B) CDPH Perinatal Policy Letter Dec 21, 2007
C) AB 682 Assembly Bill - CHAPTERED
D) California Law: Assembly Bill No. 1676
E) ACOG Committee Opinion No. 304: Prenatal and Perinatal Human Immunodeficiency Virus Testing: Expanded Recommendations
F) ACOG Committee Opinion No. 389: Human Immunodeficiency Virus* December 2007
G) California Health and Safety Code (Sections 125080-125107)
H) AAP Technical Report: Perinatal Human Immunodeficiency Virus testing and Prevention of Transmission, December 2000
I) Perinatal Screening for HIV: A Review of the Evidence for the U.S. Preventive Services Task Force; Annals of Internal Medicine, 5 July, 2005, Vol. 143, #1
J) "Diagnosis of HIV-1 Infection in Children Younger Than 18 Months in the United States -- Read and and the Committee on Pediatric AIDS 120 (6) e1547 -- AAP Policy.htm"
K) Public Health Service Task Force, Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States, November 2, 2007
-Download: http://aidsinfo.nih.gov/Guidelines/GuidelineDetail.aspx?MenuItem=Guidelines&Search=Off&GuidelineID=9&ClassID=2
L) Public Health Service Task Force, Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States: July 8, 2008
M) Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection: February 28, 2008
N) AAP Clinical Report: Evaluation and Treatment of the Human Immunodeficiency Virus-1-Exposed Infant, August, 2004
4) Appendices
A) Policy and Procedures
i) Guidelines for Prenatal Care Providers: Identification/Treatment of HIV Positive Women in the Office Setting
ii) Protocol for Perinatal Identification/Treatment of HIV Positive Women in Labor
iii) Human Immunodeficiency Virus Prevention of Perinatal Transmission Policy (inclusive of both maternal and newborn)
iv) Protocol for Newborn: Management of HIV Exposed Infant
B) Staff Education Tools
i) Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents, January 29, 2008
ii) U.S. Public Health Service Perinatal Guidelines lecture
iii) HIV Testing & Treatment In The Office Setting Worksheet
iv) HIV Counseling and Testing in the Office: Provider Counseling Script
v) HIV Testing & Treatment In L&D Competency document
vi) CA Counseling Guide and Consent Form: Provider Guide to HIV Counseling and Testing in a Delivery Setting
vii) Ancillary Services Checklist
viii) Anti-retroviral Table
ix) National Perinatal HIV Consultation and Referral Service
Website: http://www.ucsf.edu/hivcntr/Hotlines/Perinatal.html
x) Pacific AIDS Education and Training Center (PAETC) Contacts
xi) Mandatory Prenatal HIV Testing lecture
xii) HIV Counseling and Rapid Testing in Labor lecture- AIDS Education and Training Centers, National Resource Center
C) Patient Education/Referral Information
i) AIDS info Fact Sheets: HIV During Pregnancy, Labor and Delivery, and After Birth; Health Information for HIV Positive Pregnant Women, January, 2008 http://aidsinfo.nih.gov
ii) Early Intervention List by County
iii) CDPH 8682- Protecting Yourself and Your Baby
iv) CDPH 8682- Protecting Yourself and Your Baby (Spanish Version)
v) REVISED Education Forms:
http://www.cdph.ca.gov/pubsforms/forms/Pages/AIDS.aspx
D) Miscellaneous Documents
i) CDC, Rapid HIV Antibody Testing During Labor and Delivery for Women of Unknown HIV Status: A Practical Guide and Model Protocol, January 30, 2004.
ii) RTLD Standards of Care and Benchmarks
iii) California Department of Health Services Perinatal HIV Testing Information and Consent Forms (http://www.dhs.ca.gov/AIDS/Resources/oaforms.htm)
iv) Miscellaneous Issues Surrounding Implementation of Perinatal HIV Prevention and Management Recommendations
v) HIV During Pregnancy, Labor and Delivery, and After Birth, Health Information for HIV Positive Pregnant Women: January 2008
E) AAP Updated Materials:
i) Human Immunodeficiency Virus Screening -- American Academy of Pediatrics and American College of Obstetricians and Gynecologists 104 (1) 128 -- AAP Policy.htm"
ii) "Human Milk, Breastfeeding, and Transmission of Human Immunodeficiency Virus Type 1 in the United States -- Read and Committee on Pediatric AIDS 112 (5) 1196 -- AAP Policy.htm"
F) AWHONN: HIV Screening Procedures for Pregnant Women and Infants
G) Website on quality improvement in HIV care: http://NationalQualityCenter.org