Table 2. Example core process and outcome indicators for an integrated hypertension/human immunodeficiency virus (HIV) clinical management program examined at 6-month intervals.

Domain	Type	Description	Numerator	Denominator
Hypertension control	Outcome	Percentage of HIV patients 18 to 85 years of age with a diagnosis of HTN and whose blood pressure was adequately controlled (<140/90) during the measurement period	Patients from the denominator with last blood pressure measurement with systolic blood pressure less than 140 mm Hg and the diastolic blood pressure less than 90 mm Hg	All patients 18 to 85 years of age with a diagnosis of HTN during the measurement period who received treatment for at least 3 months
Clinical quality	Process	Percentage of HIV hypertensive patients aged 18 to 85 years with a blood pressure reading of greater than 140/90 mm Hg who were treated as outlined in the standardized treatment protocol	Number of patients aged 18 through 85 years and with hypertension and blood pressure greater than 140/90 mm Hg who received lifestyle modification and/or treatment	Number of hypertensive patients aged 18 through 85 years and with blood pressure greater than 140/90 mm Hg
Clinical quality	Process	Percentage of electronic health record alerts with a documented repeat blood pressure at same visit if the first reading is above 140/90 mm Hg	Number of documented repeat blood pressure readings at the same visit if the first reading is above 140/90 mm Hg	Number of electronic health record alerts indicating first reading is above 140/90 mm Hg
Clinical quality	Process	Percentage of treated hypertensive patients with acceptable ART adherence (>95%)	Number of hypertensive patients with ART adherence above a specified threshold	Number of HIV patients with HTN on antihypertensive medications
Clinical quality	Outcome	Percentage of HIV/HTN patients lost to follow-up from care and treatment	Number of HIV/HTN patients lost to follow-up from care and treatment	Number of HIV/HTN patients alive and on treatment
Healthcare delivery	Cost*	Resources used by HIV patients with hypertension during the measurement period	Total standard cost and service frequency counts for all services, which accounts for service usage, for which the organization has paid or expects to pay for the eligible population during the treatment period, reported by age, gender, and risk group	HIV patients 18 through 85 years of age with a diagnosis of hypertension

Abbreviations: ART, antiretroviral therapy; HTN, hypertension.

*Detailed cost parameters are not provided as they may vary across programs