Key result
Targeted QI feedback increases monthly statin prescribing ~4-fold among eligible patients with HIV.
Why the study?
Does a quality improvement initiative combining education and feedback improve statin prescribing rates in people living with HIV?
Does a quality improvement initiative combining education and feedback improve statin prescribing rates in people living with HIV?
Answers are grounded in this paper and cite their sources.
A quality improvement intervention providing education and feedback to HIV specialists significantly increased statin prescribing for eligible patients living with HIV.
BACKGROUND: People living with HIV (PLWH) have increased atherosclerotic cardiovascular disease risk. Guidelines recommend statin therapy for PLWH aged 40 to 75 years with a 10-year atherosclerotic cardiovascular disease risk of ≥5%. PROJECT RATIONALE: Statin prescribing is suboptimal in this population. We implemented a quality improvement initiative to identify barriers and increase statin prescribing in eligible PLWH. PROJECT SUMMARY: Seventeen of 25 (68%) Kaiser Permanente HIV specialists were surveyed on barriers to statin prescribing and participated in a quality improvement initiative that provided monthly education and prescribing feedback. Statin prescriptions among PLWH aged 40 to 75 years were assessed before the intervention (June-December 2024) and during the intervention (January-June 2025) using interrupted time series. Seventeen of 25 specialists (68%) participated. Reported barriers included patient reluctance (71%), nonautomated risk calculation (58%), and limited resources (47%). Baseline statin prescribing was 44.1%. Monthly prescribing increased from 0.30% preintervention to 1.24% postintervention (P < 0.001), yielding 193 additional prescriptions. TAKE-HOME MESSAGE: An intervention combining ongoing education with monthly performance feedback significantly improved statin prescribing rates among PLWH.
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Njuguna et al. (2026) studied HIV (n=17). Quality improvement initiative (monthly education and prescribing feedback) vs. Preintervention period was evaluated on Monthly statin prescribing rate (p=<0.001). A quality improvement initiative providing monthly education and prescribing feedback increased monthly statin prescribing among eligible people living with HIV from 0.30% to 1.24% (P<0.001).
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