Overview of NQC and its Services Clemens Steinbock Director, NQC

2 Learning Objectives: You will learn how to… Increase awareness of quality improvement resources available to providers and consumer, and how peers have used these quality improvement resources Identify appropriate quality improvement resources to use with “real world” examples Learn how to access those resources

3 Together, we can make a difference in the lives of people with HIV. NQC provides assistance to improve HIV care since gaps in HIV care still exist and advances are uneven across the HIV populations. Join us.

4 NQC Mission The National Quality Center, in partnership with the HRSA HIV/AIDS Bureau, seeks to advance HIV care nationwide by providing innovative technical assistance and coaching for quality improvement to all Ryan White HIV/AIDS Program-funded recipients.

5 180 QI resources are organized in key QI content categories Advanced search functions, including multiple filters and full-text search Detailed description of NQC services. Expert picks and top 10 downloads Calendar of upcoming NQC events Ability to submit QI tools and suggestions Art gallery by PLWH individuals NQC Website NationalQualityCenter.org

6 Quality Academy In January 2007, NQC launched its online training course Expansion of Quality Academy in 2009 (English and Spanish; care-specific tutorials) Consists of 32 interactive tutorials, offering more than 800 training minutes and all presentation slides are available for download Most designed to last mins Over 25,000 tutorials have been taken Developed a Consumers in Quality section of the Academy; recently released consumer self-management tutorial (more consumer-focused material to come) NationalQualityCenter.org/QualityAcademy

7 Technical Assistance Calls Monthly 60-minute webinars guided by a quality expert All calls include best practices from fellow RWHAP recipients A web-conference platform encourages interactions with presenters PowerPoint slides and a live chat forum allow participants NationalQualityCenter.org/TACalls

8 On-Site Technical Assistance All on-site TA is provided to recipients at no-cost TA is designed to help recipients implement an effective quality program Past consultative requests have included:  Assessing existing quality management programs  Refining written quality management plans  Utilizing quality performance data  Implementing quality improvement initiatives  Training staff on quality management  Fostering leadership support for quality projects  Increasing consumer involvement  Facilitating cross-part alignment of quality efforts

9 Training Programs

10 NQC/HAB Quality Awards Developed by NQC to recognize RWHAP recipients, organizations and individuals that have demonstrated outstanding progress in improving the quality of HIV care. Started in 2008 and will be presented annually The five award categories are:  Award for Performance Measurement  Award for Measurable Improvement  Award for Quality Management Infrastructure Development  Consumer Engagement  Award for Leadership in Quality

11 Quality Improvement Publications

12 Quality Improvement Publications

13 Quality Improvement Publications

14 Quality Improvement Publications

15 Quality Improvement Publications

16 NQC Glasscubes NQC Offer since Jan 2012 Extranet capability available, password-protected website with specific features: discussion board, announcements, resources No-cost to RWHAP recipient NationalQualityCenter.glasscubes.com

17 NQC QI Challenge Assemble your team and tackle the 10- question QI Challenge Access NQC resources on the poster for questions you miss Time for bragging rights! Once completed, take your team picture Submit your picture to: org. NationalQualityCenter.org/QIChallenge

18 in+care Campaign Designed to facilitate local, regional, and state-level efforts to retain more HIV patients in care and to prevent HIV patients falling out of care 655 providers enrolled in the in+Care Campaign; 51% of all RWHAP recipients 700 individuals signed up for Partners in+care in+care represented the largest QI initiative in the United States in+care demonstrates statistical significant improvements in national retention and viral suppression performance rates Incarecampaign.org

19 Regional Groups To accelerate implementation of QI efforts within the context of local complexities and characteristics and to assist RWHAP grantees in meeting HRSA’s quality management requirements 25 Regional Groups are in place, with over 250 RWHAP recipients (9 out of 10 HRSA regions) Viral Load Suppression: RG members had a higher percentage of clients with viral suppression compared to non-RG members Support systems (“camaraderie”) is a highly valued outcome of participation in Regional Group activities NationalQualityCenter.org/RegionalGroup

20 Collaboratives Modeled on the Institute for Healthcare Improvement’s (IHI) Breakthrough Series Collaboratives to strengthen the statewide capacity for collaboration across all Parts Framework: multiple in-person learning sessions, monthly webinars, routine reporting of data, sharing of best practices Adoption of key QM infrastructure elements by establishing a regional Response Team, representative of RWHAP recipients Majority of states increased the performance measurement scores, implemented statewide QI projects, and involved consumers NationalQualityCenter.org/Collaboratives

21 QI Learning Resources Starting to Learn about Quality Improvement Measuring Quality of HIV Care Measurement Setting up a QM Infrastructure Writing a Quality Management Plan Conducting Quality Improvement Activities

22 QI Teaching Resources Teaching Quality Improvement Fundamentals Teaching Performance Measurement Teaching QM Infrastructure Teaching Quality Improvement Activities Teaching Patients on Quality

23 Consumer Involvement Training Materials Soliciting Patient Feedback Empowering Patients to Partner with their Health Care Providers Best Practices for Consumer Involvement Teaching Providers about Patient Self- Management

National Quality Center (NQC)