Oakland EMA Patricia La Brie Calloway, R.N., P.H.N. Program Manager Quality and Data Management Unit

Oakland EMA City of Berkeley, Alameda and Contra Costa Counties Population: 2,464,668 Alameda County third most ethnically diverse county in the U.S. Epidemics of HIV among people of color, substance users and women Median household income $59,810

Quality Management Participated in the Institute for Healthcare Improvement Title I Collaborative Reviewed HRSA QM Technical Assistance Tools (HAB.HRSA.gov, NationalQualityCenter.org) Reviewed other EMA QM materials

Developing the Quality Management Plan Grantee QM staff Input from key stakeholders Approved by the CQI committee and Planning Council Approved by the Office of AIDS Director

Structure of QM plan Mission statement Purpose Goals and Objectives,2003-2005

Goals Develop a Quality Assurance Plan Enhance Continuous Quality Improvement Improve Data management Educate Planning Council, Providers and Consumers

Other Elements of the QM Plan Accountability Resources Priorities QM Activities Approach Methodology

Barriers Implementation Staff turnover Clarity on common language Knowledge and Use of the Plan Changing focus

Process to update the QM plan Involve Consumers, Planning Council, Providers, Other Titles, Senior Leaders; Review comments from TA staff at HRSA; Agree on common language; Evaluate current activities; Look for additional resources; Keep the goals realistic!

Successes Collaborating with other jurisdictions,Title III and Title IV Experts among us! QM site visits to all Title I and II agencies Developed QM language for RFP and Contracts Conducted Trainings for staff, providers and consumers Discussing Indicators across the EMA Collecting baseline data CQI committee focus

Lessons Learned Plan for 1 year only; Stay focused on the activities Evaluate early “Show Them The Data” Get everyone involved Use it ! Great work guide!

Next Steps!!!! Update annually Correlate with the Comprehensive Plan Improve evaluation process Provide opportunities for sharing Focus on small projects for improvements

Next Steps Planning Council-improve decision making process Program Monitors/Staff- administrative improvement –(response time; QM tools) Providers-track outcomes to asses service delivery effectiveness

Contact information Alameda County Public Health Department Office of AIDS Administration Patricia.calloway@acgov.org (510) 873-6503