Oakland EMA Patricia LaBrie Calloway, R.N., P.H.N. Quality Program Manager

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

Quality Activities-starting out Participated in the Institute for Healthcare Improvement Reviewed HRSA QM Technical Assistance Tools and Reviewed other EMA QM materials

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

Structure of QM Plan Mission statement Purpose Goals and Objectives 2006-2007 Accountability

2006-2007 Goals Strengthen participants understanding of Continuous Quality Improvement Improve data accuracy and integrity To impact decision-making processes through quality improvement data To focus CQI activities on substance abuse and mental health

Other Elements of the QM Plan Resources Data Collection Evaluation Annual updates

Success!!! Cross Title Client Satisfaction Grants for cross title data collection Conducted QM assessments for all Title I and II agencies Developed QM language for RFP and contracts Conducted QM 101 for staff and providers (care and prevention) Measuring indicators across the EMA Collecting baseline data CQI committee focused Published standards for core services

Barriers Implementation Staff turnover Clarity on common language Knowledge and use of the plan Changing focus

Process to update the QM plan Involve-CQI members, cross title staff, council, senior leaders; Agree on common language; Evaluate current activities; Look for additional resources; Keep the goals realistic!

Next Steps!!!! Correlate with the Comprehensive Plan Improve evaluation process Provide additional opportunities for sharing outcome data Focus on small improvement projects