1. Quality Improvement Resources The Quality Academy Tutorial 4

2. 2 Learning Objectives: You Will Learn About… Where you can go for help and information related to quality improvement: Key organizations Websites Tools and publications Technical assistance resources Learning Objectives

3. 3 Tips for Viewing this Presentation Skip to other slides in the presentation Read along with the narrator Search for keywords in the presentation Play, rewind and fast forward Review current slide View full screen Tips for Viewing

4. 4 Hey - Where Do We Go for Help? QI Resources

5. 5 Key Question What help and information are available to my HIV care program as it carries out its quality improvement work? QI Resources

6. 6 Organizations and Programs You Should Know National Quality Center (NQC) National HIVQUAL Project Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) Institute for Healthcare Improvement (IHI) Key Organizations

7. 7 Quality Improvement Websites NationalQualityCenter.org HIV measures Change ideas Best practices Tools/resources Literature FAQ Key Organizations

8. 8 Quality Improvement Websites www.HIVQUAL.org HIV QI publications Measures HIVQUAL Project Clinical guidelines Recent news and events QI Websites

9. 9 HRSA QI expectations and requirements QI tools Technical assistance resources http://www.hab.hrsa.gov/ Quality Improvement Websites QI Websites

10. 10 Information about quality across sectors, conditions Hosts web discussions www.IHI.org Quality Improvement Websites QI Websites

11. 11 Others… AIDS Education and Training Centers: www.aids-ed.orgwww.aids-ed.org Centers for Disease Control and Prevention: www.cdc.govwww.cdc.gov HIV/AIDS Treatment Information Service (DHHS Treatment Guidelines): www.hivatis.orgwww.hivatis.org National Guideline Clearinghouse: http://www.guideline.gov/http://www.guideline.gov/ Johns Hopkins AIDS Service: www.hopkins-aids.eduwww.hopkins-aids.edu JAMA HIV/AIDS: http://pubs.ama-assn.org/cgi/collection/hiv_aidshttp://pubs.ama-assn.org/cgi/collection/hiv_aids Center for Evidence-Based Medicine: http://www.cebm.net/http://www.cebm.net/ Agency for Healthcare Research and Quality (AHRQ): www.ahrq.gov/qual www.ahrq.gov/qual National Quality Measures Clearinghouse: www.qualitymeasures.ahrq.govwww.qualitymeasures.ahrq.gov QI Websites

12. 12 Resources from HRSA HIV/AIDS Bureau Quality Management Technical Assistance Manual can be downloaded from: The manual is now also available in Spanish: Supervisión de la Calidad: Manual de Asistencia Técnica at: Manuals on quality methods and HAB expectations Part A Manual can be downloaded from: Part B Manual can be downloaded from: QI Websites

13. 13 Resources from HRSA HIV/AIDS Bureau Quality Management in HIV/AIDS Systems of Care (2003) TA Conference Call. A transcript of the Conference call can be downloaded at: http://hab.hrsa.gov/tools/TACR2003jul.htm. http://hab.hrsa.gov/tools/TACR2003jul.htm The HRSA CARE Action newsletter addresses issues affecting the HIV care delivery community. The December 2003 issue focused exclusively on quality management. Find it at: http://hab.hrsa.gov/publications/december2003/http://hab.hrsa.gov/publications/december2003/ HAB All-Grantee Meeting: http://www.ryanwhite2008.com/home.asp http://www.ryanwhite2008.com/home.asp QI Websites

14. 14 Have a Question? We have answers: Developing an Effective Quality Management Program in Accordance with the Ryan White Program: RW Quality Requirements Quality Terminology Building an Effective QM Program Quality Indicators and Data Collection Setting up Quality Improvement Teams Resources for Quality Improvement/Management QI Websites

15. 15 HRSA stands for: Test Question A) Health Regional Supportive Agency B) Hundred Registered Shortage Areas C) Health Resources and Services Administration D) Highly Reliable Statistical Anomalies

16. 16 Who has sponsored the National Quality Center to become a resource to all Ryan White funded grantees? Test Question A) Johns Hopkins University B) Institute for Healthcare Improvement C) HRSA HIV/AIDS Bureau D) New York State Department of Health AIDS Institute

17. 17 Which organization has been awarded to develop the National Quality Center and the National HIVQUAL Project? Test Question A) Johns Hopkins University B) Institute for Healthcare Improvement C) Health Resources and Services Administration D) New York State Department of Health AIDS Institute

18. 18 Quality Improvement Publications QI Publications

19. 19 Quality Improvement Publications QI Publications

20. 20 Quality Improvement Publications QI Publications

21. 21 Quality Improvement Publications QI Publications

22. 22 Quality Improvement Publications

23. 23 Quality Improvement Tools QI Tools

24. 24 Quality Improvement Publications QI Tools

25. 25 I work in a primary care clinic that already has a pretty good quality improvement program. We have HIV-related quality measures in place; we just want to make some changes to improve our HIV care. The best publication for us to start with is: Submit Test Question QI Resources A) Measuring Clinical Performance B) HIVQUAL Workbook C) Improving Care for People Living with HIV/AIDS Disease Manual D) HIVQUAL Group Learning Guide

26. 26 Our HIV program is just starting out and we want to get a detailed look at the entire quality management spectrum. Where should we start? Test Question QI Resources A) Measuring Clinical Performance B) HIVQUAL Workbook C) Improving Care for People Living with HIV/AIDS Disease Manual D) HIVQUAL Group Learning Guide

27. 27 I work in a network of HIV providers and need to train others on the concepts of quality improvement. What are the best resources for me as a QI trainer? Test Question QI Resources A) Measuring Clinical Performance B) HIVQUAL Workbook C) Improving Care for People Living with HIV/AIDS Disease Manual D) HIVQUAL Group Learning Guide

28. 28 Technical Assistance Resources National Quality Center NYSDOH AIDS Institute 90 Church Street—13th floor New York, NY 10007-2919 212-417-4730 Info@NationalQualityCenter.org QI Resources

29. 29 Technical Assistance Resources National HIVQUAL Project NYSDOH AIDS Institute 90 Church Street—13th Floor New York, NY 10007-2919 212 417 4536 HIVQUAL@health.state.ny.us QI Resources

30. 30 Pop Quiz QI Resources

31. 31 NQC and HIVQUAL: 2 TA Resources NQCHIVQUAL Project Funding byHRSA HIV/AIDS BureauHRSA HIV/AIDS Bureau/DCBP AwardeeNYSDOH AIDS Institute Overall PurposeTo build capacity for quality improvement to improve the quality of HIV care and services nationally Ryan White GranteesAll Parts and other Ryan White grantees (e.g., AETCs) Part C and Part D Technical AssistanceLevel 1: QI Information Dissemination Level 2: Training and Educational Fora Level 3: Short-term on/off-site Consultation Intensive on/off-site Consultation QI Resources

32. 32 NQC and HIVQUAL: 2 TA Resources NQCHIVQUAL Project Consultative Goals TA Consultation Assistance in achieving clearly defined and agreed TA goals through consultation and coaching Engagement in long-term relationship to strengthen QM program through consultation and coaching (with identified consultant); self-reporting of HIV quality performance data via HIVQUAL3 and comparative data Length of TAShort-term (3-8 months)Long-term (ongoing) TA RequestCall NQC directly; visit the NQC website; contact your HRSA Project Officer Contact HRSA Project Officer QI Resources

33. 33 What is the correct difference between HIVQUAL and NQC? Test Question QI Resources A) NQC is funded by the Division of Community Based Programs, whereas HIVQUAL is funded solely by the HIV/AIDS Bureau. B) NQC provides short-term, on-site technical assistance and HIVQUAL provides long-term technical assistance. C) NQC only works with Part C and Part D grantees; HIVQUAL works with all Parts and other Ryan White Grantees (e.g AETCs). D) HIVQUAL is managed by the AIDS Institute, whereas the National Quality Center functions independently of the AIDS Institute.

34. 34 Key Points Many resources exist about how to make improvements in HIV care Become familiar with these and use them The NQC website is a great place to start Help others in your organization learn about these resources too Key Points

35. 35 Please Rate This Tutorial By Indicating How Your Response To The Following Statements. Was this Tutorial helpful to you? Did this Tutorial meet your expectations and goals? Was the Tutorial clearly organized and easy to use? Would you recommend this Tutorial to colleagues of yours? Yes, a lot Yes, a little NeutralNo, not very muchNo, not at all Submit Evaluation

36. 36 Related Tutorials To learn more about the National Quality Center, study Tutorial 1 To learn more about the Ryan White Program and its expectations for quality, study Tutorial 3 To learn more about the HIVQUAL Project, study Tutorial 8 To learn more about improvement collaboratives, study Tutorial 12 and Tutorial 15 Related Tutorials

37. 37 The Quality Academy For further information, contact: National Quality Center New York State Dept. of Health 90 Church Street, 13 floor New York, NY 10007-2919 Work: 212.417.4730 Fax: 212.417.4684 Email: Info@NationalQualityCenter.orgInfo@NationalQualityCenter.org Or visit us online at NationalQualityCenter.org In Closing