1. Strengthening and Improving the HIV Care Continuum within Ryan White HIV/AIDS Program Part A Jurisdictions Year 3 - Learning Collaboratives Health Resources and Services Administration HIV/AIDS Bureau Division of Metropolitan HIV/AIDS Programs Abt Associates

2. Agenda Purpose of Technical Assistance Cooperative Agreement
Review of Care Continuum Learning Collaborative (CCLC)
CCLC Topics and Approach
CCLC Timeline
Questions & Answers

3. Background and Context

4. Unique and Critical Role of Part A Jurisdictions
Roughly 72% of PLWH in the 52 Part A jurisdictions
Ever-changing epidemic, clinical & financial paradigm
Not just a set of discrete services but a community- based system of care
Public health focus, data-driven, responsive procurement
HIV care continuum and evidence based/informed interventions

5. Purpose of Technical Assistance Cooperative Agreement
(TA CA)

6. Purpose of the CCLC TA CA
Affect positive outcomes along the HIV care continuum by providing guidance and technical assistance using a collaborative learning approach and rapid improvement principles and practices
Apply data driven evidence based strategies for improving population level health outcomes
Scale-up interventions to improve HIV outcomes by stimulating action across jurisdictions and among many partners

7. Why Learning Collaborative?
Recipients learn from each other and from experts
Reliance on distance technology to grow and sustain “cyber teams” of self-selected individuals
Innovation fueled by frequent, non-hierarchical communication patterns
Work patterns characterized by transparency and openness to contributions from all participants

8. Glossary of Terms Terms Working Definition Part A Recipient
The EMA or TGA agency/organization that is the recipient of record.
Part A Jurisdiction
The geographical area served by the Part A recipient, including its network of partners and stakeholders.
Learning Collaborative
A set or group of Part A recipient jurisdiction representatives (referred to as teams) from multiple Part A jurisdictions working together on a specified domain.
Learning Collaborative Team
A group of Part A recipient staff and stakeholder
/partner network representatives from a given Part A jurisdiction jointly participating in a Learning Collaborative.

9. Glossary of Terms Terms Working Definition
Learning Collaborative Liaison
An assigned staff member from the Abt Team who will act as the facilitator/convener of all Learning Collaborative calls and other group activities.
Faculty
A set of Abt Team staff, HAB staff and expert consultants available to deliver technical content, training and TA to support the work and goals of a Learning Collaborative.
Learning Session
Any group meeting of the sets of Part A teams that comprise a Learning Collaborative. Such a meeting could involve a formal training session by expert faculty, or a group meeting for internal discussion.

10. CCLC Leadership & TA Team
HAB
Abt Team
Abt Associates
NASTAD
Mission Analytics Group
Expert Consultants
National Expert Stakeholder Committee (NESC)
Other external experts

11. National Expert Stakeholder Committee (NESC)
Name
Organization
Expertise
Ronald Bayer, PhD
Columbia University
Social Justice and Ethics
Nanette Benbow, MS
Chicago Department of Public Health
HIV Surveillance, Data Monitoring and Health Outcomes
Jeff Crowley, MPH
O’Neill Institute
HIV/AIDS Policy, Strategy and Assessment
David Evans
Research Advocacy Project
HIV Surveillance, Data Monitoring & Linkage to Care
Ernest Hopkins, BA
San Francisco AIDS Foundation
HIV/AIDS Policy and Advocacy re: Black MSM

12. National Expert Stakeholder Committee (NESC)
Name
Organization
Expertise
Eve Mokotoff, MPH
HIV Counts
HIV/AIDS Surveillance
Michael Mugevaro, MD, MHSc
University of Alabama
Clinical Research and Treatment
Linda Scruggs, MHS
Ribbon Consulting Group
Women and Youth Stakeholder Advocacy
Patrick Sullivan, DVM, PhD
Emory University
HIV Surveillance, Data Monitoring and Health Disparities
Jan Carl Parks, MA, MPA
New York City Planning Council
Part A Planning Council

13. Review of
CCLC

14. CCLC Part A Sites
25 Part A Recipients participated in CCLC

15. 2016-2017 CCLC Domains Data Access and Coordination
Using Data to Inform the Need for, and Selection of Evidenced-based/informed Approaches
Identifying and Implementing Targeted Evidenced-based/informed Interventions
Linkage to Care
Changing Healthcare Landscape

16. Sample Part A CCLC Successes
Peer to Peer retention program implemented
Data to Care program developed and launched
Non-Ryan White providers trained on HIV/AIDS care standards
New Part A data system launched
Existing retention in care processes enhanced
Quality Management Plan revised to include youth- specific interventions
‘Barriers to care’ tracking tool developed and piloted

17. 2017-2018 CCLC Topics and Approach

18. This Year’s Approach
The previous set of CCLC groups employed a hybrid community of practice/learning collaborative approach
This year’s topics will employ a more classic learning collaborative design, involving more standardized:
Curricula
Goals
Measures
Shorter timeframe (9 months)
Availability and use of virtual tools will remain the same

19. CCLC Topics
Part A Driven Data to Care – Exploring ways for Part As to lead Data to Care Initiatives to best meet jurisdictional needs.
Integrated Networks to Support Better HIV Care Treatment from Non RW Providers – Developing approaches to coordinate care across providers who are not part of RWHAP funded sites.
Retention in Care (Youth , Transgender and Interpersonal Violence) – Determining best practices for disproportionality affected populations.
Pay for Performance Models – Creating approaches to incentivize quality improvement among Part A Subrecipients.

20. Part A Learning Collaborative Team
Suggested Learning Collaborative Team Members:
Part A Staff (e.g., Directors, CQM Staff, etc.)
Planning Council Members
Ryan White Part B Program Staff
State and/or local HIV Surveillance Staff
HIV Service Providers
Integrated HIV Prevention and Care Planning Body Members
Teams may look different across Learning Teams and may be comprised of varying numbers of individuals

21. Learning Collaborative Platform
Accelerating Change Through Interactive Online Networks (ACTION) Portal
Allows for bi-directional screen and video image sharing
Platform will serve as central mechanism for teams to interact, discuss, share, and collaborate
Functionality
Regular posting and sharing of information in “real time”
Synchronous and asynchronous communication
Online document repository
Expert moderated discussion boards
Peer to peer mentoring/ virtual site visit support
Request function for individualized TA

22. CCLC In Action

23. Abt Team Role
Develop learning sessions that provide participants with the best and latest information for each learning collaborative
Convene and facilitate monthly meetings
Identify experts to deliver learning session content
Provide group and 1-1 TA as requested by participants
Host ACTION Portal: post and disseminate resources within and across learning collaboratives

24. Participant Commitment
Attend monthly cyber team meetings with other Part As working on the same topic
Create an Action Plan that defines and guides jurisdictional goals and activities
Actively engage with and share expertise across peers
Share examples of materials for use by other participating Part As
Provide beginning, mid-line and end line evaluation data (low-burden design)

25. CCLC Timeline

26. Next Steps
Mid-October Part A’s will receive invitation to log on and select from new CCLC topics
Mid-November new Learning Collaboratives kick-off
Launch Learning Collaboratives:
Regular, interactive meetings using ACTION Portal
Learning collaborative-based organized training and technical assistance sessions
Training and Technical Assistance outreach
Determine Measures based upon participating Part A’s goals

27. Questions
and
Discussion