1. Overview and Purpose Magda Barini-García, MD, MPH
CMO - Div. of Science & Policy
Quality Lead – HIV/AIDS Bureau
HIV/AIDS Bureau
Health Resources and Services Administration
TOTAL POTENTIAL IMPACT:
IMPROVING THE QUALITY OF CARE FOR 129,000 PLHIV/AIDS -- >10% of PLHIV/AIDS in United States

2. QI Project on Pap Completion Rates
Goal: Provide care for all in accordance with U.S. Public Health Service Guidelines
Overview: HIV/AIDS Bureau QI efforts
Clinical Quality Mandate in the Ryan White Programs
PAP initiative as pilot to address:
Emphasize the US PHS Guidelines as care standards
Review of HAB Program Data on Paps
Improving data, quality and performance
Focus dialog between grantees and Project officers on QI/QM
Application of these strategies to other program areas

3. Discussion points on Paps with PO & Grantees Cervical Cancer Screening
Background: CADR data show 40% completion (cohort of 785 providers)
In looking at your CADR data…
Have you looked at your data?
Does it accurately reflect the care you provide?
What is your system for CCS/Pap completion?
What changes will you try to improve your rates?
Are Paps done on site or by referral?
How do you track the results? …abnormal findings?

4. Call to ACTION Moving from Data ==>> Action ==>> IMPROVEMENT!!
Find out what YOUR program’s Pap data is?
What does it say about your program, system of care or region?
Does it accurately reflect how well your program cares for women?
Are you proud of your data? Would you share it widely?
If the answer is “yes”, teach others and share your good work.
If the answer is “no”, how will you determine if it is the quality of
the data or
the care or
the system that needs improvement? Does the Care Model help to decide?
Who will you engage to help figure this out? Consumers, providers, other ASOs?
How would you move from data to action and improvement?
What will be your first test of change to seek improvement??