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

2. 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

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

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

5. Structure of QM Plan Mission statement Purpose
Goals and Objectives
Accountability

6. 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

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

8. 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

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

10. 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!

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