Quality Improvement is an organizational approach to improving quality of care and services through use of specified principles and methodologies (e.g., leadership, staff involvement, teamwork, consumer involvement, a continuing cycle of improvement activities and performance measurements).
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Best Practices
- HRSA Bureau of Primary Health Care (BPHC), Centers for Disease Control and Prevention (CDC)Toolkit to help Health Centers expand the provision of HIV services.
- Best Practices CompilationThe Adolescent Quality Learning Network (AQLN) identified barriers to sexual health care in four areas: sexual health assessment; receipt of sexual health counseling; three-site STI testing; and receipt of STI treatment. The AQLN then tested approaches to address the identified barriers including opt-out testing, self-rectal swabs, and creating a sex positive environment in the clinic. After one year, the AQLN found improvements in the percentage of clients assessed for sexual health risks, as well as improvements in testing and treatment of STIs.
- Best Practices CompilationThe Virginia Commonwealth University implemented a clinical quality improvement project to increase linkage to HIV medical care within 30 days and initiation of antiretroviral therapy (ART) at the first visit by making “Rapid Access” appointments available each week for people with newly diagnosed HIV.
- Best Practices CompilationSoutheast Mississippi Rural Health Initiative, Inc., a network of community health centers serving Southern Mississippi, uses data-driven quality improvement techniques to identify youth who are not virally suppressed or have missed appointments. Medical case managers use a client checklist to identify and address barriers to antiretroviral therapy (ART) and medical care adherence. They also use a health literacy visual illustration tool to help youth understand the effects of ART on viral suppression. The intervention strategy was successful in improving viral suppression rates for youth.
Resources
- Center for Quality Improvement and Innovation (CQII)How to elevate patient voices and use and interpret indicators (PROMS and PREMS), developed by CQII and pilot sites, that assess the quality of healthcare, including HIV treatment, and the health care experience based on individual feedback from patients.
- Center for Quality Improvement and Innovation (CQII)Best practices, necessary skills and strategies for initiating and sustaining patient involvement in QI across a spectrum of engagement activities.
- Center for Quality Improvement and Innovation (CQII)
Activities and tools used to conduct the end+disparities ECHO Collaborative quality improvement initiative.
- National Quality Center
Results from the HIV Cross‐Part Care Continuum Collaborative (H4C) to affect measurable improvements in broad geographic regions utilizing the HIV Care Continuum.
- Center for Quality Improvement and Innovation (CQII)
Manual for trainers to use in conducting the TCQ Program to prepare consumers take part in quality improvement efforts in HIV care agencies.
- National Quality Center
Ideas for overcoming barriers to developing sound clinical quality management programs (e.g., unfamiliarity with quality improvement concepts, lack of staff).
- Center for Quality Improvement and Innovation (CQII)
Tool for trainers on designing trainings on quality improvement in HIV care.
- New York State Department of Health AIDS Institute
Guide on ways an organization can involve consumers in quality improvment.
- New York State Department of Health AIDS Institute
Explanation of the purpose of the HIVQUAL Model and key tasks for completing each of its Program and Project Cycles.
- New York State Department of Health AIDS Institute
Step-by-step process for measuring clinical performance with the goal of improving quality of care:
- New York State Department of Health AIDS Institute
HIV-specific, validated tool to assess patient satisfaction with HIV primary care.
Training Modules
- Center for Quality Improvement and Innovation (CQII)
Interactive online training sessions to guide HIV care providers through fundamental concepts in quality improvement and teach skills to develop quality management plans.
Webinars
- Center for Quality Improvement and Innovation (CQII)
Foundational presentations on the basics of clinical quality improvement.
- Center for Quality Improvement and Innovation (CQII)Course on the basics of choosing an improvement project.
- Center for Quality Improvement and Innovation (CQII), New York State Department of Health AIDS InstituteOver 25 games and exercises to teach quality improvement more effectively in virtual learning settings.
- Center for Quality Improvement and Innovation (CQII)
Resources for use in the TQL Program including the Facilitators Guide, slide sets and the handouts used in the training.
- Center for Quality Improvement and Innovation (CQII)
Facilitator Manual for those who participate in the TCB Program and those who strive to lead activities to improve HIV care.