HIV Quality Learning HIV Quality Learning Network ModelNetwork Model

AIDS Institute, NYSDOHAIDS Institute, NYSDOHFood and NutritionFood and Nutrition

Quality Learning Network Quality Learning Network Johanna Buck, Quality Consultant Johanna Buck, Quality Consultant

October 13, 2006October 13, 2006

HIV Quality Learning Networks:HIV Quality Learning Networks:GoalsGoals

Improve the quality of HIV care and Improve the quality of HIV care and servicesservices

Strengthen the quality infrastructure Strengthen the quality infrastructure

of HIV providersof HIV providers

HIV Quality Learning Networks:HIV Quality Learning Networks:GoalsGoals

Increase competency in performance Increase competency in performance measurement and quality measurement and quality improvement strategies at the improvement strategies at the provider levelprovider level

Provide an opportunity for ongoing Provide an opportunity for ongoing networking and peer learningnetworking and peer learning

HIV Quality Learning Network:HIV Quality Learning Network:FrameworkFramework

Quality of Care Performance DataQuality of Care Performance Data Specific HIV Quality Program Specific HIV Quality Program Peer Learning Peer Learning Targeted Coaching and SupportTargeted Coaching and Support

Quality of Care Performance Quality of Care Performance DataData

Identify common issues through Identify common issues through performance dataperformance data

Measure tests of changeMeasure tests of change Monitor changes in performance Monitor changes in performance

scoresscores

Quality Program ModelQuality Program Model

HIV-specific quality infrastructure HIV-specific quality infrastructure supportive of performance supportive of performance measurement and quality activities measurement and quality activities

Inclusion of HIV specific quality Inclusion of HIV specific quality improvement in overall improvement in overall organizations goals for qualityorganizations goals for quality

Infrastructure thanks to Bruce Agins, MD

Peer Learning ModelPeer Learning Model

Exchange of ideas through Quality Exchange of ideas through Quality Learning Network activities –half or Learning Network activities –half or full day meetings, provider full day meetings, provider presentations, website, conference presentations, website, conference calls and next steps mailingscalls and next steps mailings

Sharing of successful strategies and Sharing of successful strategies and best practicesbest practices

Dissemination of innovationDissemination of innovation

Targeted Coaching and Targeted Coaching and SupportSupport

Assist providers as needed in identifying Assist providers as needed in identifying quality infrastructure needs and quality infrastructure needs and developing action plans – organizational developing action plans – organizational assessmentassessment

Provide guidance as needed in Provide guidance as needed in developing specific quality improvement developing specific quality improvement projects and in selecting and testing projects and in selecting and testing changeschanges

Support and sustain quality effortsSupport and sustain quality efforts

Expectations for Expectations for ParticipationParticipation

A “point person” as key contact for A “point person” as key contact for Network activitiesNetwork activities

Regular attendance at meetings and Regular attendance at meetings and conference callsconference calls

Complete an annual organizational Complete an annual organizational assessment with a quality consultantassessment with a quality consultant

Expectations continued..Expectations continued..

Design and implement quality Design and implement quality improvement projectsimprovement projects

Ongoing communication with Ongoing communication with organizational leadershiporganizational leadership

Organizational Assessment Organizational Assessment ComponentsComponents

Quality StructureQuality Structure Quality PlanningQuality Planning Quality Performance MeasurementQuality Performance Measurement Quality Improvement ActivitiesQuality Improvement Activities Staff InvolvementStaff Involvement Evaluation of Quality ProgramEvaluation of Quality Program

Assessment Process Assessment Process

Assessment allows exchange of Assessment allows exchange of information information

Areas of highest priority become Areas of highest priority become apparentapparent

Resources can be identified and Resources can be identified and deployeddeployed

Re-assessment tracks progressRe-assessment tracks progress

Current and Planned Quality Current and Planned Quality Learning NetworksLearning Networks

Title I Mental Health Title I Mental Health Case Management Case Management Adult Day Treatment Adult Day Treatment Substance Use Substance Use Treatment Adherence Services Treatment Adherence Services NYC Health and Hospitals Corporation HIV NYC Health and Hospitals Corporation HIV

Primary CarePrimary Care Food and NutritionFood and Nutrition Coming soonComing soon: Harm Reduction and : Harm Reduction and

Housing NetworksHousing Networks

„„Knowing is not enough; Knowing is not enough;

We must apply.We must apply.

Willing is not enough; Willing is not enough;

We must do.“We must do.“

GoetheGoethe