Quality Improvement

Ensuring our HIV Care Is the Best It Can Be

What is Quality?

“Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” – Institute of Medicine. Medicare: A Strategy for Quality Assurance. Vol.  1.

Quality Improvement Focuses on:

  • Improving HIV care
  • Continuously improving processes/systems and health outcomes
  • Meeting the needs of our consumers
  • Engaging everyone involved in the process to improve the healthcare system
  • Gathering just enough data to understand the process
  • Using small sequential improvement tests (Plan-Do-Study-Act cycles) that build on each other
  • Processes, not people
  • Data drives quality improvement actions

Quality Improvement Teams Make Improving our HIV Care Possible:

  • Pediatric Quality Improvement Team – this team focuses on improving processes and systems for the WU Pediatric HIV clinic. The focus of this year’s quality improvement effort is retention and viral load supression. The team also participates in the H4C QI collaborative.
  • Core Quality Improvement Team – this team improves the quality of care within the WU Adult Infectious Diseases Clinic. The team includes members from all areas of client care (nurse, physicians, nurse practitioner, case managers, executive director, and data coordinators). Past quality improvement projects focused on syphilis screening, risk reduction messages, cervical cancer screening (Pap smears), retention, and medication reconciliation.  Currently the team is focused on self-administered triple STI screeningThe team also participates in the H4C QI collaborative.
  • Medical Case Management Quality Team – compromised of medical case managers for adults, youth, women, children and families this team works towards improving health outcomes for clients enrolled in medical case management. Past QI projects include standardization and implementation of risk reduction counseling for all case management clients with a newly diagnosed STD.  The team is now working on educating clients about lab values and viral load suppression.
  • St. Louis University New Hope Clinic Quality Improvement Team – each member of the New Hope Clinic staff participates in the quality improvement team that is charged with improving HIV care at New Hope. The team has previously worked on retention and STD screening. The current QI focus is on improving the different touch points (stations) of the medical visit. The team also participates in the H4C QI collaborative.

Resources for Quality Improvement:

  • The National Quality Center: “The National Quality Center, in conjunction with HRSA HIV/AIDS Bureau, provides no-cost, state-of the-art technical assistance for all Ryan White HIV/AIDS Treatment Modernization Act of 2006 funded grantees to improve the quality of HIV care nationwide." 
o   Quality Academy – brief tutorials for topical areas of quality improvement 
o   Retention Efforts in Quality Improvement – the in+care campaign 
  • The Institute for Healthcare Improvement: “The Institute for Healthcare Improvement (IHI ) believes that everyone deserves safe and effective health care, and we have been working with health care providers and leaders throughout the world to fulfill that promise.”