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 viral suppression among youth through engaging unsuppressed clients with a community nurse.
- The SPOT Quality Improvement Team – this team focuses on improving processes and systems for the SPOT HIV clinic. The focus of this year’s quality improvement effort is transition to adult medical care. The first transition element of focus is medication renewals.
- 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, data coordinators, and consumers). 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 viral suppression. The clinic participates in the end+disparities ECHO collaborative and is focused on improving viral suppression among transgender people.
- 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 and educating clients about CD4 and viral load lab values. Currently the team is focused on improving viral suppression among case managed clients through consistent communication with the client about facilitators and barriers to adherence.
- St. Louis University Infectious Diseases Clinic Quality Improvement Team – each member of the SLUCare Infectious Diseases Clinic staff participates in the quality improvement team that is charged with improving HIV care provided at this clinical site. The team has previously worked on retention and STD screening. The current QI focus is on improving viral suppression by connecting unsuppressed clients with a Health Coach and Mental Health Specialist.
RESOURCES FOR QUALITY IMPROVEMENT:
- The HIV/AIDS Bureau Clinical Care & Quality Management
- Center for Quality Improvement and Innovation (CQII): “The former National Quality Center (NQC) is now known as HRSA’s Ryan White HIV/AIDS Program Center for Quality Improvement and Innovation (CQII). CQII provides technical assistance on quality improvement to Ryan White HIV/AIDS Program recipients and sub-recipients. CQII assists Ryan White HIV/AIDS Programs structure and implement quality improvement projects.”
Quality Academy– brief tutorials for topical areas of quality improvement
- Reduce health disparities among four disproportionately affected HIV subpopulations – the end+disparities ECHO collaborative o For questions or questions or more information about CQII, email Info@CQII.org
- 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.”