Topic: Quality Management

To measure and improve the quality of care they provide, Ryan White grantees must establish clinical quality management programs and collect data on the services they deliver. The HIV/AIDS Bureau defines quality as the degree to which a health or social service meets or exceeds established professional standards and user expectations.

The resources on this page are designed to help grantees meet these standards and expectations. They include a calendar of training opportunities, online tools and tutorials, and on-site technical assistance.

Tools and Publications

• HRSA HAB HIV Performance Measures
  Indicators developed by HAB with grantee input for providers to use in monitoring the quality of care they provide. These optional measures may be used by Ryan White HIV/AIDS Program grantees at either the provider or system level, and can further modified to meet agency needs. Grantees are encouraged to select measures that are most important to their agencies and the populations they serve. See also the PMM below.
• HIV/AIDS Bureau Quality Management Manual
  Practical guide for Ryan White-funded grantees and other HIV providers of all sizes and levels of experience includes processes and tools to develop and implement a quality management program. Available in both English and Spanish. (PDF)
  • Developing an Effective Quality Management Program in Accordance with the Ryan White HIV/AIDS Treatment Modernization Act of 2006: Frequently Asked Questions

Performance Measure Module

The Performance Measure Module (PMM) is a reporting tool in the existing Ryan White Services Report (RSR) online database accessed through the Electronic Handbooks (EHBs) which allows providers to enter aggregate data on the HAB performance measures. Providers will be able to obtain reports that compare their performance regionally and nationally. Submitting data to the PMM is voluntary. The PMM will be open to accept data for one month, three times per year. The first cycle runs from March 1 to March 31, 2012 for 2011 data.

• Performance Measure Module (PMM). Introductory memo from Dr. Cheever outlining the PMM. (PDF)
• HIV Performance Measure Module Overview (PDF)
• PMM Frequently Asked Questions (PDF)
• HIV Performance Measure Module (PMM) Training (Flash video)
  • Training Slides (PDF)
  • Questions and Chat Transcript (PDF)

Web-Based Training

• NQC Quality Academy
  This series of online tutorials includes sessions for beginning, intermediate, and advanced learners. There are multiple sessions available in each of the topic areas listed below. Selected sessions are available in Spanish. (Flash videos)
  • Introduction and Overview: NQC services, Ryan White Program expectations, and an introduction to quality improvement
  • Structuring a Quality Program: planning and developing an infrastructure
  • Measurement and Data: concepts, approaches, and tools
  • Making Improvements: Designing improvement projects, creating teams, managing change, addressing challenges
  • Organizational Change: leadership, systems analysis, collaboration
  • ADAP Tools: three tutorials for quality management in ADAP programs

National Quality Center

The National Quality Center (NQC) is the primary provider of technical assistance to Ryan White grantees. See their website for information about their current initiatives, online training, and a library of resources for grantees wishing to undertake quality improvement programs.

• Calendar of in-person and web-based training opportunities
• Request on-site technical assistance

National Quality Center Calls

See the NQC website for a complete archive of TA calls.

• Quality in Hard Times: Using Quality to Help Mitigate Budget Cuts on Care August 11, 2011
• New to Quality: QI 101 & HAB Expectations May 12, 2011
• Linking Minds, Improving Care: Coordinating Ryan White Program Parts in your Region March 10, 2011
• New Vision for Quality Improvement - 10 Rules for Quality Improvement (New) February 17, 2011
• Gaining Agency & Subcontractor Buy-in for Quality Management November 10, 2010
• Writing and Updating your Quality Management Plan March 11, 2010

HIVQUAL

HIVQUAL-US is a quality improvement program for Ryan White HIV/AIDS Part C and Part D programs. To learn more see the HIVQUAL-US website.

• HIVQUAL Group Learning Guide Training materials for 23 quality improvement workshops including background information and facilitator notes, exercises such as quizzes, role-playing games, and case studies with answer keys, participant handouts, and presentation slides. 2006.
• HIVQUAL-US Performance Data Report 2009