You are here

Quality Management Program

The Ryan White HIV/AIDS Treatment Modernization Act of 2006 requires clinical quality management (QM) programs as a condition of grant awards. The QM expectations for Ryan White Program Part B grantees include:

  1. Assist direct service medical providers funded through the CARE Act in assuring that funded services adhere to established HIV clinical practice standards and Public Health Services Guidelines to the extent possible;
  2. Ensure that strategies for improvements to quality medical care include vital health-related supportive services in achieving appropriate access and adherence with HIV medical care; and
  3. Ensure that available demographic, clinical and health care utilization information is used to monitor the spectrum of HIV-related illnesses and trends in the local epidemic.

2014-2015 Goals and Objectives

Goal 1: Continuously implement a statewide RW Part B quality management plan, which is updated at least annually.

Objectives include:

1.a.  Provide at least two quality improvement (QI) /quality management (QM) training workshops based on identified needs.  

1.b.  Assure that at least two quality improvement projects occur at the state and local level during the year. 

1.c.  Assure that at least two quality improvement activities occur in each district during the year.

1.d.  Communicate findings to key stakeholders at least biannually.

1.e.  Update the QM plan at least annually and the QM work plan at least quarterly.

1.f.  Require that all districts revise written QM plans annually, and submit quarterly QM progress reports.

 

Goal 2: Improve efficiency of the Georgia AIDS Drug Assistance Program (ADAP).

Objectives include: 

2.a.  Increase the percentage of new ADAP applications approved or denied for ADAP enrollment within 2 weeks of ADAP receiving a complete application to 95% or greater.

2.b.  Increase the percentage of Georgia ADAP clients recertified for ADAP eligibility criteria at least semi-annually to 85% or greater.

2.c.  Increase the percentage of correctly completed waiting list ADAP applications submitted to ADAP to 85% or greater.

2.d.  Conduct an internal audit of up to 5% of ADAP new client application forms annually.

2.e.  Monitor programmatic compliance and adherence to antiretroviral regimens.

2.f.  Systematically review data collected by the ADAP to identify inappropriate antiretroviral regimens or components. 

 

Goal 3: Improve efficiency of the Georgia Healthcare Insurance Continuation Program (HICP).

Objectives include:

3.a.  Increase the percentage of active HICP clients recertifying before the 6 month due date to prevent delays in payments for health insurance premiums to 95% or greater.

3.b.  Conduct an internal audit quarterly of up to 5% of HICP new client application forms.

 

Goal 4: Improve the quality of health care and supportive services.

Objectives include:

4.a.  Monitor performance measures in all 16 Part B funded sites at least annually.

4.b.  Design and implement statewide CQI projects to improve two In+Care/new HAB Core performance measures

4.c.  Monitor the implementation of the Acuity Scale and Self Management Model.

4.d.  Revise the Georgia HIV/AIDS Case Management Standards.

4.e.  Coordinate quality-related activities across Ryan White Programs (Parts A, B, C, and D) in Georgia. 

4.f.  The percentage of HIV-infected pregnant women prescribed antiretroviral therapy will be 95% or greater.

4.g.  Revise the Georgia Medical Guidelines for the Care of HIV-Infected Adults and Adolescents.

4.h.  Monitor measures to verify compliance with HRSA regulations related to the health insurance marketplace.

4.i.   Monitor In+Care Campaign Measures and utilize data to facilitate quality improvement.

4.j.   Continually monitor compliance with RW Part B program requirements.

Publications/Guidelines

AIDSInfo

Guidelines for the Treatment of HIV/AIDS, U.S. Department of Health and Human Services

Training

Part B QM staff members provide quality improvement related training and technical assistance for Ryan White funded providers throughout Georgia. To date they have conducted training on the following topics: how to develop a quality management plan, the fundamentals of quality management, and performance measurement.

The National Quality Center (NQC) developed internet-based quality improvement learning modules, which are free and readily available for self-paced learning. These tutorials are online at the NQC, Quality Academy. The Part B QM staff highly recommends that all persons working with Ryan White funded programs complete these tutorials.

Links

AIDS Education and Training Centers (AETC)
Training and education programs for healthcare providers treating persons living with HIV/AIDS

AIDSInfo
Guidelines for the Treatment of HIV/AIDS, U.S. Department of Health and Human Services

HIV/AIDS Bureau (HAB), Performance Measures
Core performance measures for adult and adolescent HIV care

National HIVQual Project
Quality improvement capacity building for HIV ambulatory care clinics, including annual submission of computerized data on quality indicators

National Quality Center
Quality improvement technical assistance, tools, measures, and training.

Contact: Quality Management Team Lead, (404 )657-3113