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HIV Care Program

Quality Management Program

Overview

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:

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;
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
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.

2008 Goals and Objectives

Goal 1: Implement the statewide Ryan White Part B quality management plan. Objectives include:

Monitor statewide outcome measures.
Provide at least 3 quality improvement/management training courses to at least 40 persons by March 31, 2009.
Assure quality improvement projects occur at state and local levels by conducting regular State Office CQI committee meetings and monitoring local CQI activities through reports and technical assistance.
Communicate findings to key stakeholders at least biannually.
Update the QM plan at least annually and the QM workplan at least quarterly.
Require that all Ryan White Part B funded-sites revise written QM plans by July 31, 2008, and submit quarterly QM progress reports.

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

Increase the percentage of Georgia ADAP clients recertified for ADAP eligibility criteria at least annually to 95% or greater.
Increase the percentage of newly applying Georgia ADAP clients approved or denied for ADAP services within 2 weeks of ADAP receiving a complete application to 95% or greater.
Increase the percentage of correctly completed new ADAP applications submitted to ADAP to 95% or greater.

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

Increase the percentage of active HICP clients recertifying before their 6 month due date to prevent delays in payment of health insurance premiums to 95% or greater.
Increase the percentage of correctly completed new HICP applications submitted to HICP to 95% or greater.

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

Monitor key clinical performance measures in all 16 Part B funded sites at least annually.
Implement Part B case management standards statewide.
Assess adherence activities, procedures, and polices by Dec. 2008.
Expand across Ryan White Programs (Parts A, B, C, and D) quality related collaboration.
Screen HIV-infected clients for mental health and substance abuse initially and at least annually.
Explore the current state of care for managing HIV-infected pregnant women in GA.

Publications/Guidelines

Georgia Ryan White Program Part B Quality Management Plan April 2008-March 2009 PDF

HIV Medical Guidelines for the Care of HIV-Infected Adults and Adolescents PDF
Guidelines for medical, nursing, and nutrition therapy providers delivering care services to HIV infected adults and adolescents in Ryan White funded public health clinics in Georgia.

Georgia HIV/AIDS Case Management Standards July 2008 PDF

HIV Clinical Chart Review Summary Report PDF

Nurse Protocols for HIV/AIDS
Nurse Protocol Manual 2008, Georgia Department of Public Health

The Clinical Manual for Management of the HIV-Infected Adult
AIDS Education and Training Centers (AETC) manual

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.