Celebrating 14 years of leading innovations across the Ryan White community.


NQC e-Newsletter | Your expert guide to resources and technical assistance focusing on improving HIV care.


The National Quality Center (NQC) was proud to participate in and present at the 2016 National Ryan White Conference on HIV Care and Treatment. 
Over 400 people attended our quality improvement workshops and networking sessions. We were also pleased to be able to co-present with various recipients from around the country. Visit the NQC website to access our presentations slides.

We are also pleased to announce a new initiative that focuses on ending disparities in HIV care. Check out the article below to learn how you can participate.  
Also highlighted this month is the fine work of the DC EMA Collaborative; this year's Award for Sustainable Clinical Quality Management Program winner. The work of this collaborative is a stellar example of how Ryan White HIV/AIDS Program recipients are striving to ensure the delivery of the best possible HIV care.


Clemens Steinbock
Director, National Quality Center

> This Issue

In This Issue...
> NQC Announcement | NQC Launch es New Initiative to Reduce HIV Disparities
T he National Quality Center (NQC), in collaboration with the HRSA HIV/AIDS Bureau (HAB), has launched a new quality improvement initiative called the end+disparities Learning Exchange that seeks to work towards eliminating disparities in HIV care.
In July 2015, the White House released the National HIV/AIDS for the United States: Updated to 2020, emphasizing the importance of addressing disparities related to HIV. Four subpopulations were found to be exceedingly vulnerable to HIV-related inequalities:
  • MSM of Color
  • African American and Latina Women
  • Youth (aged 13 to 24 years)
  • Transgender People
The Learning Exchange will promote the application of quality improvement interventions with the ultimate goal of increasing viral suppression rates for these four disproportionately affected HIV subpopulations. Learn more at www.enddisparitiesExchange.org
Our first webinar is October 20, 2016 from 1-230pm ET where we'll introduce the Learning Exchange, it's activities, tools, and offerings. Register today!

>   NQC Update | NQC at the National Ryan White Conference: Let's Continue the QI Journey
The National Quality Center (NQC) actively participated in the 2016 National Ryan White Conference on HIV Care and Treatment, which was held from August 23-26, 2016 in Washington, DC.
NQC held six workshops focused on quality improvement and other topics such as disparities in healthcare. In addition to these workshops, NQC offered recipients an exhibit booth staffed by NQC staff to answer recipients' quality improvement-related questions and to disseminate a plethora of quality improvement publications; and two networking sessions (one for HIVQUAL Regional Group participants and one for H4C Collaborative participants) to interact with peers. 
As a result, approximately 370 individuals participated in NQC-sponsored workshops and 57 individuals attended our networking sessions.
A plethora of quality improvement materials were available for recipients at the exhibit booth and over 1,800 publications were disseminated at the conference.
All workshop presentations can be found | https://NationalQualityCenter.org/RWConference
Quality Award Profile | Award for Sustainable Clinical Quality Management Program : DC EMA Cross-Parts Collaborative
The DC Collaborative is a regional network of over 30 community partners. Formed in 2011, it builds capacity to improve the quality of care provided to people living with HIV (PLWH) in the DC EMA. The vision of the group is to provide technical assistance (TA) and resources in quality management (QM) to DC EMA recipients and subrecipients so that they can provide high-quality HIV health care and support services. The Response Team, comprised of representatives from governmental entities, health care providers, community partners, as well as consumers, has led the Collaborative for five years and helped to overcome challenges such as limited funding, high turnover, diverse needs across the network of providers and consumers, and competing priorities.
The Collaborative has demonstrated impact in improving knowledge and capacity of participants to engage in key components of a CQM program. Measured during each learning session, held quarterly, the results from the NQC Cross-Part Collaboration Assessment indicate incremental and sustained improvement among learning session participants.
Each of the participants from the various agencies has made improvements during the Collaborative. Sustaining this capacity-building infrastructure has created a culture of quality across the EMA. Through this shared learning experience, the region has been able to sustain a mechanism to systematically monitor, evaluate, and continuously improve the quality of HIV care and services provided to over 9,000 PLWH in the EMA. EMA-wide quality improvement projects have addressed syphilis screening, PCP prophylaxis, retention in care, oral health, patient engagement/viral load suppression, Pap smears, and the UNAIDS 90-90-90 care continuum project.
Congratulations to the DC EMA Cross-Parts Collaborative!
> Quality Award Profile | Award for Leadership in Quality: Deana Hayes
Deana Hayes, a peer educator at the Truman Medical Centers (TMC) in Kansas City, Missouri, played a lead role in designing, implementing, evaluating, and sustaining a project called Snapshots
. The project uses posters with pictures and stories (photo-stories) of PLWH to enhance adherence motivation, adherence self-efficacy, and communication with providers about adherence among patients at TMC.
As part of the project, PLWH share their experiences with medication adherence via images, discuss their pictures, and then design medication adherence posters for the clinic walls and waiting rooms. PLWH who saw the posters reported greater self-efficacy to stay adherent and praised the way that the posters have reached them, taught them, and inspired them. In her role as project lead, Deana recruited other PLWH to create posters. As a PLWH herself, Deana also made her own poster. She helped to disseminate the posters and to create presentations about the posters. She also recruited other PLWH to evaluate the posters.
A patient at TMC described how Deana used the posters to make her feel better.
Deanna asked me if I had seen the posters. I go, 'What posters?' She showed me, we stopped, and I read a couple of them. She was anxious to show me...I'm more open with her [than my doctor]. I guess because she's positive, too. And when I read a couple of them she said, 'You see you're not alone, you know. Can you see yourself in these statements?' I'm like, 'Yeah,' and it made me feel better, because I was feeling down that day. I guess that's why she snatched me out of the room and showed me the posters.
Congratulations Deana!
> NQC Update | ShareLab: A Community of Learners
Developed as part of the in+care Campaign, NQC's ShareLab helps Ryan White HIV/AIDS Program recipients and subrecipients access improvement strategies of others and share their own quality improvement interventions. This resource is built on the vision that:
  • Collective wisdom of end users in the HIV field and their voluntary commitment to document their innovative idea provides an opportunity for learning;
  • Sharing of innovative strategies is an important aspect of peer learning, and
  • Users have the capacity to advance this project with minimal involvement of NQC staff and coaches.
The first ShareLab topic "trees" focus on retention in care and viral suppression. ShareLab is expected to grow to encompass many other quality improvement strategies related to HIV and, eventually, those relating to other diseases.
This online application allows registered users to explore improvement interventions. In addition, users can enter interventions of their own, rate posted strategies, and reply to entries made by others. A range of search and navigation features allows great flexibility and access to information.
Check out ShareLab and add your improvement intervention | http://nationalqualitycenter.org/nqc-activities/nqc-sharelab

> Oct. 2016 | Issue 100 | Vol 7

 Join the Leaders!  Take the QI Challenge and find out your QI IQ
> Upcoming  Events | Oct. 

Oct. 27  l  TA Webinar   l   Peer Learning Session by 2016 NQC Quality Award Winners

National Quality Center

New York State Department of Health

AIDS Institute

90 Church Street, 13th floor

New York, NY 10007-2919

Phone | 212.417.4730

Fax | 212.417.4684



Improving HIV Care.

> NQC Update | NQC's 2017 Trainings 
NQC is looking forward to 2017 and is busy finalizing our training schedule. In 2017, NQC will be offering Training of Trainers (TOT) and Training of Quality Leaders (TQL) Programs.
The TOT session is designed for those individuals with a strong experiential background in quality management and provides participants exposure to adult learning theories and training resources. TOT graduates are prepared to plan engaging and effective QI workshops. They also connect with other quality improvement experts and peers facing similar challenges. Since the purpose of the TOT program is capacity building, participants are asked to lead at least three trainings within 120 days of completing the session.
The TQL session provides the opportunity for participants to build their capacity to enhance their own expertise in quality management and also build the skills needed to work as facilitators to guide the development of sound clinical quality management programs and/or quality improvement projects.
Make 2017 the year to build your quality management skills. Stay tuned for more details on the upcoming NQC trainings.
Quality Question of the Month | How Can Recipients Better Assist Subrecipients in Quality Improvement Activities?

Ryan White HIV/AIDS Program recipients are required to establish a clinical quality management (CQM) program to:
  • Assess the extent to which HIV health services provided to patients under the grant are consistent with the most recent Public Health Service guidelines, (otherwise known as the HHS guidelines) for the treatment of HIV disease and related opportunistic infections; and
  • Develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to, and quality of HIV services.
Subrecipients are part of this process and recipients can play a role in building their quality infrastructure in such areas as leadership, staffing and resources, consumer and stakeholder involvement, development of a quality management plan, and evaluation of quality activities. NQC has many resources that recipients can use to build the quality skills of subrecipients. From training materials, development of staff skills, and even in-person support from our coaches, NQC is here to help you integrate quality management activities throughout your entire network of subrecipients.
Here are some NQC resources to assist you:
Both a step-by-step guide to assist recipients in developing the quality management activities of their subrecipients and a handy reference guide for recipients that may need some ideas on how to improve their existing network.
NQC Quality Academy
This tutorial will explain how to conduct PDSA Cycles and their importance in the improvement process. 
This tutorial provides introductions to helpful tools for understanding processes and making sense of, and sharing, your data.   
In order to develop the quality management programs of your subrecipients, recipient staff should be able to provide support and guidance to their quality programs. The TCB helps develop effective coaches that can go forth and provide guidance and support.
> National TA Webinar P eer Learning Session by 2016 NQC Quality Award Winners

This month we are pleased to bring you presentations by a few of the 2016 NQC Quality of Care Award winners. This webinar is a chance to learn what your peers are doing in programs that have shown themselves to be exemplary and have made an impact on the quality of care these organizations and individuals provide. We will have three presentations, two from the category of measurable improvements in HIV care and one from the category of sustainable clinical quality management programs. Please join us for this exciting learning opportunity.
Meeting information
Topic: Peer Learning Event
Date: Thursday, October 27, 2016
Time: 3:00 pm, Eastern Daylight Time (New York, GMT-04:00)
Meeting Number: 645 099 450
Meeting Password: nqctacall123
To start or join the online meeting
Audio conference information
1. Provide your number when you join the meeting to receive a call back. Alternatively, you can call one of the following numbers:
Local: 1-518-549-0500
Toll Free: 1-844-633-8697, Alternate Toll F ree - 866-776-3553
2. Follow the instructions that you hear on the phone.
Cisco Unified MeetingPlace meeting ID: 645 099 450
To add this meeting to your calendar program

> About Us


We provide no-cost, state-of-the-art technical assistance to all Ryan White Program-funded grantees to improve the quality of HIV care nationwide.  


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This document is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U28HA041321200. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.