Celebrating 10 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.


Season's greetings to all of you!  The staff at NQC wish you and your loved ones a joyous, happy and safe holiday season.
This month we would like to remind all Ryan White HIV/AIDS Program subrecipients that there are NQC resources available for making your clinical quality management program the best it can be.  NQC is here to support HIV providers with their quality management efforts and many quality improvement resources are available to you.  Take a moment to look over our website at NationalQualityCenter.org and see what may be of help to you.


Clemens Steinbock
Director, National Quality Center

> This Issue

In This Issue...
> NQC Update |  Calling all Subrecipients: NQC has Resources for You
NQC has a number of resources available to Ryan White HIV/AIDS Program (RWHAP) recipients (funders) and subrecipients to help them hone their skills and build a robust clinical quality management (CQM) program. Many subrecipients participated in the in+care Campaign and have utilized the wealth of NQC resources available to the RWHAP community.
Given the important role subrecipients play in the delivery of optimal HIV care at the local level, particularly in the context of the Part A and Part B networks, we want to take this opportunity to remind everyone of the many resources available from NQC. While funders set the tone for the CQM programs within their service area, NQC is here to help funders and our resources are also available to you to ensure that subrecipients meet their CQM requirements.
Quality Academy
The Quality Academy is an internet-based, modular learning program focusing on quality improvement. Available 24/7 and at no cost, tutorials stress quality improvement theories and methodologies with an emphasis on methods for applying this information in HIV programs. Real world examples are often provided. The tutorials are available in English and Spanish.
National Technical Assistance (TA) Webinars
These monthly, 1.5-hour webinars focus on a variety of topics and highlight key quality improvement concepts and methodologies. Often they feature grantees or NQC coaches providing real world examples.
NQC TA Documents
From the HIVQUAL Workbook to the NQC Game Guide to the Quality Management Plan Checklist and more, NQC TA documents provide detailed, often step-by-step instructions on how to conduct quality-related activities. Documents include specific tools and worksheets.
This online application allows users to learn about interventions, submitted by in+care Campaign participants, related to retaining HIV-infected individuals in ongoing HIV care. In addition, users can enter retention interventions of their own, rate posted strategies, and reply to entries made by others. It is a virtual community of learners.
These are just a few examples of the resources available from NQC. Visit the NQC website to learn more about these and other opportunities to build your quality-related skills.
> Provider Corner | Alabama Regional Group

Since 2006, Ryan White HIV/AIDS Program grantees in Alabama have been meeting to share ideas on how to ensure optimal health for people living with HIV. The Regional Group initially included Part C and D grantees, but over time was expanded to also include Part B providers. Members now represent organizations providing services across the entire state-all 67 counties.
The group's priorities currently focus on 1) viral load suppression; 2) retention in care; and 3) engaging new patients in care-the same measures used in the NQC's in+care Campaign. In addition, the group is focusing on no show rates. With no show rates, members collect data on the percentage of patients who were a no show for at least one HIV-specific medical visit. This priority grew out of research conducted at the University of Alabama, Birmingham's 1917  Clinic: A retrospective data analysis conducted by the clinic showed that patients who missed visits within the first year after initiating treatment for HIV were at higher risk of not being virally suppressed than patients who attended all scheduled appointments .
At quarterly meetings, members analyze data and look for trends across organizations.
"Each organization shares their data so we can see their progress," says co-chair Ashley Tarrant from Medical AIDS Outreach of Alabama. "The stars-those who are being really successful-discuss their best practices. But we also make sure that everyone is included in the discussion."
Efforts are made to ensure that as many members as possible attend the meetings in person. Most meetings are held in Birmingham, which is most convenient for the largest number of members. There is a conference line for those that cannot attend in person.
"We enjoy the fellowship with each other," says Ashley. "There is a core group of members who really value participation in the group and make it a priority. We are peer-led and no one person is in charge. Everyone is invested."
The interaction is enriched by the multidisciplinary group of participants. While the quality manager from each organization attends the meetings, organizations often send  additional staff members.
"There are case managers, physicians, nurses, and even pharmacists. We also have representatives from the state health department and researchers," says co-chair Mary Rozier Hachen from Thrive Alabama. "The background of members varies so we get many different perspectives in our discussions."
The Regional Group has benefited from NQC coaching over the years. The coach has worked with member organizations on a one-on-one basis and also led a workshop for multiple organizations.
"The technical assistance we received helped the group hone our focus and purpose," says Mary. "It really allowed us to take our quality management to the next level.
The group's work is documenting the efforts of its members as they work toward the goals of the National HIV/AIDS Strategy (NHAS). For example, aggregate data indicate 78 percent success in achieving the retention in care measure. The NHAS goal is 80 percent. In terms of viral suppression, members are also making progress in achieving the NHAS goal of 80 percent.

> Dec. 2015 | Issue 89 | Vol 7 

> NQC 10-Year Anniversary
Milestones and Highlights

Tell us how NQC has helped you!

> Upcoming Events | December 


Nov. 19  l  National TA Webinar


Dec. 1  l  in+care data submission due


Dec.  17  l  National TA Webinar

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 Offering |  Calling All Experienced CQM Practitioners
Are you a Quality Expert? Become an NQC Consultant
NQC is currently seeking individuals with significant quality improvement experience (more than five years). These consultants will work directly with Ryan White HIV/AIDS Program recipients to build quality improvement capacity at the local, regional, and state level. For more information on the requirements and how to apply, please visit the NQC website.
Submit resume to: 
> National TA Webinar | Introduction to Quality | Dec 17 at 3pm ET

Whether you are completely new to quality or looking for a refresher, this month's webinar will walk you through the basics of what you need to know to effectively engage in the quality improvement process.
The webinar will take place December 17 at 3:00 pm ET.
Meeting information
Topic: Quality 101 - Back to Basics
Date: Thursday, December 17, 2015
Time: 3:00 pm, Eastern Standard Time (New York, GMT-05:00)
Meeting Number: 640 518 254
Meeting Password: nqctacall123

To start or join the online meeting
Go to

Audio conference information
1. Provide your number when you join the meeting to receive a call back.
2. Alternatively, you can call one of the following numbers:
Local: 1-518-549-0500
Toll Free: 1-844-633-8697
Alternate Toll Free - (For callers not able to call the 844 Toll Free Number): 1-866-776-3553
2. Follow the instructions that you hear on the phone.
Cisco Unified MeetingPlace meeting ID: 640 518 254

To add this meeting to your calendar program (for example Microsoft Outlook), click this link:

In addition to the webinar, NQC has many resources devoted to quality basics.
Quality Academy
Of the 32 Quality Academy tutorials, nine are devoted to beginners. Topics include quality basics, measurement and data, building quality teams, PDSA cycles, and quality improvement in nonclinical settings.
Listing of Resources on the Fundamentals
Check out NQC's website for a list of more than 15 resources that will help you get started.
> 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.  


Send questions, comments, or suggestions | Info@NationalQualityCenter.org   


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.