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


We are pleased to once again remind you of the NQC's upcoming face-to-face training opportunities occurring in the next few months.  These training programs have been attended by over 1,300 recipients over time and are an important part of building your skills as a trainer or a quality leader in your organization.  We are especially proud to be holding our second Training for Consumers on Quality Plus (TCQPlus) Program session.  This is an important training for any recipient that wants to increase consumer involvement in clinical quality management activities.


Clemens Steinbock
Director, National Quality Center

> This Issue

In This Issue...
NQC Update | Training of Trainers (TOT), Dallas, March 13-15 
Do you sometimes feel the urge to tell people the right way to do somethings? NQC's Training of Trainers (TOT) Program can help you channel that energy into constructive training activities. It is not too late to register!
TOT is designed for those individuals with a strong experiential background in clinical quality management and provides participants exposure to adult learning theories and training resources. TOT graduates are prepared to plan engaging and effective 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 quality improvement trainings within 120 days of completing the session. This helps participants reinforce the knowledge they gained at the TOT as well as expands opportunities for local providers of clinical and non-clinical services to gain quality improvement knowledge and expertise.
For more information and how to sign up | http://nationalqualitycenter.org/nqc-activities/advanced-trainings/training-of-trainers-tot-program/
NQC Offering | Training of Quality Leaders (TQL), Atlanta, April 11-13

"Each one, teach one" is a crucial concept of capacity building. NQC's Training of Quality Leaders (TQL) Program seeks to provide the skills so that participants can go beyond influencing a single person and expand it to a whole organization or community. Are you ready to become a quality improvement leader?
TQL provides the opportunity for participants to build their capacity to enhance their own expertise in clinical 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. The benefits of successful TQL Program completion include:
  • Increased confidence and mastery in facilitating quality improvement teams and in effectively managing quality improvement-related meetings in HIV care environments
  • Identification of leadership behaviors to lead an effective CQM program and better understand their implications to lead quality improvement activities
  • Exposure to quality improvement experts with practical knowledge and experience and to a network of peers with hands-on experiences
For more and how to sign up | http://nationalqualitycenter.org/nqc-activities/advanced-trainings/training-of-quality-leaders-tql-program/
>   Training of Consumers on Quality Plus, San Diego, April 5-7, 2017
Based on the demand for the Training of Consumers on Quality (TCQ), NQC launched the TCQPlus in June of 2016.  The TCQPlus training is built around training partners.  Each RWHAP recipient staff person is asked to pair with a consumer from their jurisdiction to comprise a training team.  It is the training team that will deliver the TCQ in their jurisdiction.  The goal of the TCQPlus is to train PLWH and RWHAP staff to build their capacity to deliver quality improvement trainings to consumers in their local jurisdictions.  This program is a vital component of increasing consumer involvement in an organization's quality efforts. 
Please note, scholarships are available on a case by case basis for this training. Go to nationalqualitycenter.org/tcqplus for more information on scholarships and to apply.
NQC Update | H4C Results

From January 2014 through January 2016, NQC in partnership with HRSA/HAB conducted a large-scale quality improvement initiative, the HIV Cross-Part Care Continuum Collaborative (H4C). It focused on the public health priorities of increasing access to HIV care and improving viral suppression rates. Five regional state teams - Arkansas, Missouri, Mississippi, New Jersey, and Ohio - participated in H4C, representing a total of 55 RWHAP recipients/subrecipients serving almost 44,000 consumers. The teams were asked to include a wide range of stakeholders such as state Medicaid, Epidemiology/Surveillance, existing HIV networks, consumers, and local and regional public health leaders.
The teams worked together to achieve three aims.
  • Build regional capacity for closing gaps across the HIV care continuum to ultimately increase viral suppression rates for people living with HIV (PLWH)
  • Align clinical quality management (CQM) goals across all RWHAP Parts to jointly meet legislative CQM mandates
  • Implement joint QI activities to advance the quality of care for PLWH within a region and to coordinate HIV services seamlessly across RWHAP Parts
A total of 54 recipients/subrecipients (98%) from the five states reported H4C performance measure data, using the HAB core performance measures. The state median percentages for the four HAB core performance measures improved between the first and the last data submission for prescribing antiretroviral therapy (+ 9.2%), medical visits frequency (+ 13.2%), and viral suppression (+ 6.6%). The gap in medical visits measure also improved with a reduction of 24.2%. Improvements continued and/or were sustained for all four measures across the five states after H4C.
While outcomes are important, H4C also focused on process. Technical assistance was provided by NQC coaches around aligning CQM goals and implementing joint QI activities. All states developed and adopted a cross-Part CQM plan by the end of the Collaborative. All five states adopted viral suppression as the initial focus of their QI activities. A total of 76 QI projects were reported by state teams during the Collaborative and 16 were reported after the Collaborative had been completed.
Consumer involvement was also an emphasis of H4C and each state response team included at least one consumers. Each state held a Training of Consumers on Quality with a total of 78 consumers participating in trainings.
For more information | http://nationalqualitycenter.org/nqc-activities/collaboratives/h4c-collaborative/

>Feb. 2017 | Issue 104 | Vol 7

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

> MSM of Color Health  l  Feb. 16, 2007

> National TA Webinar  l  Data Visualization Feb. 23, 2017

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.

Provider Profile | Southeast Mississippi Rural Health Initiative, Inc. (SEMRHI)

SEMRHI is no stranger to the NQC, having participated in HIVQUAL, the in+care Campaign, and most recently the HIV Cross-Part Care Continuum Collaborative (H4C). SEMRHI is a federally qualified health center based in Hattiesburg MS. With both Part B and C funding, SEMRHI is a one-stop shop, providing primary care, dental, pharmacy, OB/GYN, nutrition services, behavioral health, and supportive services to over 730 people living with HIV.
Involvement in the H4C initiative resulted in an expansion of quality-related activities-with significant results. Over the course of the initiative, the viral suppression rate went for around 60 percent to 85 percent.
SEMRHI worked with NQC coach, Nannette Brey-Magnani, to explore ways to improve viral suppression rates. They implemented a health literacy tool that clinicians use with consumers to educate them about the importance of ART and adherence. The tool is used with consumers who are initiating ART and those on ART that are having difficulty achieving suppression.
PDSAs also identified other issues impacting consumers' ability to achieve viral suppression such as psychosocial barriers. In response, social workers are now working with consumers to explore issues such as depression and mental health that can affect retention and adherence. The clinic is working with the state health department to identify, locate, and re-engage consumers that have been out of care for more than 12 months. They are also looking at no-show rates and how they relate to adherence and long-term retention.
According to Tonya Green, director of social services and the Part C program coordinator, sharing the data throughout the clinic helped gain strong support from both the administration and consumers. Data on the H4C performance measures, including viral suppression rates, are regularly shared with SEMRHI's board of directors. Updates are also regularly provided to the members of the consumer advisory board. In addition, viral suppression rates are posted in the clinic for consumers to see.
"We want our consumers to see how we are doing," says Tonya. "Everyone is aware of it."
While participation in H4C has had a significant impact on performance outcomes, Tonya says that its impact goes deeper.
"Here in the South we face many challenges. By focusing on quality, not only do we improve our outcomes but we are able to stretch our resources and do more for our consumers."
Tonya also has words of praise for the NQC quality coach that worked with them throughout the H4C process. "Her passion for quality inspired us. She turned us all into people who love quality improvement."
National TA Call | Data Visualization, February 23, 2017

Last month we saw the results of the work of many of your peers as they drilled down into their data to boost their vial load suppression rates - among other indicators - to new milestones.  This month we will discuss how to present your data to a wide audience.  Everyone is busy these days and committed to improving outcomes for their consumers in one form or another.  We will show you how to make data easy to understand through visual methods.  We will also discuss using the right chart for your data to get your message across to your audience.
Meeting information
Topic: Data Visualization
Date: Thursday, February 23, 2017
Time: 3:00 pm, Eastern Standard Time (New York, GMT-05:00)
Meeting Number: 640 452 926
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
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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.