Transcript Slide 1

Cross-Part Quality
Collaboration
April 9,2008
Kathleen Clanon, MD, FACP
Hollie Malamud-Price, MPH
Marlene Matosky, MPH, RN
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Funded by HRSA
HIV/AIDS Bureau
Questions for this Session
• What are the reasons to work on cross-Part
collaboration?
• What is a good way to start?
• What works to bring potential partners to the
table?
• What are the barriers to collaboration and
how can they be overcome?
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National Quality Center (NQC)
Overall Goal:
The best care we know to give,
for every patient,
at every site,
every day.
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National Quality Center (NQC)
Poll: Name the Collaboration
•
•
•
•
Cross-Parts Quality Steering Committee
All-Parts Quality Committee
Four Letter (A,B,C,D) Collaboration
All State HIV Quality Part-nership
Vote for your favorite or write in a new idea!
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National Quality Center (NQC)
Panel Member Introductions
Hollie Malamud-Price, MPH
QM Coordinator, Parts B and D, Michigan
Marlene Matosky, MPH, RN
HIV Care Quality Management Coordinator,
Part A Philadelphia
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National Quality Center (NQC)
Panel Member Comments
Why did you decide to
participate in a cross-Part
quality collaboration?
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National Quality Center (NQC)
Potential Benefits of State- and Regional
Collaboration
• For PWHIV: Seamless access to quality HIV
care and services, regardless of “Part”
• For a care system: System strengthening
with all players aligned behind a small
number of big quality goals; pulling in the
same direction
• For front-line providers: Support for a
sustainable, effective quality program; less
busy work, more improvement.
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National Quality Center (NQC)
HIV Chronic Care Model
Community
All Parts
Food bank,
volunteers,
child care.
Ryan White Program Continuum of Care
Client
advocacy, peer
mentoring
Informed,
Activated
Patient/Client
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Case man.;
Integrate
MH care
Productive
Interactions
AETC
training;
Dissem
DHHS
Guidelines
CAREware,
Labtracker;
Aries
Prepared,
Proactive
Care Team
Improved Outcomes
8 Quality Center (NQC)
National
Strengthening Quality Systems:
Critical for Sustainability
Infrastructure
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National Quality Center (NQC)
Panel Member Comments
How did your cross-Part
collaboration get started?
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National Quality Center (NQC)
Suggested First Steps
• Discuss in the Quality Committee of the initiating
agency
• Planning call/meeting for a small steering group (one
member from each Part?)
• Write and circulate a brief concept paper with
suggested goals, resources for working together
• Plan an in-person kick-off meeting
 NQC and/or HIVQUAL can help
 Before the meeting, compile a cross-Part matrix of measures
and standing meetings to share
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National Quality Center (NQC)
Example: State of Euphoria Cross-Part
Quality Team
Goals for All Day Kick-Off Meeting:
• Gain an understanding of each other’s QM programs.
• Ensure we are using the same QM language and concepts.
• Reach agreement on key areas to improve
coordination/share work statewide. Possibilities include:
 Using the same indicators (HAB indicators?)
 Same data sets
 Joint/shared training opportunities for our
subcontractors
 Regional improvement goals/improvement groups
• Develop a work plan for the collaboration that we will use
for the rest of the year.
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National Quality Center (NQC)
Panel Member Comments
What brought potential
partners to the table in your
collaboration?
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National Quality Center (NQC)
The Carrot: Share Work/Get
Bigger Results
Throughout a State or region, we can collaborate on:
• One overarching quality management plan and annual workplan
• One set of performance measures and a joint data collection
method
• Joint improvement priorities
• Better communication flow to help teams share findings and best
practices
• Building regional capacity for quality improvement (staff training,
contract language, culture change…)
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National Quality Center (NQC)
Panel Member Comments
What barriers to collaboration
have you experienced and
how have you addressed
them?
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National Quality Center (NQC)
Barriers to Collaboration
• Time
• Trust
• Turf
• Turnover
• Buy-in and Quality Baggage
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National Quality Center (NQC)
Time
• Use existing meetings
• Attach to
Statewide/regional
conferences
• Meet only yearly,
webinar or conf call in
between
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National Quality Center (NQC)
Making Your QM Committee a Success:
Ideas from Fellow Grantees
• To keep members interested and develop their
knowledge and skills, San Juan and Oakland incorporate
training and guest speakers at meetings; others trained
members in how to develop indicators and measures
• Phoenix schedules meetings in advance so members
have meetings on their schedules; they want to increase
their meetings to quarterly; reviewing the QM plan
annually helps members see what was accomplished
• South Carolina initiated regional quality groups then
developed a statewide steering committee for quality
management with representatives from regional groups.
There is direct communication flow between groups and
the statewide committee.
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National Quality Center (NQC)
Trust and Turf: Who Should Take
the Lead?
• Part Bs?:
 Access to ADAP, Medicaid, epi and mortality/hosp
data
 Statewide Coordinated Statement of Need
process means they have contact with all the
players
 Sustainability?
• Part As ?
 Access to local epi and needs assess data
 Hands-on work with care sites often possible
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National Quality Center (NQC)
Turnover: Our Biggest Challenge
• Plan for sustainability
• Training for all staff: “Quality isn’t a
department.”
• Noah’s Ark Rule: invest in sending TWO staff
to every important meeting and training
• Job advancement opportunities for quality
managers
• How else can we address this?
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National Quality Center (NQC)
Today’s Grantee Presenters:
Hollie Malamud-Price, M.P.H.,
RWTMA Part D Program Coordinator
Michigan Department of Community Health, 3056 W. Grand Blvd., Suite 3-150
Detroit, MI 48202; (p) 313.456.4362 (f) 313.456.4427
[email protected]
Marlene Matosky, MPH, RN
HIV Care Quality Management Coordinator
AIDS Activities Coordinating Office ,Department of Public Health, City of Philadelphia
(p) 215.685.5621 (f) 215.685.5285
[email protected]
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National Quality Center (NQC)
NQC QM Infrastructure Resources
NQC Quality Academy: www.nationalqualitycenter.org/QualityAcademy
• Tutorial 5: Quality Management Plan
• Tutorial 6: Quality Management Infrastructure
Previous NQC TA Calls: www.nationalqualitycenter.org
• March 13, 2008: Developing QM Infrastructure: Examples and
Solutions from the Field
• April 12, 2007: Developing QM Infrastructure for Part C&D
• March 8, 2007: Developing QM Infrastructure for Part A&B
• June 5, 2006: QM Plans for Part C&D (with sample QM Plans)
• Dec 15, 2005: QM Plans for Part A&B (with sample QM Plans)
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National Quality Center (NQC)
Session Feedback/Evaluation
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National Quality Center (NQC)
National Quality Center (NQC)
NYSDOH AIDS Institute
90 Church Street—13th Floor
New York, NY 10007-2919
888-NQC-QI-TA
[email protected]
NationalQualityCenter.org
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Funded by HRSA
HIV/AIDS Bureau