Transcript Grantee Name/Organization Insert presenter’s name and role

Utah Department of Health
Bureau of Communicable Disease Control
HIV/AIDS Treatment and Care Program
National Technical Assistance Call
January 11, 2007
Linda Johnson, MA, RN, CPHQ
Quality Improvement Services Contractor
Quality Improvement Program
Structure & Oversight
Overall program responsibility:
Jodie Pond, MPH, CHES
Ryan White Title II Program Manager
ADAP Coordinator
Quality Improvement Program
Structure & Oversight
HRSA
Title II
Title III
Dental
Policy &
Procedure
Utah
Department
of Health
University
Health Care
Resource
Allocation
Statewide HIV
Advisory
Council
Needs
Assessment
HIV Prevention &
Community
Planning
Committee
HIV Treatment &
Care Planning
Committee
M embership
Goals &
Objectives
Comprehensive
Plan
Quality
Improvement
Quality
Improvement
Subcommittee
AETC
Quality Program Goals
 Promote quality medical care based on
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
professional standards and current
guidelines
Support efficient, effective, and
appropriate use of resources
Promote accessible, available, and timely
care and service based on monitoring of
illness and trends
Quality Program Goals



Maximize retention in care
Promote the use of appropriate support
services to achieve access to primary
medical care
Minimize gaps in service common to one
or more segments of the population
Process Improvements

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Developed statewide, outcomes-based
standards of care for medical and support
services
Expanded medical care review
Engaged the state’s largest provider group
in quality improvement dialogue
Redesigned processes, including care
documentation
Performance Improvement
2002 - 2005
Performance Improvement 2002 - 2005
(Selected Indicators)
100%
80%
60%
40%
20%
0%
CD4/4 mo
MAC Prophylaxis
Adherence
2002
82%
12%
51%
2003
70%
67%
89%
2004
86%
78%
92%
2005
89%
100%
94%
Performance Success
2002 - 2005
Success is attributed to:
 Process redesign
 Performance feedback
 Education and follow up on results
 Measuring appropriate markers
 Provider-specific performance rates
Program Enhancements
2007
The grantee and the contractor will work
collaboratively to better measure care
outcomes:
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Revise standards and measures for all settings and
services to more accurately measure quality outcomes
Use HAB evaluation questions to guide us in evaluating
our program
Continue to work with our Title III program and the AETC
to effect process changes that will improve quality of care
Incorporate the six IOM aims: safe, effective, patientcentered, timely, efficient, and equitable
Linda Johnson, MA, RN, CPHQ
801-892-6677
[email protected]