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Arkansas
Consumer Leadership Training
(Pre-work Webinar 1)
October 1, 2014
Pre-work Webinar 1
Agenda
• Provide welcome & opening Remarks
• Explain webinar ground rules and review learning objectives
• Explain the goals of Arkansas Consumer Leadership Training
Program and participant expectations
• Provide an overview of the Ryan White Program
 Consumer Involvement
 Quality Expectations
• Explain training program logistics and pre-work webinar 2
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Welcome & Opening Remarks
Training Team
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Daniel Tietz
Deloris Dockrey
Adam Thompson
AIDS Program Manager
for Consumer Affairs,
AIDS Institute
National Quality Center
Coach
National Quality Center
Coach
Ground Rules for Webinar Participation
• Actively participate and write your questions in the
chat area during the presentation(s)
• Do not put us on hold
• Mute your line if you are not speaking (press *6, to
unmute your line press #6)
• Slides and other resources will be available on our
website at www.nationalqualitycenter.org/tcq
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Webinar Learning Objectives
• Increase the understanding of the Ryan White Program
• Explain Consumer Involvement Requirements
• Provide overview of quality expectations
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Goals of Arkansas
Consumer Leadership Training
Goals of the Training
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Develop leadership among consumers in Arkansas
Enhance the knowledge of civic involvement methods
Discuss HIV confidentiality and disclosure
Review principles and vocabulary used in quality improvement
Explain the roles and responsibilities of consumer advisory
boards (CAB)
• Provide an overview of the Arkansas Quality Consumer
Advisory Council (QCAC) and Draft Charter
• Lay the foundation to build a community of Consumer Quality
Advocates in Arkansas
• Provide skills in the area of Health Numeracy
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Participant Expectations
Expectations of Training Participants
• Pre-Work
 Attend 2 Pre-Work Webinars (1 hour each)
 Pre-Work Activities (approximately 3 hours)
• Attend 2-day training session
• Post-Work
 Attend and actively participate on Arkansas Consumer
Quality Advisory
 Attend Post-training conference calls to increase
knowledge and skills
 Complete Post-training Assessment Tool (1 hours)
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Reflections from Pre-work on
Ryan White Program
Reflections from the Pre-Work Reading
• After reviewing the ‘Ryan White Voices: A Legacy of Care’
and the Quality Academy Tutorial on the Ryan White
Program
 What did you learn about the history of the Ryan White
Program?
 What are the key accomplishments of the Ryan White
Program?
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Overview of Ryan White Program
Ryan White Statistics
• Every year, the Ryan White Program touches an estimated
529,000 PLWH
• Ryan White appropriations in 2012 were at $2.35 billion
across all Parts
• The Ryan White Program:
 Part A: 637 Million to 52 Grantees
 Part B: 1.2 Billion to 59 Grantees
 Part C: 1991 – 114 Grantees, 2012 – 356 Grantees
 More than 2000 providers funded to provide HIV care
 Special Projects of National Significance
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Ryan White Structure
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Ryan White Treatment Extension Act of 2009
US Department of Health and Human Services (HHS)
Health Resources and Services Administration (HRSA)
HIV/AIDS Bureau (HAB)
Different Parts (A, B, C, D, and F)
National Quality Center (NQC)
Your Supporting Organization
You
The Ryan White Legacy
“One thing that was extraordinary, and there are many things
about this remarkable young man [Ryan White], was after he
received that tainted blood transfusion, to the moment he drew
his last breath here on Earth, he never condemned anyone. He
was not looking for the scapegoats. . . What he was doing was
reaching out in the true spirit of the American character to
recognize that there were people who were suffering.”
~ Senator Ted Kennedy, “The Lion of the Senate”
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Ryan White Funding Streams
• Part A - provides assistance to the metropolitan areas
(EMAs/TGAs) most heavily affected by the epidemic
• Part B - provides assistance to states and territories for healthcare
and support services, including ADAP
• Part C - provides support to health centers for HIV-related early
intervention and primary care services
• Part D - supports comprehensive care and clinical research for
children, youth, women, and their families
• Part F – provides support for research and educational programs
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Community Involvement
• EMAs Planning Councils must reflect the local epidemic
demographically and at least 33 percent of members must be
consumers (people living with HIV/AIDS) of Ryan White
HIV/AIDS Program services.
• TGAs must use the community planning process, but the use
of Planning Councils are optional.
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Ryan White Treatment Extension Act of 2009
• “The chief elected official/ grantee… shall provide for the
establishment of a clinical quality management 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 for the treatment of HIV
disease and related opportunistic infection, and as applicable,
to develop strategies for ensuring that such services are
consistent with the guidelines for improvement in the access
to and quality of HIV health services”
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Ryan White Program Quality Requirements
• “RW grantees are directed to establish clinical quality
management programs..” which include:
 Development of a comprehensive clinical quality
management infrastructure, including routine quality
management meetings
 Description of QM program in a written quality plan,
with a clear indication of staff and consumer
roles/responsibilities
 Inclusion and involvement of key stakeholders in the
quality program including consumers
 Designated leaders for quality improvement and
accountability
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Ryan White Program Quality Requirements
• “assess the extent to which HIV health services are
consistent with the most recent Public Health Service (PHS)
guidelines…” which includes:
 Development and/or adaptation of clinical quality
indicators for key clinical and service categories
 Routine performance measurement of key aspects of
HIV care
 Share clinical performance data with program staff
 Use data to improve the organization’s performance on
key services
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Ryan White Program Quality Requirements
• “develop strategies for ensuring that HIV services are
consistent with guidelines for access to quality HIV
service…” that include:
 Link clinical performance data results to quality
improvement activities
 Establish quality improvement teams/committees to
include consumers
 Integrate changes into routine program activities
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Resources
• For information on the history of the Ryan White Program:
http://hab.hrsa.gov/livinghistory/
• For information on the HIV/AIDS Bureau and its quality
programs:
http://hab.hrsa.gov/deliverhivaidscare/qualitycare.html
• For the Institute of Medicine’s Report on quality
management in Ryan White Program-funded grantees:
http://www.iom.edu/CMS/3793/4819/16325.aspx
• To find more resources on the Ryan White Program quality
improvement activities:
http://NationalQualityCenter.org
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Training Logistics
Training Logistics
• Training Dates and Location
 October 7-8, 2014 (8:30 AM to 5:00 PM)
 Arkansas Department of Health Auditorium (4815 W. Markham Street,
Little Rock, Arkansas
• Contact Information for Travel Questions
• Residents of the Little Rock Area
Kristen Bagwell, ARCare, [email protected]
• Residents outside the Little Rock Area
Daniel Tietz, National Quality Center, [email protected]
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Pre-work Webinar 2
Pre-Work Webinar 2
• Read Two Essays: Blacks Should Agitate for Civil Rights by
W.E.B. Du Bois and Blacks Should Not Agitate for Civil
Rights by Booker T. Washington
• Complete the Pre-Work I Tool: Methods of Involvement
Essay Reflection
• Finalize Travel Arrangements
• Identification of two volunteers to the present the 2 articles
– who are the volunteers?
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National Quality Center (NQC)
212-417-4730
NationalQualityCenter.org
[email protected]