Transcript La Iniciativa de Calidad: Programa Ryan White Parte B

The Puerto Rico Ryan White
Part B Program
Quality Improvement Initiative
Communicating with Consumers
July 9, 2009
Background

With a population of 3.4 million inhabitants, the Puerto Rico
AIDS Surveillance Program has received reports of 33,575
persons diagnosed with AIDS since 1981 of which 20,951,
62%, have already died. An additional 7,630 persons with
HIV non-AIDS (June 30, 2009) have also being reported.

They are served through private, community-based or
government centers. The government has eight
Transmissible Diseases Prevention and Treatment Centers
(CPTETs by their Spanish acronym) located at each of
districts/counties.

Ryan White provides funding for services to the eight CPTET
as well as to seven Consortia or Coordinating Agencies.

The Puerto Rico Ryan White Part B Quality Initiative
identified as a priority- achieving and sustaining effective
communication with consumers through this complex
system.
Communicating With Consumer
Priorities
The Initiative’s Structure

The Quality Guidance Committee:
Planning Unit
The Quality Initiative
Quality Guidance Committee
-Part B Administration
-ADAP
-Base Component
-Evaluation Component
-Case Management Component
-Consortia
-Part D
-OCASET Pharmacy
-Consumers
The Initiative’s Structure

The Quality Guidance Committee:
Planning Unit

The Evaluation, Planning and Quality
Component: Work Unit
The Quality Initiative
Evaluation
Component
-Evaluators
-Bio-Statistician
-Epidemiologist
-Consultant
Quality Guidance Committee
Estructura de la Iniciativa de Calidad

The Quality Guidance Committee:
Planning Unit

The Evaluation, Planning and Quality
Component: Work Unit

Comprehensive Quality Committee:
Coordinating Unit
The Quality Initiative
Evaluation
Component
Part D
CPTET
Quality Guidance Committee
Comprehensive Quality
Committee
Consortia
Coord.
Agencies
Pharmacy
Part C
Part A
Part B
Specific Objectives to Achieve
Communication
2010 Quality Objectives

By March 31, 2010, disseminate
information on the existence of a Quality
Improvement Initiative to at least 600
consumers receiving services paid by the
Ryan White Part B.




Brochure
Posters
Use of Comprehensive Quality Committee
Directly inform providers
2010 Quality Objectives

Increase the number of suggestions to
improve program performance and
service quality received directly from
consumers from 0 during FY 2007 to at
least 25 during FY 2010.


Suggestion boxes
Quality Initiative e-mail address

[email protected]
2010 Quality Objectives

Conduct Quality Initiative monitoring
visits to 100% of all organizations
receiving Ryan White Part B funding to
determine level of implementation of
their individual quality plans.

Standard questions introduced to Monitoring
Protocol on March, 2009
2010 Quality Objectives

Conduct regular meetings of all
components of the Puerto Rico Ryan
White Part B Quality Improvement
Initiative.
Lessons Learned
Lessons Learned

Information does not travel well within a
complex system.

Inform management but take actions to
insure responses at all levels of the
service model.

Monitoring funded organizations (your
organization’s departments or sections) is
critical to obtain feedback on
implementation.
Lessons Learned

Consumer participation at the planning
level provides feedback from experience.

Communication is a constantly moving
two way street. Feedback is not enough.
Muchas Gracias
Francisco Javier Parga, PhD
Consultant
Puerto Rico Part B Program
787-646-5993
[email protected]