Institute for Healthcare Improvement: Changes

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HIV/AIDS: General

This section features suggested changes that have helped many organizations to improve certain aspects of HIV care. They are shared on this website to help accelerate your organization's improvement.

You may select changes from the following list of topics (or refer to the short descriptions and links below):

Antiretroviral (ARV) Management
Self-Management and Adherence
Women’s Health
Delivery System
Clinical Information System
Decision Support
Organization of Health Care
Community
Specific Populations

Improve Antiretroviral (ARV) Management for HIV-Infected Patients
The complexities of administering Highly Active Antiretroviral Therapy (HAART) medications necessitate a proactive HIV care team and informed patients to achieve maximum viral suppression.

Self-Management and Adherence
Effective self-management means that patients have a central role in determining their care, one that fosters a sense of responsibility for their own health.

Implement Comprehensive Women’s Health Care for HIV-Infected Women
Comprehensive, routine gynecological (GYN) care proves especially important for women living with HIV/AIDS, as it maximizes the opportunity for early detection and treatment of a number of conditions, some of which affect HIV-infected women at an increased rate.

Delivery System Design
In a well-designed delivery system, clinicians plan patient visits well in advance, based on the patient's needs and self-management goals.

Clinical Information System
A registry — an information system that can track individual patients as well as populations of patients — is a necessity when managing chronic illness or preventive care.

Decision Support
Health care organizations creatively integrate explicit, proven guidelines into the day-to-day practice of the primary care providers in an accessible and easy-to-use manner.

Organization of Health Care
The effort to improve care should be woven into the fabric of the organization and aligned with a quality improvement system.

Community
Health care organizations should reach out to form powerful alliances and partnerships with external organizations in their communities.

Meet the Needs of Specific Populations
Use the Chronic Care Model's recommendations for meeting the needs of specific populations to improve the HIV care your organization provides.



How to Improve Testing Changes Results

Workspace on IHI.org

Track your improvement projects and data using Improvement Tracker and Projects

Use Interactive Tools such as FMEA and Trigger Tool for Measuring ADEs