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HIV/AIDS: General

The National Quality Center and the Institute for Healthcare Improvement have developed a suite of tools to help organizations accelerate their work to improve care for their patients with HIV. In addition, many organizations have developed tools in the course of their improvement efforts — successful protocols, forms, instructions and guidelines for implementing key changes — and are making them available on IHI.org for others to use or adapt in their own organizations.

 

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Adherence
ARV Management
Best Practices
Case Management
Chart Documentation Tools
Quality Resources
Self-Management/Consumer Involvement

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PDF PDF (Downloadable) Power Point Powerpoint (Downloadable)
Word Doc Word (Downloadable) Access Access (Downloadable)
Excel Excel (Downloadable) Tool Interactive Tool (Online)

Adherence

An assessment tool used to help a patient/client be more adherent to their HIV medications; developed by Christiana Care Health Services (Wilmington, Delaware, USA)

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This tool serves as a quantitative assessment tool to measure medication adherence; developed by Owen Clinic, UCSD Medical Center (San Diego, California, USA)

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ARV Management

Guidelines for a public health approach to scaling up antiretroviral therapy in resource-poor settings; developed by the World Health Organization (Geneva, Switzerland)

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Best Practices

This booklet offers guidance to individuals and health care organizations that currently provide, or are planning to initiate, oral health care services for people with HIV/AIDS. The best practices included in this booklet reflect creative solutions to the challenges that arise in providing quality oral health care; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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This best practices manual identifies practical strategies for maximizing treatment adherence. Emphasis is placed on finding ways to promote treatment collaboration between the individual and his or her HIV health care provider; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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This brochure identifies some best practices and creative solutions to attract and retain women infected with HIV into routine GYN care; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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Case Management

A treatment planning tool for use by case managers; developed by Colorado AIDS Project (Denver, Colorado, USA)

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This tool is designed to be used by case managers with new HIV-positive clients to develop an effective case management care plan; developed by the Maryland AIDS Administration (Baltimore, Maryland, USA)

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Chart Documentation Tools

A form used during the initial nurse interview session and initial doctor/nurse practitioner visit for all new patients in the HIV program; developed by Christiana Care Health System (Wilmington, Delaware, USA)

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Quality Resources

Materials from these webconferences, hosted by the National Quality Center for Part A and B Ryan White Program grantees on May 10, 2007, and for Part C and D on June 14, 2007, provide a basic foundation on measuring the quality of HIV care and services as well as a grantee's perspective on lessons learned and best practices in developing performance measures to support quality efforts.

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These materials, from an April 5, 2007, Technical Assistance web conference hosted by the National Quality Center (NQC) for all Ryan White Program grantees on improving Pap completion rates, discuss a new HIV/AIDS Bureau (HAB) quality initiative. Presenters discussed the importance of the initiative, as well as successful improvement strategies to increase the rates for cervical cancer screening for HIV-infected women. Developed by the Health Resources and Services Administration HIV/AIDS Bureau (Rockville, Maryland, USA).

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These materials, from two webconference calls hosted by the National Quality Center on January 11th, 2007, and February 8, 2007, present an introduction to key quality improvement principles and HIV/AIDS Bureau expectations on quality improvement, taking into account the Ryan White Treatment Modernization Act of 2006. The session targets those individuals who are new to quality improvement or those who want a refresher on how to apply key QI concepts to their HIV program.

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These materials, from two webconferences hosted by the National Quality Center for Ryan White Program grantees (Part A and B on March 8, 2007 and Part C and D on April 12, 2007), guide grantees as they develop a quality management infrastructure.

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A quality management program functions best if the organization is able to put a structure in place to actively monitor and promote quality. This tool provides a framework for assessing the organizational framework of a quality management program and for identifying areas in a quality management program that need development. Assessment tools are available here for each Ryan White CARE Act Title.

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A train-the-trainer curriculum for teaching HIV/AIDS providers how to improve care for patients using the Model for Improvement, Chronic Care Model, and Strategies to Sustain the Gains and Spread Improvement; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA)

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This step-by-step manual was developed to help improve care for patients living with HIV/AIDS disease; developed by the Institute for Healthcare Improvement (Boston, Massachusetts, USA)

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This guide, revised in 2006, provides workshop materials for facilitators, with or without previous training experience, to conduct on-site, stand-alone group exercises to promote quality improvement among HIV providers; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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This guide details a step-by-step process and provides tools for CARE Act grantees and other HIV providers of all sizes and levels of experience to develop and implement a quality management program in accordance with the Ryan White CARE Act. Available in both English and Spanish; developed by the Health Resources and Services Administration HIV/AIDS Bureau (Rockville, Maryland, USA)

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These presentations, from the National Quality Center's (NQC) June 5, 2006, national quality improvement technical assistance (TA) webconference, discuss the key elements of a quality management plan and share lessons learned by organizations who have implemented such plans. A streaming audio recording of the call is also available.

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This publication, revised in 2006, offers HIV health care providers with a step-by-step guide to performance measurement, an essential component of every quality improvement effort; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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The Plan-Do-Study-Act (PDSA) Worksheet is a useful tool for documenting a test of change; developed by the Institute for Healthcare Improvement (Boston, Massachusetts, USA)

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This Technical Assistance (TA) Manual introduces and explicates quality improvement strategies recommended by the HIV/AIDS Bureau, including three models: The Learning Model, The Improvement Model, and the Care Model; developed by the HIV/AIDS Bureau (Rockville, Maryland, USA)

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Simple data collection planning is a process to ensure that the data you collect for performance improvement are useful and reliable, without being unnecessarily costly and time-consuming to obtain; developed by the Institute for Healthcare Improvement (Boston, Massachusetts, USA)

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This set of guidelines, developed by the National HIVQUAL Project, helps health care providers determine how many patient records to review for accurate performance measurement; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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Drawing on a 2004 consultative meeting held by the Health Resources and Services Administration's HIV/AIDS Bureau, and including Ryan White CARE Act (RWCA) Title II representatives, this document summarizes a technical assistance strategy designed to support Title II RWCA grantees in their quality improvement efforts.

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A glossary of common improvement terminology; developed by the Institute for Healthcare Improvement (Boston, Massachusetts, USA)

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Materials from the January 10, 2008, National Quality Center webconference present an introduction to key quality improvement principles and models as well as HRSA HIV/AIDS Bureau (HAB) expectations on quality improvement and an overview of the new HAB measures.

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Materials from this December 13, 2007, National Quality Center TA webconference present an overview of the business case for quality in health care and lessons learned from health care transformation.

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Materials from the November 9, 2007, National Quality Center TA Webconference focus on the need to address health disparities in HIV care by improving the cultural competence of services.

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This document provides step-by-step guidance in how to reduce disparities in HIV care by incorporating cultural competence into existing performance improvement programs; developed by the National Quality Center (in collaboration with HIV ACCESS and The Family Care Network, Part C and Part D Programs in Alameda County, USA).

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These National Quality Center webconferences showcase the importance of involving key stakeholders, particularly clinical and non-clinical provider staff and consumers, to strengthen quality management programs.

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Materials from these two National Quality Center webconferences will help HIV programs foster the link between performance measurement and quality improvement activities, and demonstrate how to take action beyond data collection.

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The HIVQUAL Workbook is a practical self-learning guide for improving the quality of HIV care, offering step-by-step guidance on how to build a quality program, orchestrate quality improvements and then sustain those improvements. Materials provided are adaptable to your facility whether or not you participate in HIVQUAL; developed by the National HIV Quality Improvement (HIVQUAL) Project, New York State Department of Health AIDS Institute (New York, New York, USA).

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This Game Guide was developed to teach quality improvement principles using interactive and fun games that can be incorporated into various training opportunities around quality; developed by the National Quality Center, New York State Department of Health AIDS Institute (New York, New York, USA)

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This checklist can be used as a starting point to develop an HIV-specific quality management (QM) plan, and/or to review an existing QM plan for completeness; developed by the National Quality Center (New York, New York, USA).

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This frequently asked questions document will assist organizations that receive Ryan White CARE Act funds in starting to implement quality management activities, as well as those seeking to restructure or improve their existing programs; developed by the National Quality Center (New York, New York, USA) for HRSA/HAB.

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These presentations, from the National Quality Center's (NQC) Dec 15, 2005, national quality improvement technical assistance (TA) webconference, discuss the key elements of a quality management plan for Title I and Title II Ryan White CARE Act grantees, and share lessons learned by organizations who have implemented such plans. A streaming audio recording of the call is also available.

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This software incorporates key HIV clinical indicators and generates clinical performance data reports, enabling providers to routinely monitor the quality of HIV clinical care and facilitate quality improvement activities; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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Self-Management/Consumer Involvement

A validated HIV-specific outpatient patient survey; developed by New York State Department of Health AIDS Institute (New York, New York, USA)

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This training curriculum introduces people living with HIV to performance measurement, and helps build the skills consumers need to actively contribute to improvements in their care; developed by the New York State Department of Health AIDS Institute (New York, New York, USA)

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One-page patient/client goal contract with illustrations offered to clients who are hesitant to set a goal; developed by Mendocino Community Health Clinics (Ukiah, California, USA)

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A self-management support tool used for long-term planned care; developed by Whatcom County Pursuing Perfection Project (Bellingham, Washington, USA)

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A wallet-sized appointment card for self-management and retention of medical information and appointments; developed by Truman Medical Center Case Management Team (Kansas City, Missouri, USA)

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This patient health journal was developed by the New York State Department of Health AIDS Institute with the New York State Consumer Advisory Committee to help consumers to keep track of their health information.

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This guide was developed by the New York State Consumer Advisory Committee to assist programs and consumers throughout New York State in the creation and improvement of methods to involve consumers in HIV/AIDS healthcare programs to improve the quality of HIV health care provided by those programs.

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A worksheet for helping patients move from ambivalence toward behavior change; developed by Rick Botelho, Professor of Family Medicine and Nursing, University of Rochester School of Medicine (Rochester, New York, USA)

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The Group Visit Starter Kit will provide you with step-by-step instructions on how to begin running group visits with your patients; developed by Improving Chronic Illness Care (Seattle, Washington, USA)

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A comprehensive pro-and-con description of possible medication regimens for HIV treatment; developed by Test Positive Aware Network (Chicago, Illinois, USA)

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ComboCards are 4x6 cards that present relevant visual information for any of a variety of HIV/AIDS medication regimens; developed by Smart + Strong (New York, New York, USA)

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This report describes the ways in which people living with HIV (PLWH) can become involved in Ryan White Title I and Title II planning bodies; developed by the Health Resources and Services Administration (Merrifield, Virginia, USA)

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This is a resource guide for people living with HIV (PLWH) aimed at increasing consumer involvement in CARE Act-related activities; developed by the Health Resources and Services Administration (Rockville, Maryland, USA)

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