Quality Management Planning

1
Quality Management Planning

• Missouri Department of Health and Senior Services
• Bureau of HIV, STDS and Hepatitis
• August 2006
• Prepared by
• Barbara Boshard
• boshardb_at_health.missouri.edu

2
How we got started?

• All Grantees response to the Outcomes Evaluation
  Technical Assistance Guide
• Ranked data outcome priorities and capabilities
  during All-Grantees Retreat in May 2002
• Ranked data outcome priorities and capabilities
  through MACMIP

3
Survey Rankings of Data Priorities

• 3 Our title must have now or near future
• 2 Our title will need for future grant
  applications (Next 2-5 years)
• 1 Oh yow HRSA! In a perfect world this would
  be helpful but right now its just a dream.
• 0 You just cant pay me enough to collect this!

4
Results of Survey

• NOW CD4 and VL by Calendar Year to reflect
  Primary Care access
• NEXT Retention in Primary Care, Med Adherence,
  Referral for Mental Health and Substance Abuse
• FUTURE Tracking Points of Entry, Service
  Referrals, Effective Care Plans

5
Developing Missouris view of QM

• Responding to GPRA and PART Goals
• Tracking and reporting Missouris GPRA and PART
  outcomes by year for Stakeholders
• MO valued linkage with Kansas City and St. Louis
  QM efforts

6
MO-Hat-ters Forms!

• Applied and accepted to be part of HAB Title II
  QI Demonstration Project
• Formed 12 member team representing multiple RW
  titles, providers, surveillance, key Ryan White
  Title II staff, and a consumer
• MO-Hat-ters to become QM subgroup of All Grantees
  meetings

7
Components of the Missouri QM Plan

• Vision
• Purpose
• Goal
• Definitions
• Structure
• Improvement Plan Grid
• Outcomes
• Capacity Building
• Communicating and Acknowledging QM Results
• Signature/Date/Review Date Page

8
Improvement Plan Grid Components

• Measures
• Evaluation Tools
• Target
• Frequency of Reports
• Responsible Person
• Program
• Outcomes
• PDSA Improvement Strategies
• Re-evaluation

9
Implementing the QM Plan

• Drafted and Presented QM Plan for Grantees and
  MACMIP in September
• Commitment from 9 Grantees and 1 ASO for QM Plan
• Signature page developed for All Grantee
  Directors to sign to signify adoption
• Final Version Presented November 2005
• Awaiting Final Signatures!

10
Evaluating QM Plan

• Using the Improvement Plan Grid to assure that it
  is a living breathing document for all
  participating Grantees
• Structure through All Grantees and MO Hat-ters
  for ongoing update and review of Improvement Plan
  Grid
• Review Date on QM Plan on All Grantee Signature
  page

11
Updating the QM Plan

• Semi-monthly MO-hat-ters meetings via
  teleconference
• Ongoing update of Improvement Plan Grid
• Annual review at All Grantees meeting

12
Challenges

• Training Stakeholders on the Benefits of Quality
  Management (QM 101)
• Not all grantees are on board
• Capacity Building with Continued Staff Turnover
• !!!!!!
• Engaging Providers in Change
• Incentives for Success

13
Lessons Learned

• Document is always evolving
• Organizational structure for QM helpful
• Relationships with stakeholders is key
• Process helps to identify gaps
• Importance of baby steps
• Documentation helps promote forward movement

14

• Mr. Bob Holtkamp, ADAP Director
• Bureau of HIV, STDS, and Hepatitis
• Missouri Department of Health Senior Services
• Section for Communicable Disease Prevention
• 930 Wildwood Dr., Jefferson City, MO 65102-0570
• T 573-751-6439 F 573-751-6447
• Bob.holtkamp_at_dhss.mo.gov
• Ms. Barbara Boshard, RN,BSN, MS
• Coordinator of Quality Improvement
• Department of Internal Medicine
• University of Missouri-Columbia
• One Hospital Drive
• MA425B Health Science Center
• Columbia, MO 65212
• T 573-884-0770 F 573-884-4533
• boshardb_at_health.missouri.edu