Clinic Infects Rest of CBO with CQI

1
Clinic InfectsRest of CBO with CQI

• RWCA Training and Technical Assistance Grantee
  Meeting
• August 31, 2006
• Victor Inada, MDMedical Director
• Asian Pacific Islander Coalition on HIV/AIDS,
  Inc.
• Johanna Buck, RN, MAQuality Improvement
  Consultant
• New York State Department of Health AIDS Institute

2
How the APICHAPrimary Care Clinic QAinspired
the APICHAOrganizational CQI Program

• RWCA Training and Technical Assistance Grantee
  Meeting
• August 31, 2006
• Victor Inada, MDMedical Director
• Asian Pacific Islander Coalition on HIV/AIDS,
  Inc.
• Johanna Buck, RN, MAQuality Improvement
  Consultant
• New York State Department of Health AIDS Institute

3
APICHAs Mission

• Combat HIV/AIDS stigma and related discrimination
• Prevent the spread of the HIV/AIDS pandemic in
  Asian Pacific Islander (API) communities
• Provide care and treatment for APIs living with
  HIV/AIDS and their families

4
APICHAs Mission (continued)

• APICHA provides culturally competent and
  linguistically appropriate
• Comprehensive medical and mental health care
• Support services
• Education
• Training and technical assistance
• Community Organizing
• Coalition building
• Policy analysis and research
• That address the diverse and growing API
  communities

5
APICHA Multidisciplinary Approach
Prevention

• Internal referrals
• Multidisciplinary meetings
• Case conferencing

Counseling, Testing and Referral
Client Services
Primary Medical Care
6
Primary Medical Care QA/CQI History

• 2000 - Reauthorization of RWCA requires all
  grantees establish a Quality Management program
• 2/03 - Clinic Quality Assurance Policy and
  Procedures adopted
• Spring 03,04, 05 - HIVQUAL data submission
• 11/04 - Clinic physician assigned CQI program
• 2/05 - Clinic QA/CQI projects
• 3/3/06 - Title III primary care program annual
  quality organizational assessment
• Consumer involvement
• Annual quality goals/plan

7
Primary Medical Care QA/CQI History

• Clinic QA/CQI Studies
• 2/05PPD Testing
• 4/0573 up-to-date
• 8/0588.3 ? 12/0595.1 up-to-date
• 2/0696.9 up-to-date
• 2/05Pneumonia Vaccination
• HIVQUAL 200487.8 up-to-date
• 2/0698.5 up-to-date
• 2/05Mental Health Screening
• HIVQUAL 200451.2 up-to-date
• HIVQUAL 200594.3 up-to-date
• 2/06Client Flow (rapid HIV syphilis testing)

8
(No Transcript)
9
APICHA Multidisciplinary Approach
Prevention

• Internal referrals
• Multidisciplinary meetings
• Case conferencing

Counseling, Testing and Referral
Client Services
Primary Medical Care
10
Client ServicesCQI History

• 2000 - Reauthorization of RWCA requires all
  grantees to establish a Quality Management
  program
• 2004 - 2006 - Title I Quality Management Learning
  Network
• 4/05Consistency of documentation project
  attempted
• 8/05Title I Organizational Quality Assessment
• Identified/Suggested the integration/sharing of
  CQI
• Our organization-wide CQI journey begins

11
APICHA Multidisciplinary Approach
Prevention

• Internal referrals
• Multidisciplinary meetings
• Case conferencing

Counseling, Testing and Referral
Client Services
Primary Medical Care
12
Building APICHAs OrganizationWide CQI Program

• The First Steps
• 2000 - Reauthorization of RWCA requires all
  grantees to establish a Quality Management
  program
• Fall 05 - HRSA Technical Assistance Meeting
• 3/14/06 - Senior Management CQI training
• Infrastructure evaluation for CQI
• The role of leadership in CQI

13
Building APICHAs OrganizationWide CQI Program

• The First Steps
• 3/30/06 - Submitted CQI abstract to HRSA
  All-Grantees August 2006 meeting
• 5/17/06CQI abstract accepted
• 5/09/06 - APICHA invited to present 08/06 Title I
  Quality Learning Network
• 5/25/06 - Multidisciplinary meeting on CQI

14
Multidisciplinary Team Identifies and Plans CQI
Next Steps

• Written CQI Management Plan
• Formation of standing CQI Steering Committee
• Training for All Staff
• - CQI (general CQI and organizational structure)
  by July 2006
• Training for Unit Managers
• - QI Project Groundwork
• Unit recommendations for potential CQI projects
  and performance measures (indicators)
• - Incorporate into each units planning process

15
Multidisciplinary Team Identifies and Plans CQI
Next Steps

• Prioritization of CQI projects and performance
  measures by CQI Management (Steering) Committee
• Formation of dynamic CQI Project Teams to
  implement PDSA (Rapid Cycle) Improvement
  Projects
• - Structure includes Team Leader
  Expectations
• - Training on PDSA Methodology Tools
• Report on APICHA Organizational CQI to
• - Title I Quality Management Program Learning
  Network
• - HRSA All-Grantees Meeting

16
Implementing APICHAs OrganizationWide CQI
Program

• 6/15/06Inaugural meeting of the APICHA CQI
  Steering Committee
• - Buy-in
• - Review of draft CQI management plan
• - Next steps 2006 Work plan/Timeline
• - Sustainability
• 6/20/06AIDS Institute trains staff on basic CQI
  principles
• 7/10/06Steering Committee adopts CQI Management
  Plan
• 7/11/06AIDS Institute trains managers on
  advanced CQI
• - utilizing data criteria for selecting QI
  ideas/solutions to test

17
(No Transcript)
18
(No Transcript)
19
(No Transcript)
20
APICHA CQI Timeline

21
APICHA CQI Timeline

22
APICHA CQI Timeline

23
APICHA CQI Timeline

24
APICHA CQILessons Learned

• Most Important
• - Buy-in
• - Planning the Development Implementation of
  CQI
• - Communication
• Hardest
• - Defining Annual CQI Goals
• Most Helpful
• - Technical Assistance from AIDS Institute
• Guidance
• Legitimacy
• Training

25
APICHA CQILessons Learned

• Advice
• Beg, borrow, and steal
• performance indicators
• Relevance
• Measurability
• Realistically
• Efficiently
• Finite resources
• Improvability
• Given limitations of yourservices
  andpopulation

26
Thank You

• www.apicha.org