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Quality Management

Quality Statement and  Plan / Performance Measurement and Outcomes

Quality Statement

The Oregon HIV Care and Treatment Program (HCT) is committed to developing, evaluating and continually improving a statewide, quality continuum of HIV care, treatment and supportive services that meets the identified needs of persons living wtih HIV and their families, ensures equitable access and decreases health disparities.

The HCT Program supports this mission by gathering data and information about the services delivered by HCT and its contractors, analyzing this information to measure outcomes and quality of services, reporting this analysis in order to identify areas requiring needed planning, and implementing improvement activities in order to meet program goals.

Quality Management Plan

Improving and assuring quality services for persons living with HIV begins with planning. The HIV Care and Treatment Program's Quality management (QM) program includes HIV program leaders who are responsible for planning and prioritizing quality improvement goals and projects for the year, and establishing performance measures.

The Quality Management Plan outlines how the QM program is structured and how the QM program establishes responsibility and accountability for performance measurement and ongoing program evaluation and improvement.

Quality Management Plan 2017 (pdf)

HIV Care and Treatment Performance Measures:

Performance Measure data are collected and analyzed for health disparaites across different target populations by the HIV Care and Treatment program.  HIV Community Services sub recipient Agency providers analyze this data and provide a performance measure narrative semi-annually with a plan for meeting unmet goals.

  1. All HIV Care and Treatment clients (CAREAssist and HIV Community Services) who received at least one service in Calendar Year (CY), regardless of funding source:
    • Viral Load Suppression: 100%[1] of clients will have a HIV viral load less than 200 copies/mL at last HIV viral load test during the year.
    • No Gap in HIV Medical Care: 90% of clients will have a medical visit in the last 6 months of the year.
    • HIV Community Services Medical Case Management clients only:
      • MCM Care Plan: 90% of medical case management (MCM) clients will have a MCM care plan developed and/or updated 2 or more times a year.
  2. HIV Community Services clients who received at least one Ryan White grant funded Case Management (Non-Medical) service in CY:
    • Viral Load Suppression: 100% of clients will have a HIV viral load less than 200 copies/mL at last HIV viral load test during the year.
    • Stable Housing: 95% of clients will have stable housing.
  3.  ADAP (CAREAssist) clients who are active and received at least one Ryan White grant service in CY:
    • Viral Load Suppression: 100% of clients will have a HIV viral load less than 200 copies/mL at last HIV viral load test during the year.
    • Application Determination: 95% of ADAP applications approved/denied for new ADAP enrollment within 14 days of ADAP receiving complete application in the year.
    • Eligibility Recertification: 95% of ADAP enrollees reviewed for continued ADAP eligibility 2 or more times a year

HIV Care and Treatment Quality Management (QM) outcomes:

The HIV Care and Treatment program will collect and analyze QM outcomes quarterly and will provide this data to our subrecipients annually.

  1. HIV Care Continuum
    • Linkage to HIV Medical Care: new clients attend a routine medical visit within 30 days of HIV diagnosis, as measured by VL (lab test). Goal=100%[1]
    • In Care: # of clients who received at least one service and who had at least one CD4 or VL lab reported in CAREWare (CW) in CY. Goal=95%
    • Virally Suppressed: 100% of clients will have a HIV viral load less than 200 copies/mL at last HIV viral load test during the year.
  2. Quality Improvement project
    • HIV Case Management client with no current viral load test in 12 months will be assigned a high Medical Case Management Acuity. Goal=100%
    • HIV Case Management clients who are virally unsuppressed will be assigned a high Medical Case Management Acuity. Goal=100%

 

[1] End HIV OR Goal

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