Transcript SHAREFEST slides - all statesx

SHAREFEST:
Ready, Set, Share!
December 4, 2014
12pm – 2pm (ET)
Welcome & Introductions
 Welcome & Introductions, 5min
 State QI Project Status Updates, 25min
 Your Agency Projects and Strategies in Place, 35min
 Establishing a Plan for Dissemination of Learning, 30min
 Quality Improvement Project Hopes & Fears, 10min
 Other Areas for Discussion, 10min
 Planning for Learning Session 3, 5min
Michael Hager, MPH MA
NQC Manager
New York, NY
2
Welcome & Introductions
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3
Welcome & Introductions
Introducing:
Today’s Speakers!
4
Welcome & Introductions
Today’s Presenters!
NQC TEAM
 Michael Hager
 Clemens Steinbock
 Lori DeLorenzo
 Ariane Litalien
5
Welcome & Introductions
HAB TEAM
 Marlene Matosky
 Emily Chew
ARKANSAS ACHIEVERS
6
Welcome & Introductions
Presenters:
Stephanie Hedgepeth
Stephanie Lenoir
Cedric Sturdevant
Kawanis Collins
Kendra Johnson
Tonya Green
7
Welcome & Introductions
Presenters:
Scoie Green
Kneeshe Parkinson
Lauri Massey
Matthew Grover
Christine Smith
Steven Bacon
Deana Hayes
8
Welcome & Introductions
New Jersey Cross Part Collaborative
Presenters:
Ellen Dufficy
Pam Gorman
Sharon Postel
Terri Fox
9
Welcome & Introductions
Ohio Quality Crusaders
Presenters:
Lea Dooley
Kate Bennett
Brigid Kennedy
Kate Burnett
Chris Ahrens
Michelle Kucia
Katy Rybka
10 Welcome & Introductions
Area 1:
Implementation of
State QI Project
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Implementation of State QIP
12
Implementation of State QIP
Arkansas QIP
Goal: Arkansas will improve our HIV Continuum to provide
improved care for our patients living with HIV/AIDS. We will focus
initially on improving patient retention in care and increasing the
viral load suppression rate within our state from the current rate of
55% to 75% by March 31, 2015.
In-Common Agency QI Initiatives
13
•
Input lab data (viral load results and medical visits) from
the Electronic Health Records into the Careware system.
•
Participate in monthly H4C meetings.
•
Completed “Viral Load Non-Suppressed” surveys.
•
Providing training to agency case managers about
initiative efforts and how to effectively implement the
initiative's efforts in their daily case management
activities.
•
Educate the client.
Implementation of State QIP
14
Implementation of State QIP
Implementation of State QI Project
• Statewide project is currently being
overhauled due to changes in
ADAP program
• Termination vs. Restriction protocol
• Targeted client intervention for
treatment adherence
• Process measures under
development
15 Implementation of State QIP
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Implementation of State QIP
MO CAN
SHAREFEST 2014
Implementation of Missouri QI Projects
MO CAN will use heroic efforts to improve the HIV care continuum in order to provide
high quality care for Missouri residents living with HIV. We will initially focus on
viral load suppression, as evidenced by:
 At least 85% of patients in all race, gender, and age categories will be virally
suppressed by June 2015 from the baseline of 80.7% in December of 2013.

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Letter from All Grantees to sub-contracted agencies and providers
Implementation of State QIP
MO CAN
SHAREFEST 2014
Implementation of Missouri QI Projects
 Each agency/region has the freedom to select their Viral Load
Suppression QI project
 Two RT team members serve as QI Project Liaisons
 Monthly “check-ins” by the QI Liaisons and formal reporting will be
completed quarterly
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Implementation of State QIP
MO CAN
SHAREFEST 2014
Implementation of Missouri QI Projects
 Quality Improvement Project Reporting Worksheet
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Implementation of State QIP
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Implementation of State QIP
New Jersey: Aim Statement
HRSA grantees will improve the quality of care provided
to people living with HIV disease in New Jersey through
the development of a collaborative and standardized
methodology for statewide quality management
activities.
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Implementation of State QIP
New Jersey: Aim Statement
We will accomplish our aim in 18 month intervals by:
• Utilizing our standardized method of a data tool,
a database and a data collection protocol to
collect data across multiple parts within New
Jersey;
• Meeting regularly as a Cross-Part Collaborative
Team to analyze and unify data;
• Identifying and monitoring which (if any)
indicators are in need of improvement based
upon benchmarks set by the Cross-Part
Collaborative Team;
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Implementation of State QIP
New Jersey: Aim Statement
•
•
•
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Updating and implementing a statewide Quality
Improvement Plan using PDSA cycles to evaluate
progress at targeted HRSA Grantee sites over time;
Identifying and monitoring which (if any) indicators
are in need of improvement based upon
benchmarks set by the Cross-Part Collaborative
Team; and
Updating and implementing a statewide Quality
Improvement Plan using PDSA cycles to evaluate
progress at targeted HRSA Grantee sites over time.
Implementation of State QIP
New Jersey: Goals
The New Jersey Cross part collaborative measures four
indicators of quality of care. The HIV viral load
suppression, annual prescription of HIV antiretroviral
therapy, HIV medical visit frequency, and gap in HIV
medical visits measure will include HIV positive patients
of all ages who were not deceased at the end of each
reporting period.
Benchmark
Goal
Indicator #1
HIV Viral Load Suppression
Indicator #2
Prescription of HIV
Antiretroviral Therapy
77%
82%
91%
90%
Indicator #3
HIV Medical Visit Frequency
72%
80%
Indicator #4
Gap in HIV Medical Visits
16%
10%
24 Implementation of State QIP
New Jersey: Implementing Project
•
•
•
•
25
NJ modified the current indicators that we were
collecting to the H4C indicators
Providers all collect identical data elements
Providers were able to chose their own PDSA for
Cohort
RT Team did provide assistance or guidance where
needed or asked by agencies
Implementation of State QIP
New Jersey: Assessing Progress
•
•
•
•
•
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Utilize H4C measures
Collect H4C and Cohort measures bimonthly
Employ agency developed PDSAs
Assure PDSAs reviewed biannually
Provide TA by phone, on-site or through NJ's webinar
series
Implementation of State QIP
27
Implementation of State QIP
Ohio Quality Crusaders
Ohio H4C AIM Statement
• The Ohio H4C Quality Crusaders will develop a statewide HIV Care
Continuum and Quality Plan to improve the quality of care and life
for people living with HIV in Ohio with focus on collection, analysis,
and dissemination of statewide data. The ultimate goal of the Ohio
H4C project is to identify, engage, retain, and treat with antiretroviral
therapies all HIV+ individuals living in Ohio thereby improving health
outcomes and reducing the number of new infections through
community viral load suppression.
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Implementation of State QIP
Ohio Quality Crusaders
Ohio H4C Primary Goals
• Build Ohio’s capacity for closing gaps across the HIV Care Continuum
to ultimately increase viral load suppression rates for individuals
living with HIV
• Align quality management goals across all Ryan White HIV/AIDS
Program Parts within Ohio to collaboratively meet legislative quality
expectations
• Implement joint quality improvement activities to advance the
quality of care for people living with HIV within a region, and to
coordinate HIV services seamlessly across Ryan White Parts
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Implementation of State QIP
Ohio Quality Crusaders
Ohio H4C Objectives
• Establish statewide baseline data by October 1, 2014
• Create an Ohio Ryan White Continuum of Care by December 31, 2014
and a complete Ohio Continuum of Care by December 31, 2015
• Increase the percentage of patients retained in care (as of June 30,
2014) by 10% by July 1, 2016
• Reduce the number of non-virally suppressed patients (of June 30,
2014 cohort) by 20% by July 1, 2016
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Implementation of State QIP
Ohio Quality Crusaders
Implementation & Progress
• Primarily working on a “macro” or systems level
• Working toward complete, clean data from all RW grantees
• Building capacity among grantees, and secondarily among subgrantees & consumers
• Reconfigured & expanded Response Team to capture data &
Careware technical experience, involve more consumers, and work in
small teams on projects
• Frequent calls, emails and face-to-face meetings to make
adjustments as needed and keep moving forward
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Implementation of State QIP
Area 2: Promising
Change Ideas
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Promising Change Ideas
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Promising Change Ideas
MO CAN
SHAREFEST 2014
Tests of Change
Washington University School of Medicine
 Lost to Care Project
 St. Louis, MO
 Target clients that have no evidence of care in the last 12
months or longer
 Multidisciplinary team: nurse, medical case manager, peer
 Team conducts home visits, attend medical visits with the client,
provide referrals to social services, intensive support unit for
client returning to care
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Promising Change Ideas
MO CAN
SHAREFEST 2014
Tests of Change
Washington University School of Medicine




42 (88%) had a decrease in VL or
maintained suppression since
entry into the program
38 (79%) are virally suppressed
(<200 copies/mL) at last test
Mean VL at entry = 88,481
copies/mL
Mean VL at last test = 6,193
copies/mL
*Data covers 1/21/14 – 9/30/14. All VLS data
excludes deceased, moved, declined, unable to locate,
and newly enrolled with only 1 viral load test (n=45)
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Promising Change Ideas
MO CAN
SHAREFEST 2014
Tests of Change
AIDS Project of the Ozarks
• 29 Counties in Southwest Missouri
• Target medically case managed clients whose VL
is over 200
• Multidisciplinary Team: Medical Director, Nurse
Practitioner, Nursing staff, Medical Case
Managers, Linkage to Care Coordinator, Mental
Health Coordinator, and Retention and Care
Specialist
• Nurse practitioner reviews all labs. Anyone with
VL over 200 is added to the Project.
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Promising Change Ideas
MO CAN
SHAREFEST 2014
Tests of Change
AIDS Project of the Ozarks
• NP fills out VL Project Assessment and gives it to
Medical Case Management Director
• Medical Case Management Director evaluates
assessment and reviews with Medical Case Manager
• Daily meeting held with multidisciplinary team and plan
is addressed to work with client
Project Began April 2014
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Baseline VL Suppression
82%
Current VL Suppression
89%
Promising Change Ideas
38
Promising Change Ideas
Arkansas Change Ideas
Consumer Support/Empowerment Groups
The Arkansas H4C team (including consumer involvement) has
recognized that another component for helping consumers remain
in care and adhere to treatment regimens is their need for
additional encouragement, emotional support, and motivation. In
2015 the team will evaluate means for changing current
support/empowerment group activities within each agency in
order to increase consumer participation in the groups.
• Change of meeting environment/ setting place
• Use of incentives
• Consumer input of group topic areas
• Eliminate consumer barriers that hinder participation
There is not a formal data report reflecting current performance
outcomes of the support/empowerment groups; however, based
upon physical observation it is evident that the consumer
participation in the groups is extremely low.
• H4C team agencies will set baseline measures
39 Promising Change Ideas
40
Promising Change Ideas
Ohio Quality Crusaders
Promising Change: Peer/Staff MI
• Short training with clinic staff & peer community health workers on
Motivational Interviewing
• Established cohort of 60 patients as of April 30, 2014 (a little earlier
than the cohort we’re using for H4C)
• Each staff member (social workers & nurses) took several patients to
target for individual intervention consisting of three phone calls
bookended by two face-to-face meetings (incentivized); each used a
peer with at least one of their patients
• Some unsuppressed patients were also being called for adherence
follow-up by a Pharm.D. from our 340B contract pharmacy
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Promising Change Ideas
Ohio Quality Crusaders
Promising Change: Peer/Staff MI
• As of April 30, 2014 we had 60 unsuppressed patients; as of
September 30, 2014 we had removed one from the cohort, and 17
achieved VLS
• Our subset results, using the NQC cohort definitions & timeframe:
from 6/30/14 to 9/30/14 we saw 13 of 55 (24%) of unsuppressed
patients achieve suppression
• Pros to intervention: results!
• Cons to intervention: no way to pinpoint which part of intervention
worked or for which kind of patient
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Promising Change Ideas
Ohio Quality Crusaders
Promising Change: Consumer Input
• Consumers from around Ohio participated in NQC consumer Quality
training in Columbus in June, 2014, and one of those consumers
completed an NQC Training of Trainers in November, 2014
• Some of those consumers and the two Response Team co-Leaders
conducted a panel presentation for Ohio AIDS Coalition World AIDS
Day conference attendees on best practices for VLS & retention from
a consumer perspective
• Included in those best practices are: __________________________
________________________________________________________
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Promising Change Ideas
44
Promising Change Ideas
Promising Change Ideas, Part 1 UMMC
Managing drilled down list of patients not suppressed in a
large clinic
PLAN
DO
 Obtain list of
patient’s not
currently
achieving VL
Suppression from
Careware
 Send providers a
list daily/weekly
detailing patients
that have not yet
met VL
Suppression
 Compare data
from Careware
and EMR to
confirm accuracy
 Provide Client
Self-Report on
Adherence to
patient’s as they
come into clinic
while waiting to
see provider
 Collaborate with
staff on how to
best use
adherence report
tool
45 Promising Change Ideas
STUDY
 Obtain data and
review/drill down
 Important Data:
 Answers to
adherence report
 Rate of show
 Age/Gender*
 Payor source
 Resulting labs
ACT
 Implement
changes based
off results and
feedback from
staff
 Examples:
 Make
adherence
report on
yellow paper
 Look into no
show rate and
compare list to
EMR follow up
clinic appt.
( PDSA)
Promising Change Ideas, Part 1 UMMC
Results: Week 1
 Self Report Answers
 Didn’t have
medication with you
 Missed time
 Felt depressed
 Just forgot
 Too many pills
 Felt embarrassed
 No way to get
medications
Results: Week 2
• Self Report
Answers
• Missed time to
take medication
• Did not get refills
in time
• Could not afford
• Did not have
medication with
you
• Just forgot
Results: Week 3
 Self Report
Answers
 Felt depressed
 Missed time
 Did not get refills in
time
 Did not have
medications with you
 Having side effects
 Just forgot
 Don’t feel sick
 Felt too sick
 Too many pills
 Just didn’t want to
take meds
 Using drugs/alcohol
46 Promising Change Ideas
Promising Change Ideas, Part 1 UMMC
Moving Forward
 Planning for next PDSA: linking VL
suppression and Retention efforts
 Examine VL suppression list to
verify which patients need follow
up visits
 Continue daily/weekly email of
up coming patients to be seen in
clinic that have not achieved VL
suppression
47 Promising Change Ideas
Promising Change Ideas, Part 2
Coastal FHC
 Improved processes for
 Completed lab work prior to
clinical appointment
 Daily patient work flow-use of
daily huddles
 Follow up on no shows
48 Promising Change Ideas
 Results
 Increase from 62% to 77% VL
suppression rate.
Completed Lab Work for Appointments *process tweaked from prior QI Project
49 Promising Change Ideas
50 Promising Change Ideas
Promising Change Ideas, Part 2
Coastal Family Health Center
Rescheduling Missed Appointments – Outreach worker
PLAN
 Review daily list of
no shows with
providers
 Communicate
with CM and
provider’s Nurses
to address any
barriers
 Contact patient to
reschedule
 Assist patients with
barriers; reinforce
importance of
undetectable VL;
goal setting; no
show policy
DO
 Patients were
given reminder
calls the day
prior to
appointments;
 Schedules were
checked daily for
no shows
 No shows were
immediately
contacted to
reschedule
51 Promising Change Ideas
STUDY
ACT
 During testing
period:
 Systematized
process
 Total: 229
patients
scheduled
 16 no show
 14 rescheduled
 88%
 Added:
 Provided patients
with phone
extensions of case
manager to
alleviate some
frustration when
needing to
reschedule an
appointment
52
Promising Change Ideas
Newark, New Jersey EMA
Improve Viral Load Suppression In Urban
Area Clinics & Among Youth
53
Promising Change Ideas
Problem
• Problem Statement: In 2010 NHAS identified need to
increase PLWHA with undetectable Viral Load (VL).
• Aim Statement: Improve VL Suppression (VLS) by
20% of those not virally suppressed.
• Root Cause: Failure to take ARVs consistently as
prescribed.
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Promising Change Ideas
Adherence Assessment with
Interventions
• What are we trying to accomplish? Improve VLS
through patient assessment, awareness,
interventions.
• How we will know if the change is an improvement?
Obtain & track VL measures & compare baseline with
endpoint (CHAMP).
• What changes can we make that will result in
improvement? Recommend strategies, provide
support, ongoing assessment, corrections where
needed.
55
Promising Change Ideas
Adherence Assessment with
Interventions (2-page tool)
56
Promising Change Ideas
57
Promising Change Ideas
58
Promising Change Ideas
59
Promising Change Ideas
60
Promising Change Ideas
PLAN - DO - STUDY - ACT
61
PLAN
DO
Improve VLS among patients in
urban clinics esp. youth using
Adherence Assessment with
Interventions Tool.
In process starting October 1,
2014. Began collecting the data
and will be performing analysis.
ACT
STUDY
To be done 2015.
(Abandon, Adapt, Adopt?
Plan the Next Cycle?
Decide whether the change can
be implemented)
To be done 2015.
(Complete the Analysis
Compare Data to Hunches
Summarize what was learned)
Promising Change Ideas
Key Points
• Lessons Learned. To be determined.
• Barriers Identified. To be determined.
• Next Steps. To be determined.
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Promising Change Ideas
Cooper University Health Care
Early Intervention Program – Part C
Grantee, Camden City, New Jersey
Patient Centered Education:
to improve ART Adherence and Viral Load
Suppression
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Promising Change Ideas
Addressing gaps in the HIV Care
Continuum for PLWH
• Problem Statement – although an average of 85% of
patients are retained in care, 79% of patients
maintained a viral load of under 200 copies/ml for
(Cooper EIP CAREWare database).
• Aim Statement - to improve VLS by 20% of those not
virally suppressed.
• Root Causes – 31% lost to care, 30% missed
medical care appointments, and 24% missed
opportunities at the clinic, i.e., lack of provider
reminder prompts in EMR and patients leaving clinic
without having laboratory tests drawn.
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Promising Change Ideas
Patient Centered Education
• What are we trying to accomplish? Increase the number
of clients who are prescribed and adhere to antiretroviral
therapy (ART) and promote self-management of health
care.
• How we will know if the change is an improvement?
Generate monthly data reports to monitor and track
patients prescribed ART and VLS (CAREWare).
• What changes can we make that will result in
improvement? Assess and Implement the most
appropriate educational interventions and ensure the
educational messages are consistent across all care
service providers.
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Promising Change Ideas
PLAN - DO - STUDY - ACT
66
PLAN
DO
Improve VLS: Identify population
of focus; complete root cause
analysis; identify project
strategies and key stake
holders; QM team to develop
project objectives.
Identify and assess 30 patients
for project strategies; prepare for
CDSM intervention and recruit
patients; initiate tracking of
monthly data reports for project
objectives.
ACT
Ongoing assessment of
success or failure of
strategies; Data analyzed
quarterly by QIC; New
strategies will be begin with a
new PDSA cycle.
STUDY
January 5, 2015 team will
review VLS data. Assess
successes and areas for
opportunities.
Promising Change Ideas
Key Points
• First Lessons Learned – Accurate data collection is
critical.
• Barriers Identified – inadequate EMR build and
interfacing challenges with data base.
• Next Steps – Ongoing data assurance through
EMR/patient file audits and improvements to the
EMR build.
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Promising Change Ideas
Area 3: Spread the
Word, Share the
Work!
68
Spread the Word, Share the Work!
Spread the Word, Share the Work!
Ohio Quality Crusaders
Spread the Word: Communication Plan
• One-page summary document, storyboard and PowerPoint summary
used across the state for Ryan White Advisory Boards, Planning
Councils, QI committees and internal agency meetings
• Permanent agenda item on Ohio’s Part B Advisory Board meeting,
held quarterly and attended by most state HIV stakeholders
• Bi-annual Ohio H4C newsletter and online dashboard to begin by
January 1, 2015
70
Spread the Word, Share the Work!
Ohio Quality Crusaders
Share the Work: Meetings & Trainings
• Following NQC Consumer Quality training in June, consumers have
lead trainings around state
• Collaborated with the Ohio AIDS Coalition (division of one of our
Response Team agencies) for Quality session and information table at
World AIDS Day conference; _____ stakeholders in attendance at the
conference
• Recently surveyed state stakeholders on preferences for meetings &
trainings; plans for a full-state or regional day-long Quality trainings,
mid-2015 and more state-wide conference calls & meetings
71
Spread the Word, Share the Work!
72
Spread the Word, Share the Work!
Statewide Peer Sharing
• Annual Update Conference
• Update statewide grantees on quality projects
• Statewide Webinars
• Most recent on PDSA examples of VLS
• New Jersey Cross-Part Collaborative Committee
• Continues to meet and discuss projects and
improvement strategies being used in care
environments
73
Spread the Word, Share the Work!
Formal and Sustainable
• Sustainability Plan currently in development which
includes:
• Data Collection/Feedback Mechanisms
• Alignment of statewide efforts
• Capacity Building Infrastructure
• Annual Membership and Skills Inventory/Assessment
• Dissemination of Innovation/Best Practice
• Stakeholder Engagement
• Funding
74
Spread the Word, Share the Work!
AETC Engagement
• Multiple representatives from New Jersey Local
Performance Sites on Committee
• Formal support given to H4C and CPC efforts
through the NY/NJ AETC
• Annual Needs Assessment
• Sustainability Planning
• Capacity Infrastructure
• Referral Network
75
Spread the Word, Share the Work!
76
Spread the Word, Share the Work!
MO CAN
SHAREFEST 2014
Spread the Word, Share the Work
 Grantees come together face-to face on a quarterly basis to
discuss specific improvement strategies and lessons learned
 Formal Communication: including, but not limited to
Statewide Managers Meeting, case management meetings,
planning councils, community advisory groups
 Informal Communication: provider newsletters, consumer
newsletters, Together MO CAN Newsletter
77
Spread the Word, Share the Work!
MO CAN
SHAREFEST 2014
Spread the Word, Share the Work
 Live QI training offered at various locations and times
throughout the state including case managers, supervisors,
physicians, pharmacists, and consumers
 Member of the RT is from MATEC; we are beginning to
explore opportunities for MATEC to participate in the
collaborative and provide additional TA and training
78
Spread the Word, Share the Work!
79
Spread the Word, Share the Work!
Spread the Word, Share the Work
MS Statewide QM Group
Facilitators- Stephanie Hedgepeth with
Group members and NQC Coach
Coach - Nanette Brey Magnani
 Meets Face to Face Quarterly
 Monthly Calls
 All included in the meetings

All Ryan White Grantees
(representative(s) from each site
 Mississippi State Department of Health
(ADAP)
 Representative from each Health
District
 Consumers
 AETC
80 Spread the Word, Share the Work!
What we do…
 MS-Statewide QM Group meets quarterly to exchange QI Projects/PDSA progress and to
agree on follow up improvement actions
 MS-Statewide QM Group works collectively in planning what actions need to be taken
from a state perspective.
 Competencies achieved in use of QI Tools: process diagram, flowcharts, teach back tools,
PDSA worksheets, etc.
 AETC will be available to assist with any consultation, education and/or training that is
needed for providers.
 Tonya Green & Kawanis Collins serve as peer mentors and assist with onsite team quality
training/education for programs throughout the state to reinforce objectives and training.
 Onsite training/education is available to the staff that may not be available to attend
quarterly meetings. This is provided by our NQC Coach, Nanette Brey-Magnani and Part B
CQM Stephanie Hedgepeth.
 A team approach may need to be taken to ensure everyone is on board with quality
improvement projects
81 Spread the Word, Share the Work!
82
Spread the Word, Share the Work!
Arkansas Spread & Share
Information about H4C initiatives are disseminated through:
• Agency publications
Positive Empowerment Newsletter
Know Now: Be Sure. Get Tested For HIV & AIDS Newsletter
• AIDS Education Training Center (AETC)
The H4C team has created a Provider Involvement Committee.
The group is composed of the Part B Providers Recruitment
Specialist, one consumer, H4C team members, and the AETC.
The current project being plan for January 14, 2015 is a
webinar that will give an H4C overview, a refresher on the HIV
treatment cascade, a didactic presentation on “How to get to
Viral Load Suppression”, and a Provider Feedback that will
include a case study moderated by 4 Arkansas HIV doctors.
• Consumers
The Arkansas H4C team includes the involvement of consumer
participation during monthly meetings. Having their
involvement helps to disseminated the projects goals and
efforts.
83 Spread the Word, Share the Work!
Other Areas of
Discussion
84 Other Areas of Discussion
85 Other Areas of Discussion
Consumer Engagement
 Currently 3 consumers are
actively involved in the group.
 TCQ conducted November 6-7
 Increase in consumer
engagement through training
and involvement
86 Other Areas of Discussion
Provider Engagement
 SHOW THEM THE DATA!!!
 Site-specific Continuums in
development
 Benchmark
 Compare
 Compete
 Dr. Agins’ talk November 25th
 The Role and Impact of QI on the
HIV Care Continuum at the
Clinic, CBO, and State Levels
87 Other Areas of Discussion
A Provider’s Perspective
 How UMMC engages Providers in
the QI conversation
88 Other Areas of Discussion
Consumer Engagement Update
• Quick logistical mobilization, recruitment and
execution of TOC
• Outcomes
• Invaluable opportunity for networking amongst
consumers
• High demand to expand 1st training to more
consumers
• Additional request for ongoing training for
consumer TOC participants
89
Other Areas of Discussion
Engaging Providers
Part A NJCPC
Ketlen, Sharon
Terri, John, Pat,
Christina,
And Timothy
Direct
Communication
Part A Providers
Part C
Part D
Heidi/Ellen
All of NJCPC
Ellen
Direct
Communication
Part B Providers
Face to Face/Meetings
Incorporation of NJCPC Goal in
local events and planning
90
Part B
NJCPC
Other Areas of Discussion
Opportunistic
Approach
Seize on opportunities
to engage during
other forums
Statewide Meetings and Trainings
Clinical Update
ANAC Day of Learning
NJ HPG
Part D Providers
Emails
Phone Calls
Engaging Providers
• NJ has 100% of RW providers reporting
• Meet providers where they are, literally and figuratively
• Don’t send overly complicated messages and
instructions
• Stress flexibility in strategies; we have common goals
but our strategies will be different because we have a
range of resources and restraints
• Share the workload amongst NJCPC team members
• Acknowledge the efforts of providers
91
Other Areas of Discussion
92 Other Areas of Discussion
MO CAN
SHAREFEST 2014
Consumer Engagement Update
 Consumer participation of the RT
 26 Consumers trained at the October TCQ!
 Plans for consumer involvement
93
Other Areas of Discussion
94 Other Areas of Discussion
Quality Improvement
Project Hopes &
Fears
95 QIP Hopes and Fears
Planning for Learning Session 3
February 4 & 5, 2015
HRSA Parklawn Building
Please RSVP with Taina Sampeur by
January 1, 2015
 [email protected]
 212.417.4730
Storyboard Guidance Available by
Friday, December 12, 2014
96 Planning for LS3
Michael Hager, MPH MA
Clemens Steinbock, MBA
Lori DeLorenzo, RN MSN
Bruce Agins, MD MPH
Emily Chew, MPH
Marlene Matosky, MPH RN
Tracy Matthews, MHA RN
Laura Cheever, MD ScM
National Quality Center
HRSA HIV/AIDS Bureau
212-417-4730
NationalQualityCenter.org
[email protected]
97 Thank You!!!
301-443-0798
HAB.HRSA.gov
[email protected]