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NQC e-Newsletter |  Your expert guide to resources and technical assistance focusing on improving HIV care.



While the National Quality Center (NQC) and the HRSA HIV/AIDS Bureau continue to review the many applications we received for the 2012 NQC Quality Awards, I want to acknowledge the hard work of the many HIV providers that applied.  Based on the review so far, it is evident that important quality improvement work is done by many organizations across the coutnry.  Each year we receive an increasing number of outstanding applications, a tribute to the 'culture of quality' that is building in Ryan White Program-funded grantees.  While it gets harder to select 'winners' the real winners are the many HIV-infected individuals served by your organizations.  NQC will continue to provide state-of-the-art technical assistance based on your inputs and to serve the varied quality improvement needs of Ryan White grantees.  We thank all applicants and will announce the 2012 winners in our next issue. 


Send us your comments | Clemens@NationalQualityCenter.org


Clemens Steinbock,

Director, National Quality Center

> In This Issue

> NQC News | DC EMA Collaborative Successfully Transitions to Community Leadership
> NQC News | NQC Resources: Making It Easy to Find the Resources You Need
> NQC News | And the Award Goes to...
> NQC News | HIVQUAL Releases New Indicators for 2011 Data Collection
> NQC News | in+care Campaign Update
> Real World Quality | Nancy Koughan, DO, MPH
> Consumer Perspective | Corin Landrum
> Highlights from the NQC Collection | Empowering Consumer Engagement

> NQC News | DC EMA Collaborative Successfully Transitions to Community Leadership 


The DC Cross-Parts Collaborative successfully transitioned to community leadership at the end of the Collaborative's 5th Learning Session held in Washington, DC on May 15 and 16, 2012. The community Response Team has been building its capacity for this transition since the Collaborative kicked off in April 2011. NQC and HAB will still be available to the grantee participants and Response Team, but the community itself will now coordinate all training sessions and activities, manage data reports and community feedback, review, make any necessary updates to the EMA-wide quality management plan, and decide on new improvement projects. NQC is pleased with the progress the Response Team and the Collaborative participants have made over the last year and has every confidence that the Response Team and DC Ryan White community will maintain the DC Cross-Parts Collaborative for many years to come. The consumer team for the Collaborative, known as Q-PAC will also continue to operate through the transition and will continue to be the vehicle to bring consumer voices into Collaborative activities. Congratulations, DC, and Good Luck!!

> June 2012 | Issue 48 | Volume 5   

Quick Links


> Upcoming Events | June - August 2012 

June 20-22| Training for Consumers in Quality | Philadelphia, PA


June 21, 3:00 pm ET | National TA Call | Empowering Consumer Engagement


June 27, 2:00 pm ET | Campaign Webinar: Locality and Regional Level Retention Efforts


June 28, 2:00 pm ET | Partners in+care Webinar: Working Together as Partners in+care


July 19, 3:00 pm ET National TA Call | Retention in Care


July 24, 3:00 pm ET | Part D TA Call | Using QI Tools 

National Quality Center

New York State Department of Health

AIDS Institute

90 Church Street, 13th floor

New York, NY 10007-2919

Phone | 212.417.4730

Fax | 212.417.4684

Email | Info@NationalQualityCenter.org 


Sharing, Training, Consulting.

Improving HIV Care.

> NQC News | NQC Website: Making it Easy to Find the Resources You Need 


Over the years, NQC has developed a wide range of quality-related publications that are specifically tailored to the needs of Ryan White grantees. We believe it is the largest collection of quality improvement resources for HIV care.  The NQC website has powerful search features and offers different ways to find the quality-related resources you are looking for.


- by Keywords

You can use a traditional keyword search, which allows users to search for resources by a specific word or phrase you enter. Once you have entered the keyword(s) and press search, the results appear on the screen, as well as a brief description and a list of categories they fall into. To learn more about a specific resource, click on the name of the document and you are redirected to the actual document for review and downloading.


- Using Full Text Search

If you want to search for specific terms throughout the entire text in every stored document on the NQC website, use Full-Text Search. The advantage of this function is that it actually looks through all the resources for you, whether a Word, PDF, or PowerPoint document. You see the results click on the resource you are looking for.


- Search with Filters

You can also search by one or more categories. Choose from the list of 8 options and subcategories. You can add a second or more filters to narrow down your matches. The number of matches is listed to assist you in the search. Once you are done, you can see all documents, as before, and click on the one resource that you need.


Using our search tool is easy, and it places a wealth of quality improvement resources at your fingertips.  Take advantage of it and find the quality resources you need.

NQC is constantly looking for input on how to make finding resources as easy as possible. If you have suggestions for improvement or additional comments, please send them to Kevin Garrett, NQC Senior Manager | kfg01@health.state.ny.us


Search for the resources you are looking for | nationalqualitycenter.org/index.cfm/5852

> NQC News | And the Award Goes to....


Sorry, we are not quite ready to make the big announcement about the winners of the 2012 NQC Quality Awards. NQC would like to thank everyone that submitted applications--over 20 applications were received from Ryan White grantees. Since the beginning of the National Quality of Care Award Program in 2008, NQC has been recognizing the efforts of Ryan White grantees that have made exceptional improvements in the quality of their HIV care.


The review committee is currently examining the applications and the winners will be announced in the near future.


Learn more about the Award Program and past winners | nationalqualitycenter.org/index.cfm/5847/17961

HIVQUAL Releases New Indicators for 2011 Data Collection


On June 4th, HIVQUAL-US will launch the 2011 data collection cycle with an updated version of eHIVQUAL, an online application for HIV quality-of-care monitoring and reporting. There are significant improvement to the primary care indicators; these cover both HIV-specific and chronic disease management measures, which are developed and refined annually for clinical relevance. There are also new indicators related to sexual activity assessment and coordination of care.


eHIVQUAL application allows for the secure entry of patient-level data and generation of aggregated reports that can be filtered in numerous ways and then exported for sharing with your colleagues. Data submitted via the application are also included in key findings and national benchmark reports, providing detailed feedback on performance for a wide variety of clinical indicators. The 2011 indicators and more information about the eHIVQUAL application are available at http://www.ehivqual.org.


HIVQUAL-US invites your participation in eHIVQUAL by registering for the upcoming data submission of our new 2011 indicators.   Data entry can begin on June 4th and grantees will have approximately 2 months to enter their data. If you are interested in learning more about the 2011 indicators and participating in eHIVQUAL, please go to the following link to register: https://www.surveymonkey.com/s/ehqregistration. We will then provide you with additional information about getting started, webinar training session dates and the submission calendar.  


If you have any questions, please contact Darryl Ng, HIVQUAL Director at ehivqual@health.state.ny.us or (212) 417-4620.

> NQC News | in+care Campaign Update:  


 The in+care Campaign database now contains over 130,000 patients and more than half the sites participating in the Campaign are actively submitting data on the measures. Here is the latest national snapshot based on the in+care Campaign measures:

Click here to see the in+care campaign update! 

The next submission deadline for in+care Campaign measures in August 1, 2012


The Campaign encourages all participants to share their retention strategies-to date we have heard from about a quarter of all Campaign participants.  On the Campaign homepage participants can click on "Tell Us Your Improvement Stories" to let NQC know what strategies you have tried and what has worked and not worked for you.


New resources have been added to the Campaign website...  

  • Sitapati's Retention Toolbox, from the Owen Clinic at University of California San Diego, includes sample engagement specialist position descriptions, outreach letters and phone scripts, brochures, and more.  Look under "Resources" on the campaign website.
  • New tools, including process diagrams, position descriptions, videos, policy brief papers, quizzes, and sample presentation slides, have been posted under "Resources/Local Quality Champions" on the campaign website.
  • Partners in+care will be launching a internal discussion board through Facebook in June 2012.

Learn more about the in+care Campaign | incarecampaign.org/index.cfm/75089 

 in+care Campaign Upcoming Events and Activities

> June 1 | Next Measure Data Submission Deadline


> June 15 | Next Improvement Update Submission Deadline


> June 27, 2:00 pm ET | Campaign Webinar: Local and Regional Level Retention Efforts


> June 28, 2:00 pm ET | Partners in+care Webinar: Working Together as Partners in+care


> Every Mon/Wed 4:00 pm ET | Campaign Office Hours  

Dial-in: 866.394.2346
Participant Code: 418 257 6142 #

> Real World Quality | Nancy Koughan, DO, MPH


As a member of the NQC Steering Committee since 2007, Dr. Nancy Koughan has helped NQC remain responsive to the needs of Ryan White grantees. Dr. Koughan is the Medical Director for the Dekalb County Board of Health's HIV Care Clinic, which receives funding from Parts A and C. The NQC Steering Committee is charged with helping identify technical assistance priorities and feedback on NQC activities.


A NQC consultant conducted an assessment of the clinic's quality-related activities in 2006. They recommended that the clinic participate in the NY State Dept. of Health AIDS Institute's HIVQUAL-US which works hand-in-hand with NQC to provide technical assistance to Ryan White Program grantees. Since then, Dr. Koughan and other clinic staff have taken advantage of various NQC trainings such as the Training of Quality Leaders and the Training-of-Trainers Programs. Staff also regularly participate in the NQC's Journal Club.


While the clinic's quality-related activities initially focused on medical performance measures-syphilis surveillance and case findings in particular-over the last two years there has been a move to more global performance measures. Currently, efforts focus on retention, which aligns with Part A requirements and the in+care Campaign. One of the clinic's peer counselors serves as the committee chair for the Campaign.


Using NQC services, Dr. Koughan built an excellent quality management program. She is also well positioned to provide informed feedback as a Steering Committee member because of her knowledge of NQC services and the direct effect they have had in her organization.  "Participating in these discussions is extremely important and valuable," relates Dr. Koughan. "Challenges persist and programs are being asked to do more with less."  Dr. Koughan's insights into NQC services and her active participation in the Steering Committee have enabled her to navigate these challenges and continue to provide a high level of service to HIV-infected individuals.


"With the NQC there are so many different venues for participation. It is not a one size fits all response," says Dr. Koughan. "Activities are available at all levels, from beginner to advanced. They can meet people where their needs are greatest."

> Consumer Perspective | Corin Landrum


Corin Landrum believes strongly in the involvement of consumers in quality improvement-related activities. "If consumers are not involved, it is more difficult for providers to determine what actually is going on with them," says Corin. "Peers bring 'hands on' experience and can shed light on how people live and the cultures they come from."


Corin is Program Coordinator for the Federation for Children with Special Needs (FCSN). FCSN, which is based in Boston, receives Part D funding to implement family support initiatives throughout Massachusetts for women and their families infected and affected with HIV/AIDS. The Program focuses on educational events, peer support, and training in leadership and advocacy. 


An important part of her work is training peer leaders. The program was developed to help community health centers more effectively use the peers they hire. The 10-week course focuses on training peers to be effective advocates within provider agencies.


FCSN also is taking part in the in+care Campaign and Corin has incorporated many of the Campaign materials and other NQC training resources into her work with peers. "I use the NQC materials to teach the peers how to apply their personal experiences and also how to be effective professionals in promoting retention," says Corin. "Peer educators are hired to help retain people in care. They need a blueprint, not just their own experience, to guide them in the process." 

> Highlights from the NQC Collection | Empowering Consumer Engagement


Consumer engagement can have a significant impact on health outcomes. Engaged consumers are motivated to take action to improve their own health. It can also lead to greater involvement of consumers in organizations-providing peer support, participating in quality activities, and advocating for more resources. NQC has a variety of resources designed to help organizations build consumers' skills so that they can play a greater role in their own care and your organization.


National TA Conference Call: June 21, 3:00 - 4:00 pm ET

Learning Objectives:

  1. Identify practical barriers to engagement of consumers
  2. Identify training needs to support consumer engagement
  3. Illustrate consumer transition from being involved to being empowered and engaged

Learn more and register | nationalqualitycenter.org/index.cfm/17403 


Past National TA Calls

Engaging Provider Staff and Consumers in Quality Improvement: September 13, 2000, October 11, 2007


Engaging Consumers in Quality Improvement: September 10, 2008


Engaging Consumers in Quality Improvement: July 9, 2009


Consumer/Provider Shared Decision-Making in Health Care: January 13, 2011


A Seat at the Table: Involving Consumers in Your Quality Management Program: September 8, 2011

 To access these calls |



NQC webpage on consumer involvement | nationalqualitycenter.org/index.cfm/6176

> About Us


We provide no-cost, state-of-the-art technical assistance to all Ryan White Program-funded grantees to improve the quality of HIV care nationwide.  


Send questions, comments, or suggestions | Info@NationalQualityCenter.org  


This e-Newsletter is produced by the National Quality Center, a quality improvement initiative funded through a cooperative agreement with the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau. For more information | NationalQualityCenter.org  


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