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




While our New York City offices were temporarily impacted in the aftermath of Superstorm Sandy, we are pleased to announce our presence at the upcoming Ryan White All Grantee Meeting (AGM) in Washington, DC.


With the support of our consultants and several peer grantee presenters, NQC will once again manage two Quality Institutes and other quality-improvement workshops. All slide presentations will be available on our NQC website for download. In addition, we will have an Exhibit Booth stocked with a plethora of quality improvement resources and, in response to popular demand, we are holding Office Hours with a chance to meet face-to-face with nationally recognized QI experts for individualized consultations.


Stay tuned for further announcements from us with more details about each of our AGM activities. We are looking forward seeing all of you at the AGM.



Clemens Steinbock,

Director, National Quality Center


> In This Issue

> NQC News | NQC at the 2012 All Grantee Meeting
> NQC Update | Suggestions Wanted: New Topics for Quality Academy Tutorials
> NQC News | New HIVQUAL Group in Kentucky
> NQC News | in+care Update
> Real World Quality | Ken Leighton-Boster
> Consumer Perspective | Barbara Szelag
> NQC Coach Spotlight | Marti Beltz
> Highlights from the NQC Collection | Quality in Hard Times

> NQC News | NQC at the 2012 All Grantee Meeting 


The National Quality Center is excited to once again be participating in the Ryan White All Grantee Meeting. This year, NQC will again be offering two Quality Tracks and an additional workshop on retention at the AGM. In addition, NQC will have a booth with various quality improvement resources for your edification and be offering office hours to enable grantees to meet with NQC expert consultants. NQC encourages you to stop by our booth, pick up a few quality improvement resources and meet our staff and consultants. Everyone will be on hand to answer your quality improvement questions.


Quality Track 1

> Quality Improvement 101 and Ryan White Legislative Requirements for Quality Management, 11/28, 10 am to 11:30 am

> Performance Measurement for Quality, 11/28, 3:30 pm to 5 pm

> Building a Sound Quality Management Infrastructure, 11/29, 8 am to 9:30 am


Quality Track 2

> Supporting and Sustaining A Quality Management Program, 11/28, 3:30 pm to 5 pm

> How to Work with your Subcontractors on Quality Management, 11/29, 8 am to 9:30 am

> Improve Your Care and Services with Consumer Input and Participation, 11/29, 10 am to 11:30 pm



> Retention in Care: In+Care Campaign (CEUs are available), 11/29, 10 am to 11:30 am 


These workshops offer you the perfect opportunity to raise your 'Quality Improvement IQ' and to learn what your peers are doing in these areas. NQC encourages you to make the Quality Track your one stop destination for quality improvement knowledge. We look forward to seeing you at the AGM!

> NQC Update | Suggestions Wanted: New Topics for Quality Academy Tutorials


Currently, there are 35 tutorials in the Quality Academy. The tutorials cover such topics as introduction to quality improvement, how to structure a quality program, measurement and data, making improvements, organizational change, and ADAP clinical quality management. Some tutorials are designed for beginners, while others are at the intermediate and advanced level.


In order to remain responsive to the needs of the Ryan White community, NQC plans to add more tutorials. This is where you come in!


Please let us know what topics you would like to see included in the Quality Academy. The tutorials can be general in nature (i.e., appropriate for a wide range of viewers) or tailored to a specific audience.


Take some time to think about the needs of your program and talk to other staff members. We look forward to hearing from you. Please send your ideas by December 31, 2012.


Send your suggestions to Kevin Garrett | Kevin@NationalQualityCenter.org

> NQC News | New HIVQUAL Group in Kentucky


HIVQUAL Regional Groups are made up of peer learning networks designed to promote local quality improvement activities and improvement strategies in a geographic region. Regional Groups provide a powerful mechanism for accelerating the implementation of quality management programs.


Welcome to the Kentucky Regional Group, which will have its first meeting this month. Dan Sendzik, a consultant with NQC, will serve as the coach for this new group.


The initial meeting of the Kentucky Regional Group will be attended by three to four representatives from all four of the Part C/D grantees in the State, as well as the Kentucky Part B Director. The HRSA Project Officer for Kentucky will also participate by conference call. The meeting's agenda includes drafting the group's charter and creating a 12-month work plan, including prioritization of focal topics. The meeting will be co-facilitated by Dan along with the QI Coordinator from the Matthew 25 Clinic of Henderson, Kentucky.  


With the addition of the Kentucky Regional Group, there are now 24 HIVQUAL Regional Groups across the U.S and Puerto Rico.


Interested in establishing a regional group in your area? | Contact NQC at Info@NationalQualityCenter.org



 > NQC News | in+care Update


After much anticipation, the in+care Campaign is thrilled to release its enhanced data reports. These reports build on the reports available through our website that users can manipulate to their own ends. Campaign staff has tried to show more about the nature of participant performance in these enhanced reports by displaying performance distribution densities for each measure in the form of spark lines. Since quality improvement occurs at the clinic level and since aggregating clinic performance scores often leads to loss of information, the in+care Campaign has included this additional granular method for enhanced analyses to describe data without compromising a view of macro-level patterns.


Spark lines, invented by Edward Tufte, are powerful graphics that add tremendously to the meaning of aggregated and grouped numbers. They provide context by showing the spread of data within the set. Each little tick mark represents an individual clinic's score. The red mark is the median of the scores, and the blue marks represent the 25th and 75th percentiles of the scores. Since these spark lines are oriented in the same column, viewers can quickly see how the spread changes from round to round. If you have comments on these enhanced analyses, please let Michael know your thoughts | Michael@NationalQualityCenter.org.


As always, you can count on the in+care Campaign to provide:

  • More webinar programming that is based on cutting edge research and draws from lessons we are learning from the provider community.
  • See the events section for a detailed list of our upcoming programs.
  • If you would like to suggest a topic for a webinar, contact Michael Hager at Michael@NationalQualityCenter.org.
  • New ways to look at submitted data including state-by-state comparisons and comparisons by provider type (i.e., hospital, community health center, AIDS service organization, etc.).
  • New ways to share improvement strategies with others in the field, which will increase the body of literature focusing on retention.
Learn more about the in+care Campaign | www.incareCampaign.org

> November 2012 | Issue 52 | Volume 6  

Quick Links


> Upcoming Events | November and December 

November 15 | National TA Call | Quality in Hard Times


November 19 | in+care Webinar | Retaining Aging HIV+ Patients



November 27-29 | All Grantee Meeting | Washington, DC


November 27 | Regional Groups Networking Session 12pm ET | Thurgood Marshall Ballroom West | Marriott Wardman Park Hotel, Washington DC


November 28 | in+care Networking Session 12pm ET | Thurgood Marshall Ballroom South | Marriott Wardman Park Hotel, Washington DC


December 12 | in+care Webinar | Low-Effort Clinic-Wide Intervention Improves Attendance for HIV Primary Care



> Real World Quality | Ken Leighton-Boster


When he became the Quality Management Supervisor for the Phoenix Part A EMA, Ken Leighton-Boster brought with him the quality-related expertise from his work in hospitals. He found that while the basic quality improvement concepts were the same, there were unique aspects related to working in a Ryan White-funded program. That's when he called the NQC.


"There are many different nuances," says Ken. "There are unique things about the programs and what they need to measure in terms of outcomes."


Ken and his staff have accessed a variety of NQC services. They have participated in trainings (Training on Coaching Basics, Training-of-Trainers, Training of Quality Leaders) and used the tools developed specifically for Part A and Part B programs. He has also worked with NQC consultants to develop the EMA's quality management plan. Last year, the Phoenix Part A Program conducted a regional training for over 60 providers. The training was conducted jointly by staff from both the NQC and the EMA. The training participants included staff from Part A, B, C and D grantees. Ken hopes to hold similar trainings on an annual basis.


"Through our work with the NQC we have really fostered an appreciation for quality in the EMA," says Ken. "Our providers and consumers use quality management to look at our efforts and improve them."

> Consumer Perspective | Barbara Szelag



The Florida Family AIDS Network, a Part D grantee, is in the process of forming a Consumer Advisory Board (CAB) and the task falls to Data Quality Manager, Barbara Szelag. Fortunately, Barbara has taken advantage of many NQC services and resources so she is prepared.


In addition to the Training-of-Trainers and Training of Quality Leaders Programs, Barbara participated in the Training of Consumers on Quality program this past spring. She has also participated in many of the activities that NQC has conducted specifically for Part D grantees.


"What I have learned has really helped me to become a better trainer," says Barbara. "Learning things like adult learning theory and the games to use to engage participants helps me bring quality concepts to staff and consumers."


Barbara is currently providing consumers basic training on quality improvement. The next step will be to recruit CAB members and provide them additional quality-related training.


"For many of them it is their first exposure to quality," says Barbara. "They need to move from thinking of quality in terms of their own needs to look at the larger picture."


As consumers become more engaged in quality-related activities, hopefully they will follow Barbara's lead and take advantage of all the NQC has to offer.



"I love the NQC. They do a wonderful job," says Barbara. "I've been so impressed with the range and the quality of the services they provide."

NQC Coach Spotlight | Marti Beltz


In addition to our staff, the NQC has a team of highly qualified coaches that are available to work with Ryan White grantees to address quality improvement-related issues. When you confront challenges, think of our coaches and what they can offer. In many cases, HIV/AIDS Bureau (HAB) Project Officers are first to suggest their services. Below we profile one of the many consultants available to Ryan White grantees.


Marti Beltz, PhD has over 15 years of experience in quality improvement specific to health care. She is a doctoral-level psychologist, a Lean Six Sigma Black Belt in process improvement, a National Examiner for the Malcolm Baldrige Quality Award, and a Judge for the International Team Excellence Award. As a recognized expert in her field, she is a frequent keynote speaker, an instructor for the American Society for Quality, a published author, and a healthcare system consultant. Dr. Beltz specifically chose to work with NQC to circle back to her rewarding experience with HIV/AIDS clinics during her doctoral residency program.


Marti has served as a coach with NQC since December of 2011 and works with over 35 grantees and 70 in+care Campaign participants. Marti's portfolio of Ryan White grantee sites includes SC, GA, WV, WI, OH, MI, Western PA. She also conducts regional groups for SC and the Ohio tristate area.  She has applied her expertise primarily in the areas of leveraging the organizational assessment for strategic planning; interpreting data to target statistically significant improvement; and robust chartering for regional groups.

> Highlights from the NQC Collection | Quality in Hard Times



In addition to the recession, the last few years has brought a shifting of resources that has required that many Ryan White grantees do more with less. Many Ryan White grantees are faced with shrinking budgets and growing caseloads. Quality-related activities can help an organization direct resources where they are most needed. They can also assist in streamlining efforts, optimizing resources, and improving services. The NQC has resources designed to help agencies make it through the tough times.


National TA Call: Quality in Hard Times

November 15, 3:00-4:00 pm ET

Learning Objectives for the call:

> Using Quality Improvement to reduce impact of cuts on services

> Making the business case for quality - why it should not be cut

> Using Quality Improvement to cut costs and improve efficiency

> Doing Quality Improvement work on a shoestring


To register: click here


Past TA Calls

> Quality in Hard Times-Using Quality to Help Mitigate the Impact of Budget Cuts on Care: August 11, 2011

> Quality in Hard Times-Using Quality to Help Mitigate the Impact of Budget Cuts on Care: September 9, 2010

> Making the Business Case for Quality in Health Care: December 13, 2007

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.

> 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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