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




Spring training is finally here! NQC is offering a variety of training programs for quality teams around the country. The Training on Coaching Basics (TCB) will take place in Chicago, IL on May 13-15. This is a special opportunity to advance skills previously learned in NQC trainings
and coach your peers improve their quality improvement programs and activities. 

NQC is also offering two cutting-edge Trainings of Consumers in Quality (TCQ). The focus of the TCQ is to build the capacity of HIV-infected patients to be active partners in the planning, implementation, and evaluation of quality improvement efforts at both the clinical and system levels.
The first will be in Atlanta, GA from May12-14, and the second will be in Sacramento, CA from June 6-9. These trainings are open to consumers who are sponsored by Ryan White grantee programs. Check out our website for more information.


Warm regards,


Clemens Steinbock

Director, National Quality Center


> In This Issue

> NQC News | Training on Coaching Basics, May 13-15, Chicago
> NQC News | in+care Campaign Update
> NQC News | Training of Consumers on Quality
> Highlights from the NQC Collection | Health Numeracy
> Real World Quality: Katie Omohundro
> Consumer Perspective | Nancy Asha Molock
> NQC Consultant Spotlight | Nanette Brey Magnani

> NQC News | Training on Coaching Basics, May 13-15, Chicago, Illinois 


The aim of the NQC Training on Coaching Basics (TCB) Program is to: (a)  close the educational gap of quality managers; (b) to increase quality improvement competencies to effectivey guide other HIV providers in order to meet all Ryan White quality expectations, and; (c) provide peer learning and networking opportunities to share best practices.

The benefits of successful TCB Program completion include:

  • Increased effectiveness in coaching HIV providers to establish and sustain effective quality management programs and quality improvement teams.
  • Enhanced ability to conduct organizational assessments, provide constructive feedback, and develop responsive action plans based on assessment findings.
  • Improved confidence in understanding behaviors and interventions that promote a systems approach to quality management by using partnerships and shared vision.
  • Improved self awareness of individual coaching style and of personal working style and limitations that may contribute to interpersonal tensions.  

The TCB Program is designed for individuals who (a) currently work in Ryan White Program-funded grantees, (b) are instrumental in managing existing quality management programs, and (c) are charged in assisting other agencies within their HIV/AIDS network with advancing their quality management programs and quality improvement activities. 



To apply for the TCB | http://nationalqualitycenter.org/index.cfm/5847/37251


> NQC News | in+care Campaign Update 


Upcoming Webinars

  • The topic of the month for April is "Viral Load as the Ultimate Goal." Three webinars are planned-time and date to be determined. Check the in+care website for more details.
  • Partners in+care Webinar: Viral Load Suppression Overview for Consumers and their Allies
  • General Campaign Webinar: Retention and Viral Load Suppression - Perspectives from Each Part Funding
  • Partners in+care Webinar: Social Service Providers and Retention - Perspectives for Consumers

Improved Website
We are making the in+care Campaign website more user- friendly and navigable. There is a new tab on the website that contains tools, strategies, and other items in an easier to use display. If you have any comments on how to improve the website, please email Michael Hager (Michael@NationalQualityCenter.org).  

Submit your Improvement Stories
Submit your improvement stories today! NQC has made it easier than ever to submit your improvement stories. By using the "Tell Us Your Improvement Stories" link found on the  in+care Campaign homepage, you can share your success and challenges as you improve patient retention.  Our national initiative would not be the success without your efforts to keep your patients in care.  

Learn more about the in+care Campaign | www.incarecampaign.org

> NQC News | Training of Consumers for Quality


The National Quality Center (NQC) is seeking people living with HIV/AIDS (PLWHA) for its training program, Training of Consumers on Quality (TCQ), to increase the number of consumers actively participating in local quality management committees or regional quality improvement activities. The rigorous TCQ Program includes extensive pre-work activities and a 2-day face-to-face TCQ session.


All TCQ participants are expected to a) successfully submit an online application form that includes the submission of the participant's resume, one letter of reference, and a letter of support from a Ryan White grantee or subgrantee; b) complete all pre-work activities; c) attend the upcoming face-to-face TCQ session; and d) take on an active role in a local, regional, or even national quality improvement effort.


NQC encourages grantees to have interested consumers apply to this program. By encouraging consumers to apply, grantees take a major step in bringing consumers to the "quality table." 


Learn more  l  http://www.nationalqualitycenter.org/index.cfm/5847/78022

> Highlights from the NQC Collection | Health Numeracy


National TA Conference Call
Health Numeracy - The Message Behind the Numbers
April 18, 3:00 - 4:00 pm ET

Over the past few years NQC has held TA calls on health literacy - an important topic in HIV care. However, as grantees become more invested in performance measurement, its time to talk about what the numbers actually mean. Some of the topics to be discussed include the types of data commonly used,calculating measures and interpreting data sets.

As part of our newly expanded National Technical Assistance (TA) Calls, NQC is now suggesting that grantees review these resources before the upcoming TA Call: This will help you to frame questions for our presenters and enhance your learning experience.

NQC Quality Academy
Tutorial 21 "Statistics 101 and Making Graphs in Excel" (first section on statistics only)
Tutorial 23 "Understanding and Addressing Health Literacy"
HIVQUAL Workbook pp. 142-156 | Click Here 

> NQC e-Newsletter | Volume 6 | Issue 58 | April 2013 


Quick Links


> Upcoming Events | April - June

April 18 | National TA Call | Health Numeracy - The Message Behind the Numbers

April 23-25 | Training of Quality Leaders, Atlanta, GA

May 13-15 | Training on Coaching Basics, Chicago, IL

May 12-14 | Training of Consumers for Quality, Atlanta, GA

June 6 - 9 l Training of Consumers for Quality, Sacramento, CA 

> Real World Quality: Katie Omohundro


When Katie Omohundro, MSW/CSW, a social worker at the Matthew 25 Clinic in Henderson, Kentucky, attended NQC's Training on Coaching Basics, she enhanced her skills on how to administer an effective quality management program. While participants are sure to bring home enhanced quality management skills, NQC trainings send people home with so much more. Katie also took back the Marshmallow Challenge. The exercise, in which teams use a variety of objects to construct a free-standing structure topped with a marshmallow, is not all fun and games.

"It is an awesome exercise," says Katie. "It really lets people see the dynamics in a group-who is a planner, who is a leader.  It starts the discussion of how people can work together more effectively as a team."

Like many smaller providers, the clinic does not have a full-time quality manager. "Quality management is only a small part of my job but it is a very important part since I lead the quality efforts in our organization," says Katie.

So that Katie can focus on quality, the clinic's administrator allows her to set aside one afternoon a week to devote her time to quality related activities. Quality activities are very targeted and involve staff that are directly related to the project. And that is why teamwork is important. Staff frequently work together to conduct PDSA cycles.

Katie carefully considers how to involve consumers in quality activities. Many have to travel a significant distance to get to the clinic, making face-to-face meetings a challenge. In addition, due to the stigma related to HIV, which can be intensified in rural areas, some consumers are reluctant to get involved.

"People volunteer because they want to have an impact. If they show up, it is telling me that they really want to be a part of improving our agency," says Katie.  "It is really important for me to channel their interest in a way so that they can make a valuable contribution."

Because quality is not her only focus, Katie appreciates having NQC as a resource that she can call upon for quick answers.

"They make it so easy to reach out to them," she says of NQC staff. "They bring such enthusiasm to their work and they take the time to respond-you never feel like they are trying to get you off the phone."

> Consumer Perspective: Nancy Asha Molock 


A recent theme in Nancy Asha Molock's life is progressions.  Nancy started going to BEBASHI in Philadelphia, Pennsylvania to attend a support group. She soon became a member of the consumer advisory board (CAB) and then became chair of the board within six months.

What helped this all happen was NQC's Training of Consumers on Quality (TCQ) workshop, which was held in June 2012. It helped Nancy develop her skills and learn the processes related to becoming an effective player in quality-related activities.

"The NQC training I attended was very intense," says Nancy.  "Once I was on the CAB the information from the training came back to me. It made me realize that I have a role to play in care."

As she continues down the road, Nancy is going back to her roots-her neighborhood-to focus on change. In particular, she is looking at what providers can do to help consumers stay in care.

"The CAB looks at the ways providers communicate with consumers, such as the letters they send out to consumers when they are lost to follow up, and makes recommendations," says Nancy.  "I know I would never want to receive a letter like that.  We need to help providers be more sensitive."

Through her work with the CAB, Nancy is hoping to have an ongoing impact on care in her community. 

> NQC Consultant Spotlight: Nanette Brey Magnani, EdD 


Nanette Brey Magnani, EdD, initially joined the HIVQUAL Program team in early 1997, just as the HIV/AIDS Bureau sponsored the NYSDOH AIDS Institute in the roll out of its quality management initiative across the country. Since then, she has provided quality management technical assistance to Ryan White grantees from all Parts across the country. Currently, she is the quality coach and facilitator for five Regional Groups-Eastern Pennsylvania, Chicago and Northern Illinois, Massachusetts, Mississippi, and Upstate New York. In addition to these groups, Nanette continues to provide quality management coaching to individual grantees in Colorado, Connecticut, Rhode Island, Maine, New Hampshire, and Vermont.

Over the past few years, Nanette has partnered with individual grantees and regional group members to showcase their work on NQC National Technical Assistance calls, at Ryan White Program All Grantee Meetings, and at state AETC meetings in Pennsylvania and Mississippi. The quality programs of the grantees she works with have frequently been recognized with quality management awards by the NQC and the NYSDOH Quality of Care Award Program.

Recent work with grantees has focused on the National HIV/AIDS Strategy and applying the in+care Campaign measures and benchmarking data to improve grantees' patient retention and viral load suppression rates. Many of these grantees are working to better understand how the most at-risk patients can be brought into care and to better manage their medications.

In 2012, Nanette joined the New York State's Special Projects of National Significance (SPNS) linkage to care initiative, NY Links, as a Quality Lead for the Western NY Links Collaborative. The collaborative focuses on improving linkage and retention rates for newly diagnosed patients and established patients.

Nanette received her doctorate at the University of Massachusetts, Center for International Education, where she majored in adult education, participatory and qualitative methods, organizational development, and quality improvement. Her dissertation examined employees' motivation to be engaged in employee ownership and improvement programs. 

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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