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




Welcome back! The staff at NQC hopes that you all had very happy holidays. NQC looks forward to working with you this year, our 10th year since our inception.

Over the course of this year, NQC will be announcing exciting new programs and services, developing and distributing new quality improvement tools and offering multiple training opportunities. NQC will continue its efforts to support the National HIV/AIDS Strategy and the HIV Care Continuum Initiative.


NQC looks forward to working with many grantees we have already served and especially looks forward to developing new relationships with grantees that require our assistance to foster their quality management program.


The staff at NQC wishes all of you a healthy and joyous 2014.



Clemens Steinbock

Director, National Quality Center


> In This Issue

> NQC News | CAC Member Recruitment Update
> NQC News | in+care Campaign
> Quality Corner | Gurabo Community Health Center
> NQC Training | TOT and TQL in 2014
> Consumer Perspective | Angel Hernandez
> Quality Tip of the Month | A Brief Word about Data
> National TA Call | Back to Basics - Quality 101

> NQC News | CAC Member Recruitment Update


Thank you to everyone who applied to serve as a member of the NQC's Consumer Advisory Committee (CAC). We received applications from many qualified individuals who are working in their communities to improve HIV care. NQC staff is in the process of reviewing the applications and the names of the new members will be posted on the NQC website by the end of February.  


NQC is committed to involving people living with and affected by HIV in our work. The CAC is made up of 10 HIV-infected and affected consumers from across the country, representing each Department of Health and Human Services region. Through the CAC, consumers assist the NQC to develop and refine initiatives to improve the quality of HIV care across the country and, in particular, services provided through the Ryan White Program. The goals for the CAC are to:   


  • Provide feedback on NQC services and their impact on the quality of HIV care;
  • Provide recommendations to NQC staff on the development and implementation of existing or new activities from a consumer perspective; and
  • Inform community members about NQC services and consumer activities.  

Thanks again to all who applied. For more information | nationalqualitycenter.org/CAC   


Questions regarding the NQC CAC recruitment process or portfolio of services | Daniel Tietz at det01@health.state.ny.us or 877-874-0776. 




> NQC News | in+care Campaign


The in+care Campaign topic of the month for January is transition, which is appropriate as the Campaign winds down and the Ryan White community can focus more broadly on the President's Care Continuum Initiative, announced in July 2013 (For more information on the Initiative see: http://www.whitehouse.gov/the-press-office/2013/07/15/executive-order-hiv-care-continuum-initiative).


In 2014, NQC will use webinars and its newsletter to begin highlighting the lessons learned by participants. Throughout 2014, NQC will continue to publish enhanced Campaign reports that focus on both the performance data collected by the Campaign and the many strategies that have been shared by Campaign participants. In the coming months, the in+care Campaign newsletter will be sent out on a quarterly basis and in+care and Partners in+care webinars will also be offered on a quarterly basis. [WU1] 


While the in+care branded events and news blasts will decrease in frequency, the in+care Campaign database will continue to be available to enter performance data and to benchmark your organization against other providers. In addition, the in+care Campaign website will continue to be available as a resource for years to come.


If you are interested in continuing to work with your Campaign coach on matters related to retention, note that you will need to have an active Technical Assistance Request on file with NQC. If you are a subgrantee (that is, not funded directly by HRSA/HAB), you will be able to continue receiving coaching through your grantee of record (the organization that receives funding directly from HRSA/HAB).[WU2] 


For questions related to the in+care Campaign, email Michael Hager Michael@NationalQualityCenter.org or visit the Campaign website | www.incarecampaign.org.

> Quality Corner: Maintaining Continuity in Quality Activities 


An important part of quality improvement is tracking results over time. This can be difficult when the person responsible for collecting or analyzing the data leaves your organization. Staff turnover is a reality in any organization. In our work with Ryan White grantees we frequently see new faces replacing old familiar ones.


NQC staff has observed that turnover can definitely have an impact on quality-related activities. In particular, it can take time to rebuild and re-energize a quality committee if key members that have played a leadership role leave the organization. Another concern is bringing new staff up to speed. While many grantees provide quality-related training at regular intervals, ensuring that new staff receive a good grounding in quality concepts can be a challenge.


NQC has numerous services and resources to help Ryan White grantees build the quality-related expertise of new staff and provide refreshers to veterans. Our coaches are available to help organizations build their quality improvement infrastructure, including instituting in-house training on quality improvement. Regional trainings can provide more intensive skills building for key staff-who can bring home this expertise and share it with others in the organization. We also offer trainings like the Training-of-Trainers, Training of Quality Leaders, and Training on Coaching Basics, which are designed to expand the cadre of quality experts available to grantees.


For individual staff members, we offer a variety of resources to bring them up to speed. These include the Quality Academy and our archive of National TA Calls on a variety of topics. There are a range of training documents.


Last month's National TA Call once again focused on Quality 101. If you missed the call, an archived version is available on the NQC website. The call offers a good opportunity to provide an orientation to new staff. But remember, you don't have to wait for a National TA Call. NQC offers plenty of options-any time is the right time to begin your education in quality improvement!

> NQC e-Newsletter | Volume 6 | Issue 67 | Jan 14 


Quick Links


> Upcoming Events | February - April

> Upcoming Events | February - April 


Feb. 1  l  in+care data submission deadline


Feb. 20  |  National TA Call | Resiliency - Keeping Your QI Efforts On Track


Mar. 20  l  Consumers as QI Partners


Apr. 1  l  in+care data submission due

> NQC Training Reminder | TOT and TQL in 2014


Don't forget to register for the upcoming NQC trainings. The Training-of-Trainers (TOT) session will take place in Cleveland, OH, March 11-13, 2014 and a Training of Quality Leaders (TQL) will take place May 6-8, 2014 in Kansas City, MO. The application process is open, and all applications are available on our website.  


Training-of-Trainers (TOT) Program

The TOT Program is designed to build capacity for quality improvement among quality managers. It is designed for individuals with a strong experiential background in quality management. Since the purpose of the TOT Program is capacity building, participants are asked to lead at least three trainings within 120 days of completing the session. The goals of the TOT program include:

  • Enlarge the pool of qualified trainers on quality improvement in HIV care across the country
  • Further spread quality management concepts by increasing the number of training opportunities for Ryan White grantees
  • Increase the ability of NQC to refer requests for QI training to regional TOT trainers
  • Build capacity in Ryan White-funded programs on quality improvement 

Learn more about and/or apply to the TOT  | nationalqualitycenter.org/index.cfm/17290


Training of Quality Leaders (TQL) Program

The TQL Program aims to build the capacity of quality managers and those who direct quality management programs to effectively lead and facilitate quality improvement activities. It provides participants the ability to enhance their own expertise in quality management and support team dynamics. The goals of the TQL program include:


  • Increase confidence and mastery in facilitating quality improvement teams and in effectively managing quality improvement-related meetings in HIV care environments
  • Identification of leadership behaviors needed to lead an effective QM program and a better understanding of their implications for quality improvement activities
  • Exposure to quality improvement experts with practical knowledge and experience and to a network of peers with hands-on experiences

Learn more about and/or apply to the TQL | nationalqualitycenter.org/index.cfm/5847/19644

> Consumer Perspective | Bobby Avalos


As a dancer, Bobby Avalos knows that there are effective ways to communicate in addition to using words. Actions can also be a powerful means of communication and learning.


Bobby is a very active member of HIV Planning Council for the Orange County, California EMA-serving on four subcommittees (Quality Management, Prevention, Allocations, and Membership). He is also a member of the consumer advisory committee for the EMA. He attends approximately one meeting each week.


To build his skills, Bobby attended NQC's Training of Consumers on Quality in the spring of 2013 in Sacramento. While the training includes the basics of quality management, it also provides strategies on how to work effectively as a group. Bobby put these skills in practice on his return.


"I have used some of the team building activities with committee members," states Bobby. "It is really cool to see how providers and consumers approach these exercises. Providers are much more focused on outcomes, consumers tend to look at the smaller stuff along the way."


Bobby has seen this play out in some of the Council's discussions and shared one example. When considering the home delivery of meals, some members questioned whether the service was still necessary or if the criteria should be tightened.


"If there were not consumers on the Council, the qualifying factors probably would have been tightened," says Bobby. "Consumers raised the questions necessary to truly explore the need for this service and brought home the needs and challenges that some consumers may face."


Bobby has also incorporated skits into meetings, allowing members to act out some of the issues they are considering.


As if his work with the Planning Council is not enough, Bobby has formed a consumer-focused organization, Peer Support Services (PSS). The idea for PSS was in place before he went to the NQC training. When he returned, he took action. The group focuses on both supporting retention and re-engagement in care and also building advocacy skills so that consumers can become more involved in quality-related activities.


"It's not just about having a voice, it is about having multiple voices," states Bobby. "With more consumers in the room it makes it a safer space. We can also pick each other's brains and share experiences."

> Quality Tip of the Month | What's a Learning Collaborative 


Think of a learning collaborative as any situation where individuals come together to share knowledge on a specific topic. You may have participated in something similar in your journey. Collaboratives have become increasingly prevalent in HIV care. The Institute of Healthcare Improvement (IHI) conceived and implemented this model in 1994. Collaboratives have a few distinct advantages - they may be a cost effective way to provide intense, focused learning opportunities, the ability of the group to solve problems is usually greater than the individual, and properly focused they can lead to great strides in improving HIV care.


NQC has a comprehensive publication on learning collaboratives titled "Planning and Implementing a Successful Learning Collaborative" and we encourage you to download the publication or contact NQC for a printed copy. This can be a powerful tool in your care provision and you may be surprised by the enthusiasm for a collaborative in your area.


To download the publication | Click Here

> National TA Call | Resilience


In today's health care environment, the relentless pace of change can foster resistance, exhaustion, and even a sense of hopelessness. This can lead to demotivation of leaders, providers, patients, and families. And yet, we all know those amazing human beings who appear to not just survive, but thrive in the greatest of difficulties. Often displaying a remarkable energy attributed to a resilient nature or character. This month, NQC is pleased to offer a webinar on this interesting topic of Resilience. Facilitated by Ginna Crowe, RN, Ed.D we will discuss the nature of resilience and explore what we are learning about nurturing resilience - individually and for organizations.


Resilience Objectives:

* Define resilience
* Discuss the enigma of resilience
* List two factors that can foster resilience
* Identify one action to foster your personal or organizational resilience

This webinar is meant to be as interactive as possible. We will make extensive use of our webinar chat room as well as open discussions. Ginna has prepared a lively, interactive presentation so please be ready to share your ideas and questions.


NQC has changed its webinar platform.  Please go to the National TA Call section of the NQC website for complete log in information.  Our January call has already been posted and our new platform was well received and many attendees said it was much easier than our old platform. 

TA Webinar Information  l  Click Here

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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