Celebrating 10 years of leading innovations across the Ryan White community.


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





With great pleasure, I want to highlight this month's technical assistance call focusing on Lean Six Sigma and its role to improve health care. While Lean has its roots in manufacturing, its principles easily lend themselves to our work environments. We are excited that this webinar will be facilitated by Marti Beltz, PhD, a Lean Black Belt.


NQC is also pleased to announce the upcoming Training on Coaching Basics (TCB) session, June 17-19 in Dallas, TX. This training is open to individuals who manage an agency's quality management program and who have completed either the NQC Training-of-Trainers (TOT) Program, the Training of Quality Leaders (TQL) Program, or both. It is an excellent venue to explore how to become an effective improvement coach and how to apply key coaching concepts to your work. 


Finally, a word about our Training of Consumers on Quality (TCQ) Program. To date, grantees have sponsored over 200 consumers to attend past TCQ sessions and many of these consumers have gone on to participate in the sponsoring grantees' quality management programs. NQC is pleased to announce that we are in the beginning stages of developing a training program for those who want to deliver this TCQ training to others. Stay tuned for future announcements.




Clemens Steinbock

Director, National Quality Center

> This Issue

> Mar. 2015 | Issue 77 | Vol 7 

> NQC 10-Year Anniversary
Milestones and Highlights

Tell us how NQC has helped you!

> Upcoming Events | March - April

March 19 | National TA Call | Lean and What it Means to Your Quality Efforts

April 2 | in+care data submission due

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



Improving HIV Care.

> NQC News | Training on Coaching Basics (TCB) Session: June 17-19, Dallas, TX 


NQC's Training on Coaching Basics (TCB) Program is designed to close any educational gaps of quality managers and to increase individual quality improvement competencies. It also builds the participants' capacity as quality leaders to coach other HIV providers on quality improvement. The TCB is a 3-day face-to-face session, plus pre-work activities and post-course work. Participants will:


  • Increase mastery of effectively coaching HIV providers to establish and sustain effective quality management programs and quality improvement teams

  • Enhance ability to conduct organizational assessments, provide constructive feedback, and develop effective action plans based on assessment findings

  • Improve confidence in understanding behaviors and interventions that promote a systems approach to quality management by using partnerships and shared vision

  • Improve 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 work in Ryan White HIV/AIDS Program-funded grantees, are instrumental in managing existing quality management programs, and are charged in assisting other agencies within their network with advancing their quality management programs and quality improvement activities. Training participants must have successfully completed the Training-of-Trainer (TOT) or the Training of Quality Leaders (TQL) Program.


For more information about the TCB, including the training materials and slides | http://nationalqualitycenter.org/index.cfm/5847/37251 


To apply for the upcoming TCB session | https://www.surveymonkey.com/s/LQWKDHQ .

> NQC News | Coming Soon! Quality Academy Tutorials on HAB HIV Performance Measures


NQC is pleased to announce two new Quality Academy tutorials on the HAB HIV Performance Measures. One is titled Introduction to the HAB Performance Measures

and the other Using the HAB Performance Measures. These tutorials are a guide to understanding the latest sets of performance measures and how to apply them in your care setting. The tutorials discuss the development of these measures, the different types of measures, and most importantly, how to apply them and use them to drive quality improvement activities.


The HIV/AIDS Bureau (HAB) devoted significant efforts to solicit and incorporate feedback from the Ryan White HIV/AIDS Program community in revising these measures. This process has led to a robust set of measures that align with the US Department of Health and Human Services guidelines and support national guidelines.


These new tutorials will be posted to the NQC Quality Academy on March 16, 2015.  Please visit the Quality Academy and learn more about the performance measures and their use. It's also a good time to review some of the other tutorials as well. You'll be glad you did!


> NQC News | Over 200 Consumers Complete NQC's Training of Consumers on Quality


Since the first Training of Consumers on Quality (TCQ) session was offered in Philadelphia in June 2012, 208 consumers have participated in this training program so far. This program builds the necessary capacity for quality improvement among HIV-infected individuals to become active participants in the ongoing quality management activities.


In addition to Philadelphia (PA), trainings have been held in Albany (NY), Atlanta (GA), Columbus (OH), Ft. Lauderdale (FL), Jackson (MS), Jefferson City (MO), Little Rock (AR), New Brunswick (NJ), Oakland (CA), and Sacramento (CA). Training graduates are expected to participate in local and regional quality improvement activities. During the application process, participants submit a letter of reference from a Ryan White HIV/AIDS Program grantee or subgrantee to ensure their participation on the quality management committee or on the quality improvement team. After the completion of the TCQ, NQC continues to provide support to consumers through various technical assistance activities.


Follow-up interviews reveal that TCQ graduates are now involved in many improvement activities in their communities, including local consumer advisory boards (CABs), as peer navigators, in local planning processes, and lead organizations by and for people living with HIV. Many of the members of NQC's Consumer Advisory Committee have also completed the training.


To learn more about the TCQ | http://nationalqualitycenter.org/TCQ 
> NQC News | HIV Cross-Part Care Continuum Collaborative (H4C) Update
The HIV Cross-Part Care Continuum Collaborative (H4C), launched in 2014, consists of five states - Arkansas, Mississippi, Missouri, New Jersey, and Ohio - and is designed to:


  • Build state-wide capacity for linkage to and retention in care across all Ryan White HIV/AIDS Program Parts in a participating state
  • Align quality management goals to jointly meet the Ryan White HIV/AIDS Program legislative mandates
  • Implement joint quality improvement activities to advance the quality of care for people living with HIV within  the state and coordinate HIV services seamlessly across Ryan White HIV/AIDS Program Parts


This past February, 36 participants across all states gathered in Rockville, MD to discuss the collective progress so far in meeting H4C aims. Many successes were achieved, including over 12,250 individual measurements submitted by providers across the five states and five rounds of data submissions. In addition, over 130 people across these states were trained in HIV face-to-face trainings and increased their knowledge of quality improvement principles. H4C members also contributed information on specific improvement strategies that have been applied by HIV providers in their jurisdictions.


States provided updates on their progress in meeting their state-wide aims, including goals related to quality improvement strategy implementation, providing feedback on submitted performance and improvement strategy information, and sustainability of their progress. An example of these accomplishments include the creation of a cross-state inventory of evidence-based care continuum improvement interventions that have been implemented. NQC is compiling these interventions for entry into its soon to be released NQC ShareLab application. Another accomplishment is that several states are already close to reaching their goal of improving viral suppression among their Ryan White HIV/AIDS Program consumers by 20 percent.


To learn more about this community of learners | http://nationalqualitycenter.org/index.cfm/17112/84058

> NQC 10th Anniversary | Reflections from the Field: The Value of Fellowships


While the mission of the NQC is to provide quality-related technical assistance to the Ryan White HIV/AIDS community, like so many HIV organizations we do so much more. One way we go beyond our mission is by providing internships and fellowships to young public health professionals-helping to train a new generation of professionals who go on to do amazing things. Maria May, an NQC fellow in 2006, is an example. An interest in HIV brought her to NQC, where she worked for close to 8 months. She then went on to work on global health issues and is currently a senior program manager for the Social Innovation Lab and Microfinance Programme at BRAC, a Bangladesh-based organization. BRAC is world-wide nonprofit agency reaching135 million people with services like health, education, and microfinance in 11 countries.


NQC has a relationship with Harvard's Center for Public Interest, which helps graduating students find opportunities to work in the social sector. Over the years, 8 graduates, including Maria, have completed fellowships with the NQC.


While a student at Harvard, Maria wrote her thesis on mothers with HIV in Chicago who had interacted with children protection services, examining their lives and making policy recommendations on how to improve their health outcomes. After graduating in 2006, she participated in a fellowship with the NQC. During the fellowship she worked on the Training-of-Trainers sessions, developed online and written curriculum and resources, and wrote profiles of New York-based organizations providing services to people with HIV and identified their best practices.


"My fellowship gave me a much better sense of the challenges faced by the city government, service providers, and clients in HIV care," says Maria. "I was really affected by our community advisory meetings and the feedback that the members provided about the experiences of people in their community. In visiting harm reduction facilities, I also gained a deeper understanding of how poverty really made it difficult to adhere to HIV treatment and the need for comprehensive support."


In addition to learning more about the challenges faced by service providers and people living with HIV, Maria enhanced her skills in a number of areas.


"I learned to listen and to synthesize broad experiences--important skills for enabling a culture of innovation," says Maria. "NQC helped me understand the complexities of systems and multiple stakeholders trying to work together; these are realities in any situation, especially working in global development."


It is important to remember that fellowships and internships also benefit the organization in many ways.


"Fellows offer new perspectives and enthusiasm. They challenge the status quo," says Maria. "If inspired and managed appropriately, they can bring new perspectives to the organization and provide support for things that no one else ever has time for. As they move on in their careers, they can become ambassadors and spread ideas or philosophies wherever they go."

> Consumer Perspective | Janet Kicthen


"When I was diagnosed I had health insurance and I still had trouble getting my medications covered. I had to advocate pretty loud to get the medications I needed," says Janet Kitchen, founder and director of Positively U (http://www.positivelyu.org/ ) in Davenport, Florida. "I thought that if this could happen to me-I had insurance and also had the confidence to make myself heard-that there are many people who must be facing even greater challenges."


Based on this experience, Janet established Positively U about five years ago. It is a non-profit, community-based organization created by HIV-positive, minority individuals in central Florida. It is dedicated to providing a broad range of prevention, education, support, and outreach services to all people infected or affected by HIV/AIDS.


In addition to her work with Positively U, Janet is the quality consumer advisor for the University of South Florida, which runs the Florida Family AIDS Network (FAN), a Part D-funded provider serving 1,500 women, infants, children, youth, and families infected with or affected by HIV disease. In this part-time position, Janet developed FAN's consumer advisory board (CAB), keeps consumers engaged in the CAB, and carries out other consumer-oriented quality activities such as surveys related to the quality of care.


"In recruiting other consumers I emphasize the importance of them having a voice in the community," says Janet. "These women all have something to say but they are not always sure which table they should be sitting at."


The CAB currently has 11 members and Janet has seen the women build on their work with the CAB. Several are carrying out education activities in their communities and distributing condoms. Two others have been going to conferences and bringing the information back to CAB members.


Janet's work with Positively U complements her work with FAN. In addition to the advocacy and educational activities, Positively U works to fill service gaps in the community. For example, household items, clothes, and toiletries, items that many of the women and families need, are not offered by any other provider. Positively U seeks donations of these items so that they can provide them to women.


While Janet is very accomplished in terms of her advocacy and quality-related work, she attended an NQC Training for Consumers on Quality in December 2014.


"I've participated in many trainings at FAN," says Janet. "The NQC training let me know that I was on track and also gave me a better sense of what I can do and how I can get more involved."
National TA Webinar | The LEAN Years: What LEAN Thinking Means to Your Organization


Please join us as Dr. Marti Beltz, a nationally recognized expert in process improvement for healthcare, teaches the basics of LEAN. This methodology is perfectly suited to increasing efficiency in the delivery of care, satisfaction in the receipt of care, engagement of the workforce giving care, and quality in the outcomes of care. 


In just 90 minutes, you can start making a big difference in your work and the lives of consumers. Upon completion of this TA Call, participants will be able to:

  • Describe Lean methodology, history, and basic tenants
  • Compare and contrast Lean with other process improvement methodologies
  • Employ basic Lean tools
  • Identify improvement projects conducive to using Lean methodology
  • List key factors for successful project implementation
  • Describe key conditions for organizational implementation
  • Identify next steps for skill development

Meeting information
Topic: What LEAN Thinking Means to Your Organization
Date: Thursday, March 19, 2015
Time: 3:00 pm, Eastern Daylight Time (New York, GMT-04:00)
Meeting Number: 645 396 746
Meeting Password: nqctacall114

To start or join the online meeting
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Audio conference information
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Toll Free: 1-844-633-8697
Alternate Toll Free - (For callers not able to call the 844 Toll Free Number): 1-866-776-3553
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> 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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