Driver Diagrams present a graphic framework on the drivers (factors) that have been identified by the content experts to have a major impact on achieving equity and viral suppression outcomes.
Primary Drivers are the major factors driving the outcome and Secondary Drivers are the detailed activities and structures that make up the Primary Drivers. To facilitate the initiation of improvement efforts by participants in the Collaborative, CQII collaborated with the Institute for Health Healthcare Improvement (IHI) and jointly have developed Driver Diagrams for each of the Affinity Groups.
Download all Driver Diagrams (PPTX) or view individual dimensions below.
Download Housing Driver Diagram (PPTX)
Targeted Populations
- Clients who are in HIV care and are not housed or with housing instabilities [primary focus]
- Clients who are in HIV care with no documentation in the medical record of their current housing status [secondary focus]
Improvement Focus
- Viral Suppression – Increase the viral suppression rates of a) HIV clients who are identified with no up-to-date housing status in the medical record; and b) HIV clients who are not housed or with housing instabilities [primary focus]
- Screening – Increase the routine screening rates of the current housing status across all HIV clients served by the agency resulting in improved documentation rates in the medical record [secondary focus]
- Linkage – Increase the linkage rates of individuals who are identified as not housed or with housing instabilities to appropriate and ongoing (internal or external) housing services [secondary focus]
Download Mental Health Driver Diagram (PPTX)
Targeted Populations
- Clients who are in HIV care and identified with a specific mental health diagnosis or diagnoses as determined by the HIV site [primary focus]
- Clients who are in HIV care with no documentation in the medical record of their current mental health status [secondary focus]
Improvement Focus
- Viral Suppression - Increase the viral suppression rates of HIV clients who are identified in the medical record with a specific mental health diagnosis/diagnoses [primary focus]
- Screening – Increase the routine mental health screening rates across all HIV clients served by the agency and documentation rates in the medical record [secondary focus]
- Linkage – Increase the linkage rates of individuals who are identified with a mental health diagnosis/diagnoses to appropriate and ongoing (internal or external) mental health services [secondary focus]
Download Age Driver Diagram (PPTX)
Targeted Populations
Clients who are in HIV care and fall in one of the following age groups: children/youth (24 and younger); young adults (25-39); adults (40-64); and older adults (65 and older)
Improvement Focus
- Viral Suppression - Increase the viral suppression rates of HIV clients who fall within the site-identified age group
- Care - Increase age group-specific performance measures: children/youth (24 and younger)
- STI - young adults (25-39)
- Tobacco Cessation and Screening; adults (40-64)
- Diabetes; and older adults (65 and older)
- Annual Frailty & Mobility Assessments
Download Substance Use Driver Diagram (PPTX)
Targeted Populations
- Clients who are in HIV care and identified as active and recent substance users for a specific substance or multiple substances as determined by the HIV clinic [primary focus]
- Clients who are in HIV care with no documentation in the medical record of their current substance use [secondary focus]
Improvement Focus
- Viral Suppression – Increase the viral suppression rates of HIV clients who are identified in the medical record as active and recent substance users [primary focus]
- Screening – Increase the routine substance use screening rates across all HIV clients served by the agency resulting in improved documentation rates in the medical record [secondary focus]
- Linkage – Increase the linkage rates of individuals who are identified as active substance users to appropriate and ongoing (internal or external) substance use services [secondary focus]
Download Stigma Driver Diagram (PPTX)
Targeted Populations
- Clients who receive HIV care and/or a subset of disproportionally impacted clients as determined by the site (for example, transgender patients, newly diagnosed patients, patients of a specific race/ethnicity) [primary focus]
- Staff members who work at the HIV site [primary focus]
Improvement Focus
- Viral Suppression – Increase the viral suppression rates of HIV clients targeted by the site [primary focus]
- Organizational Capacity – Improvements of pre/post stigma assessment scores using a standardized tool to evaluate the organizational and staff capacity [primary focus]
