Performance Measurement and Health Disparities Assessment (measuring improvement, data)

Posted in Clinical Quality Management by Nina Inman on 08/05/2024

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Resources shared by HAB Clinical Quality Branch:

RWHAP CQM Performance Measure Template w Quarterly Data
RWHAP CQM Performance Measure Template w Data Process
HRSA HAB Performance Measure Portfolio
HRSA HAB Performance Measures were developed to help Ryan White HIV/AIDS Program agencies monitor and improve the quality of care they deliver. Ryan White HIV/AIDS Program recipients are encouraged to use them, including the core performance measures, which completed the rigorous National Quality Forum infectious disease endorsement process.
- ADAP Performance Measures Revised 2024
- Performance Measurement: Using Data to Achieve EHE Goals
CQM Disparities
CQM activities seek to improve care delivery. Efforts that focus on disparities are designed to identify disparities faced by specific subpopulations, most often those that are attributable to social determinants of health, to improve their health outcomes.
PROMS & PREMS (Patient Reported Outcomes Measures [PROMS] and Patient Reported Experience Measures [PREMS]) Guide
How to elevate patient voices and use and interpret indicators (PROMS and PREMS), developed by CQII and pilot sites, that assess the quality of healthcare, including HIV treatment, and the health care experience based on individual feedback from patients.

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Here are tools shared on the RWHAPCQM Listserv in the months August-November 2021.

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Wang, New Analysis Method Incorporating Bayesian Networks for HIV Surveillance Data in Investigating Factors Related to ‘Out of Care' Status (CSTE 2021) (PDF)

1/31/22 Email Regarding Study: I did a network modeling analysis last year, and found out the most relevant factor for ‘Out of Care’ status among patients living with HIV is the ‘housing status’. These results were presented at the 2021 CSTE annual conference, if you need a copy of the presentation I can forward it to you, the data I used was from 01-2018 to 01-2020, so it didn’t reflect the risk factor of COVID pandemic.

The conclusion from the study is: Housing is the key factor that leads to HIV clients Out of Care status. The reasoning behind this conclusion is also easy to interpret. When people don’t have stable housing or a mailing address, it is difficult to keep them informed whenever our provider needs to notify them of the follow-up appointments, physical checkups, lab draws, medication refills, etc.

We then try to find feasible remedies for clients with unstable housing. In Nevada, we have some programs to help people with housing issues. For instance, the program called ‘Housing First’, a program that helps homeless people to get permanent housing; Assurance wireless is a program that provides the client with free phones to low-income families. A similar program we have in Nevada is like Nevada Homeless Alliance. We can also do more when clients visit our clinical site. For instance, if we found a homeless client, we should immediately refer to the social worker, also we can routinely ask clients about their housing status in the survey question when they visit the clinics,

Thanks!
(Steve) Xichun Wang, PhD, MPH
Public Health Informatics Scientist
Southern Nevada Health District
702-759-1244
[email protected]

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Quality of Life Measures

Hello colleagues,

We are exploring adding some validated Quality of Life (QOL) measures to our Performance Measure portfolio (thanks to those of you who sent us the questions you use a few months ago!). We think we know what we want to ask, but have further questions we’d love your insights on.

If you use QOL measures, I’d love to have a conversation, and/or your thoughts via email on the following:

How do you ask/whom do you ask to ask the QOL questions of clients? MCMs and Non-MCMs? Medical practitioners?
1. Our challenge: We don’t mandate MCMs. If we ask either or both MCMs, & Non-MCMs, and/or medical practitioners, we will miss up to 40% of our clients, many of whom are high needs.
Where/how do you capture the data?
1. Our challenge: We currently only have CareWare as our databases with lack of funding to change that. While we can add fields, we worry about things like how to slice data if some clients get asked the QOL questions more often and the burden on providers to hand-enter data.
How often do you capture and analyze the data, especially if gathered at varying intervals
1. Our challenge - see bullet point above - how to analyze data captured at different intervals.
How do you impact client QOL?
1. Our thinking is that there may be limited value in asking questions of clients that we have little ability to influence with quality improvement work, especially from a trauma-informed perspective (“Why ask me if you can’t help me?”). Of course, it would be valuable/interesting data to analyze, especially perhaps for justifying the extent of the issue, and how it may influence retention in care and VLS for things like grant applications, but in the interest of being client-centered, we are torn on this issue. We would love to hear your thoughts on this challenge and any strategies you use to move the needle on QOL.

Many thanks!

Britt
--
Britt Sale, M.S.
Program Specialist Senior - Quality Management/Improvement
HIV Grant Administration & Planning (HGAP)
Multnomah County Public Health
[email protected]
Cell: 971-393-3697
Pronouns: she/her/hers
Work hours: Monday-Friday, 8:30am-5pm

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Performance Measurement and Health Disparities Assessment (measuring improvement, data)

Use this topic starter to request/share resources related to Performance Measurement and Health Disparities Assessment.

Resources shared by HAB Clinical Quality Branch:

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