Driving to Improvement: Using the Driver Diagram for Quality Improvement
Resource updated 08/17/2023
Resource updated 08/17/2023
Resource updated 03/04/2024
By cross matching registries of HIV and other sexually transmitted infections, this study found 27.1% of male syphilis cases were coinfected with HIV and 31.8% of those coinfected were not virally suppressed. This suggests ongoing sexual risk behaviors and the potential for HIV transmission among male syphilis cases.
Resource (Conference Presentation) updated 09/14/2023
In a single-center restrospective cohort study, patients with extensive treatment experience and history of virologic failure and multi-drug resistance underwent simplification of ARV salvage regimens with a median pill burden reduction of six pills per day. This strategy led to high rates of virologic suppression.
Resource (Conference Presentation) updated 09/14/2023
The first long-acting injectable antiretroviral therapy (LAI ART) formulation was FDA-approved January 2021. Drawing on the Consolidated Framework on Implementation Research, this mixed methods study assessed knowledge, attitudes, practices, and perceived barriers and facilitators related to implementation of LAI ART in NYC among HIV clinic staff and people with HIV.
Resource (Conference Presentation) updated 09/14/2023
Using a multidisciplinary approach to harness the electronic patient portal for completion of RWHAP six-month recertification documents, we were able to create a more patient-centered method that complies with program requirements. We will discuss the challenges, opportunities, and results of using such technology in program recertification.
Resource (Conference Presentation) updated 09/14/2023
The Virginia Ryan White Part B (RWB) Peer Review Team works in collaboration with 24 subcontractors receiving RWB funding to evaluate qualitative and quantitative service data. Peer Reviewers are experts and provide services for RWHAP in the Commonwealth of Virginia.
Resource (Conference Presentation) updated 09/14/2023
This presentation will share innovative strategies in the creation of a reflective Consumer Advisory Board, HIT HIV. The presentation will showcase quality improvement projects the HIT HIV CAB completed while leveraging technology, social media, consumer feedback, and CQM principles ensuring a community-driven and equitable process toward ending the HIV epidemic.
Resource (Conference Presentation) updated 09/14/2023
RWHAP Part A programs in Florida are housed within county governments, not the state department of health. This prevents direct data sharing, leading to outdated out-of-care (OOC) lists. Migration of residents between counties complicates the management of OOC lists, creating a need for streamlined data exchange and matching.
Resource (Conference Presentation) updated 09/14/2023
The syndemic of opioid use disorder, HCV and HIV and stigma causes burdens on individuals and the system. Integrating siloed systems of care is critical to addressing this crisis. Overlapping cascades of care are key to understanding the empirical relationships of these diseases and opportunities to identify, prevent and co-treat.
Resource (Conference Presentation) updated 09/14/2023
Data Systems are often black holes, where agencies enter in data, but are not able to efficiently access useful and actionable data back out to take actions to improve services. Learn how panel participants are using innovation and participatory design to provide useful tools and data to the front lines.
Resource (Conference Presentation) updated 09/14/2023
Positive Health Clinic successfully completed a quality improvement project related to our EMR, EPIC. The focus of this project was streamlining data collection, data utilization, and reporting processes in the EMR. The enhancements to our EMR yielded improvements in three areas: communication across disciplines, formalized treatment plans, and data reporting.
Resource (Conference Presentation) updated 09/14/2023
Virginia quality improvement program that identifies access to medication barriers and provides emergency medication supplies to people with HIV if no timely access is secured.
Resource (Conference Presentation) updated 09/14/2023
We will describe the development, early implementation, and simultaneous stepped-wedge evaluation of a novel structural intervention to promote viral suppression and reduce health disparities. The “data-to-suppression (D2S)” intervention involves enhanced Health Department data sharing and capacity building with providers of RWPA mental health, harm reduction, supportive counseling, and housing services.
Resource (Conference Presentation) updated 09/14/2023
Community Health Awareness Group worked remotely for nearly a year due to COVID-19 and observed staff anxiety as it transitioned to in-person work. A quality project was undertaken using CQI methods to identify and reduce staff burnout. The project proved that the practice of self-care techniques decreased staff stress.
Resource (Conference Presentation) updated 09/14/2023
The Baltimore City Health Department Ryan White Program utilizes a variety of methods to engage stakeholders including program monitoring, technical assistance, and learning opportunities among staff, sub-recipients, and consumers across the Baltimore EMA. The program also leads a cross-network QI team to implement interventions, strengthening its QI efforts.
Resource (Conference Presentation) updated 09/14/2023
Oral health of RWHAP participants remains a critical area of unassessed unmet need. Normative data needs and SWOT analyses indicated need for process improvement strategies involving providers for better data quality. Voluntary oral health data reporting is a key barrier to understanding/tracking the oral health status of RWHAP participants.
Resource (Conference Presentation) updated 09/14/2023
A NJ clinic has implemented multi-site STI screening for the clinic population and for higher risk groups. Gains made in implementation through prior quality initiatives were not sustained. The clinic worked collaboratively with a quality coach to identify how and why rectal swabs are overlooked, particularly when indicated.
Resource (Conference Presentation) updated 09/14/2023
Vaccine task force work to identify barriers and track COVID-19 vaccine completion rates in HIV clinics, leading to a high rate of COVID-19 vaccination uptake.
Resource (Conference Presentation) updated 09/14/2023
Overview of RWHAP SPNS E2i Initiative implementation materials.
Resource (Conference Presentation) updated 09/14/2023