Quality Management
The purpose of the Ryan White Grant Administration quality management program is to ensure that Part A-funded medical services are consistent with U.S. Public Health Service guidelines and other established professional standards, that appropriate access and adherence to HIV medical care is assured through health-related support services and that trends in the local epidemic are monitored using accurate and up-to-date demographic information and service utilization data.

To complement existing quality-related activities such as outcomes evaluation, standards of care and fiscal and programmatic monitoring, in FY 2002 the Quality Management Section of Ryan White Grant Administration initiated clinical chart review activities and a program standardizing the measurement of client satisfaction.


Ryan White Part A - Medication Formulary

Ryan White-Part A Nutritional Supplement Formulary

Ryan White Part A QM Plan

 

Outcomes Evaluation
In FY 2001 the Evaluation and QM Section of Ryan White Grant Administration implemented comprehensive outcomes evaluation for all funded service categories. Examples of outcomes measured in the Houston EMA include:
  • Health outcomes such as changes in CD4+ counts, viral load tests and stage of illness
  • KAP (knowledge, attitudes and practices) outcomes such as changes in service utilization rates and adherence to drug treatment regimens
  • Cost-effectiveness outcomes such as fewer days of HIV-related hospitalization
  • Quality of life outcomes such as increased ability to perform activities of daily living

Client-level outcomes and indicators are tailored to the goals and objectives of each service category. Data collection methods include the CPCDMS, self-administered pre- and post-tests and standardized provider assessments.

The Evaluation and QM Section performs data analysis on a quarterly basis, providing results to service providers and the Ryan White Planning Council.

FY 2015 Outcomes Measures
FY 2014 Outcomes Measures

Chart Review

In FY 2005 the Quality Management Section of Ryan White Grant Administration (RWGA) initiated chart review activities to ensure that U.S. Health and Human Services guidelines and other relevant standards of care are met or exceeded for the treatment of HIV. Primary medical care, rural dental care,vision care, and case management are the Part A-funded services that will participate in chart review activities.

On an annual basis, a stratified random 10% sample of client charts are reviewed. The CPCDMS is used to randomly select a sample population that reflects the demographics of the entire client population. The 2011 chart review has been completed and the final reports will be posted below as they become available.

The RWGA Project Coordinator for Clinical Quality Improvement conducts the primary medical care and vision chart review activities. RWGA uses a qualified contractor to perform the case management chart reviews. The 2011 rural dental care chart review will be conducted by The Resource Group. The RWGA Quality Management Section performs data analysis and provides results to service providers and the Ryan White Planning Council.

 

Reports
2014 Case Management Chart Review Report

2015 Primary Care Chart Review Report
2015 Vision Care Chart Review Report
2015 Dental Care Chart Review Report

Data Collection Tools
Case Management Data Collection Tool

Primary Care Data Collection Tool

Vision Care Data Collection Tool

Dental Care Data Collection Tool

Client Satisfaction

In FY 2006, the Evaluation and QM Section developed and implemented a standardized methodology for measuring client satisfaction that is consistent across all Part A-funded service categories.

This methodology employs the use of a self-administered survey tool that includes questions that address the service, questions that address the provider and questions that address the Part A system as a whole. The tool, printed directly from the CPCDMS by the client's service provider, includes the client's unique identifier embedded as a bar-code. Once the completed tool is scanned, this bar-code enables Ryan White Grant Administration to link survey results with the de-identified client demographic data found in the CPCDMS.

On an annual basis a 10% convenience sampling is surveyed for each service category. The Evaluation and QM Sectionper forms data analysis and provides results to service providers and the Ryan White Planning Council.  Below are the most recent Client Satisfaction reports.
 

 

Client Satisfaction Surveys

 

Case Management Client Sat Survey - English  |  Spanish
Dental Client Sat Survey - English  |  Spanish
Drug Reimbursement Client Sat Survey - English  |  Spanish
Health Insurance Assistance Client Sat Survey - English  |  Spanish
Legal Assistance Client Sat Survey - English  |  Spanish
Nutritional Supplements Client Sat Survey - English  |  Spanish
Online Client Satisfaction Survey
Primary Care Client Sat Survey - English  |  Spanish
Substance Abuse Client Sat Survey - English  |  Spanish
Transportation Client Sat Survey - English  |  Spanish
Vision Client Sat Survey - English  |  Spanish

Survey Generation Instructions
Online Client Satisfaction Survey Incentive Receipt

Client Satisfaction Reports - Coming Soon
 

Standards of Care
Since FY 1999, the Evaluation and QM Section of Ryan White Grant Administration has facilitated annual work groups composed of Ryan White Planning Council members, service providers, consumers and subject experts to review and revise standards of care for each funded service category. These local standards are derived from U.S. Public Health Service guidelines as well as other relevant industry standards and federal, state and local licensing requirements. Measurement thresholds are set at 100%. 

The Grants Management Section of Ryan White Grant Administration conducts regular site monitoring visits at all agencies to ensure compliance.