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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.

Title Type

Ryan White Part A - Medication Formulary

Ryan White-Part A Nutritional Supplement Formulary

Ryan White Part A QM Plan

Case Management Forms
Title Type

Case Management Comprehensive Client Assessment Tool

Reassessment Tool

Case Management Brief Assessment Tool

Case Management Service Plan Tool

Training
Title Type

2023 - 2024 Case Management Training Calendar

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.

Title Type

FY 2020 Performance Measures

FY 2019 Performance Measure

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 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 RWGA Project Coordinator for Clinical Quality Improvement conducts the primary medical care and vision chart review activities. The RWGA Project Coordinator for Quality Management conducts the case management chart reviews. The RWGA Quality Management Section performs data analysis and provides results to service providers and the Ryan White Planning Council.

Chart Review - Reports
Title Type

2020 Primary Care Chart Review

2020 Dental Care Chart Review

2019 Case Management Chart Review

2020 Vision Care Chart Review

2021 Case Management Chart Review

Chart Review - Data Collection Tools
Title Type

Case Management Data Collection Tool

Vision Care Data Collection Tool

Primary 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 Section performs 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
Title Documents

Nutritional Supplements Client Sat Survey

English Spanish

Primary Care Client Sat Survey

English Spanish

Health Insurance Assistance Client Sat Survey

English Spanish

Dental Client Sat Survey

English Spanish

Drug Reimbursement Client Sat Survey

English Spanish

Vision Client Sat Survey

English Spanish

Case Management Client Sat Survey

English Spanish

Legal Assistance Client Sat Survey

English Spanish

Substance Abuse Client Sat Survey

English Spanish

Transportation Client Sat Survey

English Spanish

Client Satisfaction Survey Continued
Title Type

Online Client Satisfaction Survey Incentive Receipt

Online Client Satisfaction Survey

2022 Client Satisfaction Survey Report

Survey Generation Instructions

Intimate Partner Violence Forms
Title Type

Houston EMA Intimate Partner Violence Protocol

Intimate Partner Violence Protocol Attachment 1a - Ongoing Abuse Screening Tool

Intimate Partner Violence Protocol Attachment 1b - Universal Violence Prevention Protocol

Intimate Partner Violence Protocol Attachment 2 - RWGA Approved Danger Assessment

Intimate Partner Violence Protocol Attachment 3 - Safety Plan

Intimate Partner Violence Protocol Attachment 4 - Resources

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.

Title Type

Standards of Care 2024 - 2025