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Outcome of 2009 Quality Management Site Visits

Outcome of 2009 Quality Management Site Visits. Summary of Trended Findings: Standard of Care Compliance. OAMC – Outpatient/Ambulatory Medical Care, MCM – Medical Case Management, SA – Substance Abuse Readiness, MH – Mental Health, ORAL –Dental Health,

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Outcome of 2009 Quality Management Site Visits

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  1. Outcome of 2009 Quality Management Site Visits

  2. Summary of Trended Findings: Standard of Care Compliance OAMC – Outpatient/Ambulatory Medical Care, MCM – Medical Case Management,SA – Substance Abuse Readiness, MH – Mental Health, ORAL –Dental Health, EIS – Early Intervention Services, TMT ADH – Treatment Adherence, PS SPPT – Psychosocial Support, Hous AID – Housing Assistance, TPORT – Transportation, LEGAL – Legal Assistance

  3. HRSA: HAB Performance Measures • Performance by ‘Tier’ with existing measures: • ‘New’ measures formed in late 2009 for: • Medical Case Management • Oral Health

  4. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  5. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  6. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  7. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  8. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  9. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  10. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  11. Hartford TGA Part A and MAI Outcomes Measures & Indicators

  12. Areas of Improvement: Activities In Process TECHNICAL ASSISTANCE QUALITY IMPROVEMENT • Service Category Focus • Psychosocial Support: Review of SoC, Chart Audit Tool (January, 2010). • Quality Improvement Plans • Review of HRSA format, collaborative development of plan to mirror TGA document. (January, 2010) • Development of ‘System-Level’ Standards of Care (January, 2010) • Quality Improvement Project/QI Storyboard • Cervical Cancer Screening • Health Literary • Housing Support • Treatment Adherence

  13. Psychosocial Support SoC • Continued confusion regarding specificity of this Service Category. • Electronic reminder of Psychosocial Support documentation requirements (Chart Audit Tool, Narrative SoC, summary of issues) sent to four contracted providers in January 2010. • APH • CHC/Oasis • HGLHC • HRA/New Britain • MANA • Follow-up teleconference held in February.

  14. Quality Improvement Plans • Quality Improvement plans received from 13/15 (87%) of contracted providers • 2/15 (13%) currently developing plan. • Central AHEC • Mercy

  15. System Level Standard of Care • Requirement from HRSA that System Level Standard of Care be developed by all Ryan White entities • System Level SoC are for issues that have been determined to cut across several services. • DRAFT System Level SoC shared electronically with all providers • Follow-up in February with Teleconference to discuss, refine, finalize.

  16. Quality Improvement Storyboard Current QI Teams Using Storyboards (training held on March 2nd by National Quality Center):(1) Cervical Cancer Screening: CHS, Central AHEC/Gengras, Rockville General Hospital (2) Health Literacy: Latino Community Services (3) Housing Support: APH, Mercy Housing & Shelter Corporation (4) Treatment Adherence: UCONN

  17. Integration with Client Level Data • Client Level Data measures currently formed for only two core services (OAMC & MCM).

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