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Enhanced Quality Management in Healthcare: Trends and Improvements

Summary of findings from 2009 site visits, performance measures, areas of improvement, and quality improvement initiatives in healthcare services. Includes focus on psychosocial support, housing, treatment adherence, and more.

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Enhanced Quality Management in Healthcare: Trends and Improvements

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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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