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Michael Hager

Lessons Learned from the H4C Collaborative: What Other States Can Learn from this Improvement Initiative. Michael Hager. Manager of Communities of Learning, National Quality Center. Lori DeLorenzo. President, Organizational Ideas.

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Michael Hager

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  1. Lessons Learned from the H4C Collaborative: What Other States Can Learn from this Improvement Initiative Michael Hager Manager of Communities of Learning, National Quality Center Lori DeLorenzo President, Organizational Ideas

  2. Communities of Learning: collaborative, QI campaign, Regional Groups Consultation: On/off-site coaching of recipients to advance their clinical quality management programs Together, we can make a difference in the lives of people with HIV. NQC provides assistance to RWHAP recipients to improve HIV care since gaps in HIV care still exist and advances are uneven across HIV populations. • 250 recipients (or over 700 individuals) participated in 25 Regional Groups • 51% of all recipients joined the largest HIV QI campaign; viral suppression increased from 70% to 76%, a statistically significant improvement • 40% of RWHAP recipients received TA and 95% would recommend TA to others • 40 online QI tutorials are available; over 35,000 have been taken so far Training and Educational Fora: monthly webinars, advanced trainings, online QI tutorials Intensity Information Dissemination:monthly newsletters, websites, publications, exhibits, QI awards • over 90% of the 587 RWHAP recipients accessed NQC services • ~1,300 individuals (61% of recipients) graduated from 45 three-day advanced trainings NationalQualityCenter.org | 212-417-4730

  3. Learning Objectives • Understand Learning Collaborative Activities • Understand the Purpose of H4C • Describe Key H4C Impacts Nationally • Describe Key H4C Impacts in Participating States

  4. Learning Collaboratives

  5. Learning Collaborative Premises There are gaps between knowledge and practice There are large variations in practices “Best practices” exist all over the world We need to accelerate improvements We can learn a lot more working together than we can working separately The Collaborative Model is NOT: Research for new knowledge Single-setting (team) focus Small changes to existing systems

  6. Learning Collaborative Activities • Faculty Activities • Provide Infrastructure • Data Collection Forms • Learning Session Design • Webinar Calendar • Provide Feedback • On All Reports • Technical Assistance • Participant Activities • Form Teams • Report Measures • Report QI Strategies • Share QI Project Results • Report Team’s Progress • Go To Learning Sessions

  7. What is H4C?HIV Cross-Part Care ContinuumCollaborative

  8. H4C Participating States • ArkansasAR ACHIEVERS • MississippiSouthern Hospitality • MissouriMO CAN • New JerseyNJ CPC • OhioQuality Crusaders

  9. H4C Quantitative Outcome Goals • Retention • Patients who remained in care and who were reengaged in care during the Collaborative • Viral Suppression • Patients who became viral load suppressed during the Collaborative

  10. H4C Impacts National Aims

  11. H4C ImpactsNational Data

  12. H4C Timeline: Types of Measurement • Standard Measures (ever other month) • Four Care Continuum-related HAB core measures • Submitted to NQC for aggregation • HIV Viral Non-Suppression Cohort (annual) • Updated by states annually and submitted to NQC for aggregation and discussion • HIV Care Continua (annual) • 3 types of continua developed by states: statewide, RW-specific, agency-specific • Comparison of these in-state continua

  13. All measures are HAB measures (GAP is an inverse measure) • ARV and VLS improved, MVF and GAP challenged us

  14. Each state focused on different areas of HIV care continuum • The most emphasis was placed on retention and suppression

  15. H4C achieved its goal of bringing 20% of baseline into suppression • States struggled with the cohort, but helped each other out a lot

  16. H4C ImpactsState Perspectives

  17. Arkansas Achievers Team

  18. MOCAN

  19. Southern Hospitality

  20. New Jersey CPC

  21. Quality Crusaders

  22. Discussion

  23. NQC is excited to offer a variety of learning opportunities for you during the RW Conference. Think big and start small. NationalQualityCenter.org | 212-417-4730

  24. Michael Hager, NQC Manager Lori DeLorenzo, NQC Coach Info@NationalQualityCenter.org212-417-4730

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