Improving Client Retention in Primary Care QI Project Review

1. Improving Client Retention in Primary Care QI ProjectReview Title I Case Management HIV Quality Learning Network June 28, 2007

2. Improving Client Retention in Primary CareQI Project Selection November 2006, Learning Network Meeting: • “Reflections on Retention” Rationale for Focusing on Retention Considering Interventions Based Upon Research Measurement Quality Improvement and Retention • URS to Measure and Improve Retention • The Learning Network’s Role In Addressing Retention • Provider Presentations - Applying QI to Address Retention

3. Improving Client Retention in Primary CareQI Project Selection December –January, Learning Network Survey • 29 of 30 - “yes” to Learning Network-wide Project • Teams are established with common “themes”: co-located w/ primary care clinic contracted/visiting primary care providers located in the Tri-County area target population - incarcerated & recently released target population - immigrants target population - homeless

4. Improving Client Retention in Primary CareLearning Network-wideQI Project Development February 2007, Learning Network Meeting: • Quality of Case Management Documentation • Primary Care Status Measure Review – 2005 Baseline • Reports from the Field – HHC and ASC Lower Manhattan • Learning Network-Wide QI Project Teamwork Team roles and responsibilities Identifying causes and a “root cause” Brainstorming Solutions/Changes to address a “root cause” Planning a Small-Scale Test of a Change

5. Results of February’s Meeting • Common Retention Measure: Clients should have a visit with their primary care provider at least once every 6 months. • QI Project Aim: Increase the number of patients who have connected to medical care and are retained. • Overarching Learning Network QI Project Goals: Demonstrate measurable improvements to client retention and engagement in primary care across the Title I Case Management Learning Network Share the identified best practices across the Title I Learning Network(s), with key stakeholders including primary care providers, other supportive service providers and funders

6. QI Project PlanFebruary - April • Agency QI Project Teams Meet to: - Review PCSM and 2005 performance data • Utilize QI project “team” tools • Share info from LN meetings, utilize tools where helpful and get QI project teams feedback on the best strategy to test

7. QI Project PlanFebruary - April(continued) • QI Training Available to T-I Agency Staff Option 1: On-line Training Module(s) The Model for Improvement - PDSA Option 2: @ AIDS Institute Basic QI Workshops

8. QI Project Plan(continued) • February – April: QI Test of Change Worksheet: Task: Plan to Test a Strategy • April - May: CM Program’s QI Project Team Task: Implement at least one rapid cycle test of change • May:Collaborative Team Call Task: Share the progress of your test of change • . . .

9. QI Project Plan(continued) • June 28 - Quality Learning Network QI Project Teamwork: 3 Tasks: • Evaluate Title I Learning Network’s Team Progress • Discuss Each Program’s QI Project - Feedback & Planning of Next Steps • Select Best Overall Quality Improvement & Best Use of a PDSA Cycle (“Rapid Cycle”)