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Public Health Solutions HIV Care Services (HIVCS)

Public Health Solutions HIV Care Services (HIVCS). Subcontractor Site Visits 2011 February 8, 2011 Bettina Carroll Director for Programs and Contract Management. HIVCS’ “Charge”. HIVCS Contract Monitoring. Service Verification - Site Visits. Types of Site Visits. Arranging a Site Visit.

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Public Health Solutions HIV Care Services (HIVCS)

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  1. Public Health SolutionsHIV Care Services (HIVCS) Subcontractor Site Visits 2011 February 8, 2011 Bettina Carroll Director for Programs and Contract Management

  2. HIVCS’ “Charge”

  3. HIVCS Contract Monitoring

  4. Service Verification - Site Visits

  5. Types of Site Visits

  6. Arranging a Site Visit

  7. What should you expect at a site visit?

  8. Who needs to attend the site visit? Senior Administrator is usually only present for the Entrance and Exit Conferences Billing Department staff may be needed for POLR and SPV visits *Shared responsibility specific to PB contracts and/or dependent on nature of TA After the entrance conference, staff are not required to be present while HIVCS reviews are conducted

  9. Improved Coordination of Site Visits

  10. DOHMH

  11. AIDS Institute Quality ProgramSite Visits/Performance Reviews Dan Belanger, Director, New York State Quality Program Tracy Hatton, Director, Part A Quality Management Program February 8, 2011

  12. Quality Management Program NYSDOH AIDS Institute Quality Program experience: • Clearly defined HIV quality of care clinical indicators for adults and adolescents • Clinical Advisory Committee of New York State experts refine clinical indicator definitions to reflect current standards • Annual quality indicator reviews (ehivqual) at 200 HIV ambulatory care facilities throughout New York State, including New York City • Organizational Assessments conducted at HIV clinics throughout NYS

  13. Organizational assessments Assess the program’s capacity to effectively manage and improve the quality of care and evaluate the element necessary for an effective quality improvement program: • Organizational leadership • Program infrastructure • Staff participation and buy-in • Resources allotted to QI

  14. Organizational Assessment Tool

  15. Organizational Assessment (OA) AIDS Institute staff and quality consultants conduct an assessment of these elements and then work with programs /organizations to develop a capacity-building plan to address any elements that need strengthening. • Offer recommendations to inform: • Areas for Improvement • Annual Goals • Capacity building

  16. Elements of the OA • Quality Structure • Quality Planning • Quality Performance Measurement • Quality Improvement Activities • Staff Involvement • Consumer Involvement • Evaluation of Quality Program • Clinical information Systems

  17. Organizational Assessment Process • Contact in advance of scheduling to outline the purpose and goals of assessment; • On site interview conducted by AI quality staff with key representatives from programs (medical director, program director, QI staff person, administrator, program staff, consumer) • Assessment should include brief listing of recommendations for program • Collect any examples of best practices, QI projects, quality plans • Written feedback sent to participants after completion of OA

  18. Part A Performance Measurement Program Currently reviewed programs: • Mental Health • Care Coordination • Supportive Counseling • Tri-County Medical Case Management • Harm Reduction • Food and Nutrition • Early Intervention Services Chart reviews conducted by IPRO/NYCHSRO

  19. Performance Review Process • Indicators Developed • Review planned with providers • Data collection strategy developed • Case List requested from each program • Sampling plan derived from facility case size

  20. Performance Reviews-On Site Activity • Review date scheduled (generally 2-4 days) • List of records to be reviewed requested (review sample) • Entrance interview conducted at program site • Charts/records reviewed by professional analysts on site • Exit interview conducted when reviews complete • Data scored according to indicators • Performance measurement reports prepared—both aggregate and facility specific results

  21. Using Performance Measurement • Prioritizing areas for improvement • Identification of common issues through performance data • Measuring progress • Benchmarking and goal setting to improve the care for PLWHA in NY EMA-not about measurement, about improvement!

  22. Comments • What suggestions do you have?

  23. Contact Us Daniel R. Belanger, LMSW New York State HIV Quality Program Director drb08@health.state.ny.us Tracy Hatton Part A Quality Management Program teh04@health.state.ny.us

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