Tools for Grantees: Quality Management Manual


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 VII. Appendices


Appendix I

QM Characteristics Grid by Ryan White Title

Characteristics Grid
Characteristic  Evidence of QM by Title
I II III IV
Systematic process with identified:
  • Leadership
  • Accountability
  • Dedicated Resources

Graphic: checkmarkQuality Management Plan for EMA in place and shared with Planning Council

Graphic: checkmark QM Plan reviewed and updated on annual basis to assure ongoing relevancy

Graphic: checkmark Determine standard methodology for data collection and analysis: CareWare, HIVQUAL, PDSA, Chronic Care Model

Graphic: checkmark QM activities discussed at Planning Council Meetings and discussion documented in meeting minutes

Graphic: checkmark Language in sub-contracts supporting QM activities

Graphic: checkmark Site visits include review of vendor initiated QM activities and recommendations documented in site visit report

Graphic: checkmark CQI training available for vendor personnel and QM point person identified by vendor

Graphic: checkmark Use of standardized reporting format for all vendors

Graphic: checkmark Improvement strategies implemented and outcomes documented

Graphic: checkmark Quality Management Plan for State in place

Graphic: checkmark QM Plan reviewed and update on annual basis to assure ongoing relevancy

Graphic: checkmark Determine standard methodology for data collection and analysis: CAREWare

Graphic: checkmark Language in contracts and sub-contracts supporting QM activities

Graphic: checkmark Site visits include review of vendor initiated QM activities and recommendations documented in site visit report

Graphic: checkmark CQI training available for vendor personnel and QM point person identified by vendor

Graphic: checkmark Use of standardized reporting format for all vendors

Graphic: checkmark Improvement strategies implemented and outcomes documented

Graphic: checkmark Quality Management Plan in place and approved by program Leadership (Medical Director, Administrator)

Graphic: checkmark QM Plan reviewed and update on annual basis to assure ongoing relevancy

Graphic: checkmark Dedicate staffing to collect, analyze and report data

Graphic: checkmark Implement oversight committee to review results and appoint project teams when opportunities for improvement are identified (i.e. Quality Council, Leadership Team)

Graphic: checkmark Provide CQI training for CQI

Graphic: checkmark Develop QM work-plan and timeline to track Quality activities

Graphic: checkmark Quality Management Plan in place and approved by primary grantee and for each subcontractor

Graphic: checkmark QM Plan reviewed and updated on annual basis to assure ongoing relevancy

Graphic: checkmark Implement oversight group for Title IV Network to review quality activities and identify opportunities for improvement

Graphic: checkmark Provide CQI training to subcontractors where needed

Graphic: checkmark Develop and implement reporting format

Graphic: checkmark Develop QM work-plan and timeline to track Quality activities

Use of data and measurable outcomes to determine progress toward relevant, evidence-based benchmarks

Graphic: checkmark Determine standard performance measures and indicators:

  • Clinical
  • Case Management
  • Supportive services

Graphic: checkmark Schedule for vendors to report data to EMA grantee determined

Graphic: checkmark Assistance provided to vendors with suboptimal results

Graphic: checkmark Data aggregated, reported, and reviewed by Planning Council

Graphic: checkmark Determine standard performance measures and indicators:

  • Clinical
  • Case Management
  • Supportive services
  • ADAP

Graphic: checkmark Schedule for vendors to report data to grantee determined

Graphic: checkmark Assistance provided to vendors with suboptimal results

Graphic: checkmark Determine standard performance measures and indicators:

  • Clinical
  • Case Management
  • Supportive services

Graphic: checkmark Collect data and report results to quality committee or leadership group

Graphic: checkmark Determine standard performance measures and indicators:

  • Clinical
  • Case Management
  • Supportive services

Graphic: checkmark Collect data and report results to Title IV Network Advisory Board

Focus on linkages, efficiencies, and provider and client expectation in addressing outcome improvement

Graphic: checkmark Utilize Client Satisfaction survey to determine opportunities for improvement

Graphic: checkmark Develop performance measures to assess continuity of care and care delivery processes

Graphic: checkmark Discuss results and improvement strategies at EMA Planning Council

Graphic: checkmark Utilize Client Satisfaction survey to determine opportunities for improvement

Graphic: checkmark Develop performance measures to assess continuity of care and care delivery processes

Graphic: checkmark Utilize Client Satisfaction survey to determine opportunities for improvement

Graphic: checkmark Develop performance measures to assess continuity of care and care delivery processes

Graphic: checkmark Utilize Client Satisfaction survey to determine opportunities for improvement

Graphic: checkmark Develop performance measures to assess continuity of care and care delivery processes

A continuous process that is adaptive to change and that fits within the framework of other programmatic quality assurance and quality improvement activities (i.e. JCAHO, Medicaid and other HRSA programs) Graphic: checkmark Assess other regulatory requirements at vendor level to assure nonduplication of quality management activities and work towards common performance measures Graphic: checkmark Assess other regulatory requirements at vendor level to assure nonduplication of quality management activities and work towards common performance measures Graphic: checkmark Assess other regulatory requirements to assure nonduplication of quality management activities and work towards common performance measures Graphic: checkmark Assess other regulatory requirements to assure nonduplication of quality management activities and work towards common performance measures
Ensure the data collected is fed back into the quality improvement process to assure that goals are accomplished and that they are concurrent with improved outcomes

Graphic: checkmark Report data to EMA Planning Council (blinded by vendor site)

Graphic: checkmark Document findings in EMA Planning Council minutes

Graphic: checkmark Provide feedback to vendors re changes in priorities

Graphic: checkmark Report quality management activities to planning body

Graphic: checkmark Provide feedback to vendors re changes in priorities

Graphic: checkmark Report quality management activities and data to all levels of organization: leadership, staff meetings, provider meetings

Graphic: checkmark Compare with established goals in QM plan

Graphic: checkmark Report quality management activities and data to all levels of organization: leadership, staff meetings, provider meetings, Network Advisory meetings

Graphic: checkmark Compare with established goals in QM plan