Quality of Care

The Health Resources and Services Administration's HIV/AIDS Bureau (HAB) is committed to improving the quality of HIV care and treatment services for people living with HIV. Under the Ryan White HIV/AIDS Program, quality management is a series of activities that focus on enhancing the quality of HIV care provided and increasing access to services. These efforts focus on how health and social services meet established professional standards and user expectations.

The HIV/AIDS Bureau's quality initiatives are designed to help Ryan White HIV/AIDS Program recipients implement quality management programs that target clinical, administrative, and support services.

HIV Quality Measures (HIVQM) Module

HAB has developed an online data system for use by all Ryan White HIV/AIDS Program (RWHAP) recipients called the HIV Quality Measures Module (HIVQM Module). The HIVQM Module's purpose is to help recipients set goals and monitor performance measures as well as quality improvement projects to better supports clinical quality management, performance measurement, service delivery, and client monitoring at both the recipient and client levels.

The HIVQM Module is an online tool that allows recipients to enter aggregate data on the HAB performance measures and then generate reports to assess their performance.  Recipients may also compare their performance regionally and nationally against other recipients who submit data. The HAB performance measures comprise the following categories: 1) core, 2) all ages, 3) adolescent/adult, 4) HIV-infected children, 5) HIV-exposed children, 6) medical case management, 7) oral health, 8) AIDS Drug Assistance Program (ADAP), and 9) systems-level. The HIVQM Module facilitates recipients in meeting clinical quality management program requirements. The use of the module is voluntary for RWHAP recipients, but strongly encouraged.

The HIVQM Module is an easy-to-use and structured platform to support recipients in voluntarily and continually monitor their performance in serving their clients, particularly in access to care and the provision of quality HIV services.

Clinical Quality Management

Clinical Quality Management is the coordination of activities aimed at improving patient care, health outcomes, and patient satisfaction.

Under the Ryan White HIV/AIDS Treatment Modernization Act of 2006 (Public Law 109-415), all Ryan White HIV/AIDS Program recipients are required to establish clinical quality management programs to:

  • Assess the extent to which HIV health services are consistent with the most recent Public Health Service guidelines for the treatment of HIV disease and related opportunistic infections.
  • Develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV services.

Clinical quality management activities should be continuous and fit within and support the framework of grant administration functions. Components of a clinical quality management program include: infrastructure, performance measurement, and quality improvement.

The HIV/AIDS Bureau released Clinical Quality Management Policy Clarification Notice 15-02 (PDF - 95 KB) in September 2015 to provide additional guidance to Ryan White HIV/AIDS Program recipients..

Ryan White HIV/AIDS Program Clinical Quality Management Listserv

Over the past 20 years, clinical quality management (CQM) programs have evolved to be a key component of Ryan White HIV/AIDS Program (RWHAP) recipients' efforts. CQM program staff members fill a special niche in improving health outcomes for people with HIV, offering a unique perspective on building and managing a CQM program. HRSA's HIV/AIDS Bureau (HAB) has launched the Ryan White HIV/AIDS Program Clinical Quality Management (RWHAPCQM) listserv. Sponsored by the National Institute of Health (NIH), RWHAPCQM listserv is an online user group forum. Members of the listserv can inquire and collaborate with colleagues regarding RWHAP CQM programs.

To join, click the link: RWHAPCQM Listserv HRSA Exit Disclaimer.

Listserv Guidelines:

  1. This is a professional forum to share and seek CQM program ideas, questions, best practices, and challenges.
  2. Keep it civil. Discussions on the lists are meant to stimulate conversation, not to create contention. Equal say for all. Do not post any material that is defamatory, abusive, profane, threatening, offensive, illegal, or violates any third party's rights.
  3. Do not post commercial messages or SPAM.
  4. You may share job postings for CQM positions.
  5. Only send a message to the entire list when it contains information that potentially benefits everyone on the listserv. Please send "thank you" or "I'm interested" directly to the sender rather than the entire listserv.
  6. Include a signature block on all messages. Include your name, organization, location, and e-mail address.
  7. State concisely and clearly the topic in the subject line. This allows members to respond more appropriately to postings and makes it easier for administrators to search the archives by subject.
  8. Use caution. Do not post messages that are meant to be anonymous or are not intended for the world to see.
  9. Do not send any protected information through the listserv. This includes patient and client records or personal identifying information.
  10. Do not send administrative messages such as "remove me from the list," through the listserv. Instead, send a separate email to RWHAPCQM@LIST.NIH.GOV to request the change.
  11. The RWHAPCQM listserv is administered and monitored by the HRSA HAB Division of Policy and Data Clinical and Quality Branch.
Date Last Reviewed:  January 2021