Clinical Quality Management Program

Our Vision

To help people with HIV achieve and maintain an undetectable HIV viral load by providing barrier-free access to a coordinated, comprehensive, and quality system of HIV care that supports diversity.

Priorities

• Assess the extent to which HIV health services provided to clients under Part A and MAI funding are consistent with the most recent Public Health Services guidelines for the treatment of HIV disease and related opportunistic infections.
• Develop strategies to ensure improvements in client access to and quality of HIV services.
• Focus on enhancing Part A and MAI service delivery processes to improve client retention in care, reduced viral loads and increased client satisfaction.
• Raise awareness of — and capacity for — the CQM process of problem identification, baseline data measurement, root cause diagnosis, QI intervention and post-intervention evaluation among subrecipients throughout the local Part A and MAI care and treatment systems.
• Continuously improve the data the RWP depends on for quality improvement under the Provide Enterprise® Miami (PE Miami) client data management information system, supporting service delivery documentation, measurement of client outcomes, and assessment of service improvement.
• Miami-Dade County EMA RWP Clinical Quality Management Plan – Grant Fiscal Year 2023
• Clinical Quality Management Policy Clarification Notice (PCN) #15-02 (updated 09/01/2020)*

Ryan White Program Part A Subrecipients with QI Projects

•  AIDS Healthcare Foundation
• CAN Community Health
• Citrus Health Network
• Community Health of South Dade (CHI)
• Jesse Trice Community Health Center
• Latinos Salud

Contact

For more information on the Miami-Dade Ryan White Clinical Quality Management program, contact Robert Ladner, PhD, Project Director, at [email protected].

Local QI Data from the Miami-Dade CQM Program

FY 2023 Miami-Dade Ryan White Client Satisfaction Survey. Medical Case Manager satisfaction data from 527 clients, interviewed in FY 2023.  Data are divided by client ethnicity and gender.

FY 2023 Ryan White CQM Performance Report Card, Cycle 2 (12 months ending August 31, 2023).

FY 2023 CQM Performance Report Card definitions of all variables.

Summary of CQM Performance Report Card trends, Cycle 2, FY 2023.

Center for Quality Improvement and Innovation (CQII)

HRSA’s Ryan White HIV/AIDS Program (RWHAP) Center for Quality Improvement and Innovation (CQII)* provides technical assistance on quality improvement to Ryan White HIV/AIDS Program recipients. 

CQII Training on Coaching Basics (TCB) Program* (TargetHIV)  A Facilitator Manual for those who participate in the Training on Coaching Basics (TCB) Program. Also for those who strive to lead activities to improve HIV care. It contains detailed descriptions of all pre-work activities and assignments. Also post-work activities and faculty notes for each module during the 3-day TCB session. With links to available quality improvement resources.

A Guide to Patient Involvement in Quality Improvement – Building Meaningful Partnerships to Improve HIV Care. New York Department of Health AIDS Institute, Health Resources and Services Administration HIV/AIDS Bureau

Ryan White HIV/AIDS Program Compass Dashboard

Ryan White HIV/AIDS Program Compass Dashboard* (HRSA.gov)

• Understand Outcomes, Demographics, and Performance
• Explore Data on Priority Populations
• RWHAP Services Received
• RWHAP AIDS Drug Assistance Program (ADAP)

Regression Analysis

15 Types of Regressions in Data Science* (ListenData.com)

• What is Regression Analysis?
• Terminologies related to regression analysis.
• Types of Regression.
• How to choose the correct regression model?

Data-Driven Decision-Making

Data-Driven Decision-Making: How To Make Smarter Decisions To Fuel Business Growth* (SuperOffice.com)

• B2B companies now have access to more data than ever before. But what happens to this data, do you let it degrade over time or are you using it to fuel business growth?
• For companies that leverage data to drive decision-making, they gain a competitive advantage, reduce business costs and increase profit. But, how?
• We explain what data-driven decision-making, what you can use it for and how it can positively impact your business. Plus, we share a five step process that you can use to create smarter business decisions.

Relationship between Housing Characteristics and Care Outcomes among Women Living with HIV: Latent Class Analysis*, Sofia B. Fernandez, etal. (Oxford Academic – academic.oup.com)  Housing plays a critical role in the care outcomes of individuals living with a HIV, yet few studies have examined the unique housing profiles of women living with HIV (WLH), especially among those belonging to low-income racial/ethnic minority groups . . .

HIV Care Access During the COVID-19 Pandemic as Perceived by Racial/Ethnic Minority Groups Served by the Ryan White Program, Miami-Dade County, Florida*, Mary Jo Trepka, MD, MSPH, etal. (nih.gov)  The Ryan White Program (RWP) in Miami-Dade County, Florida made several modifications to keep HIV care accessible during the COVID-19 pandemic, including expanding telehealth services, increasing access to HIV medications, and waiving required lab tests for service recertification . . .

Latent Class Analysis of Syndemic Factors Associated with Sustained Viral Suppression among Ryan White HIV/AIDS Program Clients in Miami, 2017, Rahel Dawit, etal,  The study’s objective was to identify the association between sustained viral suppression (all viral load tests<200 copies/ml per year) and patterns of co-occurring risk factors including, mental health, substance use, sexual risk behavior, and adverse social conditions for people with HIV (PWH) . . .

Adherence 2021 Poster: Access to HIV medical care providers for Ryan White Program clients during the COVID-19 Pandemic: Lessons learned, Mary Jo Trepka, MD, MSPH, etal.

Predictive Analytics for Retention in Care in an Urban HIV Clinic*, Arthi Ramachandran, etal. (nih.gov)  Consistent medical care among people living with HIV is essential for both individual and public health. HIV-positive individuals who are ‘retained in care’ are more likely to be prescribed antiretroviral medication and achieve HIV viral suppression, effectively eliminating the risk of transmitting HIV to others . . .

Innovations in Human Immunodeficiency Virus (HIV) Care Delivery During the Coronavirus Disease 2019 (COVID-19) Pandemic: Policies to Strengthen the Ending the Epidemic Initiative—A Policy Paper of the Infectious Diseases Society of America and the HIV Medicine Association*, Wendy S. Armstrong, etal. (Clinical Infectious Diseases)