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Clinical Quality Management Program

Our mission is to continuously improve the quality of the services afforded to people with HIV whom we serve as clients in the Ryan White Program.



people with HIV

Clinical Quality Management Program

Clinical Quality Management Committee

Quality Improvement Resources

Subrecipient Forums

Research Articles

Minority AIDS Initiative CQM Team

Service Provider Resource Hub

Miami-Dade HIV/AIDS Partnership

Clinical Quality Management Program

The overarching CQM mission of the Miami-Dade County CQM Team – the Recipient, Behavioral Science Research, and the Clinical Quality Management Committee (CQM Committee) – is to continuously improve the quality of the services afforded to the people with HIV whom we serve as clients in the Ryan White Program. The activities undertaken by the CQM team are necessarily in accordance with the RWP HIV/AIDS program, legislation and HRSA Policy Clarification Notice (PCN) # 15-02.

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.


  • 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


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


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Clinical Quality Management Committee

Next Meeting: April 19, 2024 at 9:30 a.m.

Via Microsoft Teams*

Rhonda Wright

Rhonda Wright




Vice Chair

Member Responsibilities

  • Oversee the CQM Plan: Miami-Dade County EMA RWP Clinical Quality Management Plan – Grant Fiscal Year 2023
  • Evaluate performance data from Ryan White Program subrecipients.
  • Identify quality improvement (QI) opportunities.
  • Prioritize (or re-prioritize) QI projects.
  • Develop the timeline to complete QI related Plan-Do Study-Act (PDSA) cycles.
  • Evaluate the impact of QI initiatives on client health outcomes.
  • Evaluate the progress of CQM activities.
  • Share best practices and determining future goals.


April 19, 2024

HRSA PCN #15-02

HRSA Policy Clarification Notice (PCN) #15-02 The purpose of this PCN is to clarify the HRSA RWHAP expectations for clinical quality management (CQM) programs.

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Past Meetings

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Quality Improvement Resources


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.

CQII Training on Coaching Basics (TCB) Program

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.

Ryan White HIV/AIDS Program Compass Dashboard

Ryan White HIV/AIDS Program Compass Dashboard* (

  • 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* (

  • 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* (

  • 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.

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Ryan White Program Subrecipient Forums

The 2024 Forum was February 15, 2024; Future dates: TBA

Miami-Dade County Main Library, 101 West Flagler Street, Auditorium, Miami, FL 33130


Ryan White Program Subrecipient Forums are Quality Improvement-focused trainings facilitated by Miami-Dade County Office of Management and Budget Grants Coordination/Ryan White Program and Behavioral Science Research Corporation.

Ryan White Part A/MAI-funded subrecipient’s senior level staff members – Executive Directors and/or Program Directors/Coordinators – attend Subrecipient Forums. Specifically, decision-makers at the organization who are responsible for ensuring service quality and compliance with program and contractual requirements.

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Research Articles


Relationship between Housing Characteristics and Care Outcomes among Women Living with HIV: Latent Class Analysis*, Sofia B. Fernandez, etal. (Oxford Academic –  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. (  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. (  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)

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Minority AIDS Initiative Clinical Quality Management Team

Effective December 2022, The Minority AIDS Initiative Clinical Quality Management (MAI CQM) Team has been subsumed under the CQM Committee and will no longer meet as a stand-alone group.

An MAI CQM standing agenda item will be added to CQM Committee meeting agendas.

Member Responsibilities

  • Develop innovations to reduce disparities in care.
  • Improve service delivery.
  • Improve client health outcomes.
  • Link minority populations with other Ryan White Program services to add value to the Medical Case Management and Outpatient Ambulatory Healthcare Services delivered under MAI.

Past Meetings

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* This page includes links to Ryan White Program and non-Ryan White Program funded services. Please contact your Medical Case Manager with questions about Ryan White Program eligibility.  By clicking links marked by an asterisk (*), you acknowledge you are leaving We are not responsible for the content on these web sites.



This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the grant number H89HA00005, CFDA #93.914 – HIV Emergency Relief Project Grants, as part of a Fiscal Year 2023 award totaling $27,558,848 as of March 29, 2023, with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS or the U.S. government.

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