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Quality Management

Welcome to the HIV/STD/Viral Hepatitis Division’s (HSVHD) Clinical Quality Management (CQM) page where you will find a repository of resources, training material, and program information including quality improvement (QI) activities. The purpose of this page is for HSVHD to share timely information that promotes stakeholder engagement in the statewide CQM program.


Statewide QI Projects

  ISDH has produced the Community Health Improvement Initiative (CHII) as its landmark statewide QI Project. Service populations of focus and related topics are generated as a set curriculum and set of associated activities for subrecipient organizations identified for participation based on their organizational service populations. You will find details on CHII capstone projects over time in the table below.

 

 

 

 

 

CHII Topic

Active Dates

Description

Final Report

African American MSM

10/1/2019-9/30/2020

Executive summary

Coming soon!

Adolescents (<24 yrs)

10/1/2020-9/30/2021

Coming Soon!

 

 

Framework for Quality Management

Indiana State Department of Health (ISDH) uses the RWHAP framework for QM seen to the right as the basis for its overall Division-wide QM framework.  The Infrastructure for the QM program is rooted in the Division Clinical Quality Management Plan and the Indiana HIV, STD, and Viral Hepatitis Quality Management Committee described below. 


CQM Technical Assistance Webinars

Date

Content

Slides

Video

6/3/2020

CQM Infrastructure Overview

Link

Link

6/10/2020

CQM Performance Measure Overview

Link

Link

6/17/2020

Statewide QI Projects and Reporting

Link

Link

  

Division Clinical Quality Management Plan

The ISDH HSVHD uses a Division-wide approach to QM. The HSVHD Clinical Quality Management Plan (CQM Plan) provides a statewide framework for QM activities in Indiana. The CQM Plan includes detailed information on the roles and responsibilities of all stakeholders in the overall statewide QM Program. In addition, the CQM Plan includes the breakdown of quality performance measures by Division Program and provides the background on ISDH’s overall approach to QI. Download the 2019-2020 CQM Plan at this link.


Indiana HIV, STD, and Viral Hepatitis QM Committee

Indiana’s HIV, STD, and Viral Hepatitis QM Committee (QM Committee) is a subcommittee of the Indiana HIV/STD Advisory Council (Advisory Council). Membership on the QM Committee is drawn from providers and consumers that represent all funded programs of the Division.  Committee members represent diversity in geography, gender, and race. As a subcommittee of the broader Advisory Council, the work of the QM Committee is overseen by the Advisory Council in which all Division sub-recipients of funding are required to participate.


ISDH HSVHD Internal QM Committee

The ISDH Internal QM Committee is made up of representatives of all Division’s Programs and led by CQM staff. The purpose of the internal committee is to align CQM activities and expectations with other Division priorities. The goal is for the Division to communicate expectations in one voice and avoid over-burdening subrecipient agencies with overlapping or contradicting expectations.


ISDH HSVHD QM Resource Center

ISDH has compiled a set of resources for subrecipients that are creating and maintaining their quality management programs.  Each subrecipient received a binder of clinical quality management resources.  Those resources can be found electronically here:
 

Resource

Description

CQM Program Guidance

HRSA PCN 1502

Federal guidance on RWHAP CQM expectations

CQM OA for Subrecipients

Evaluation tool for CQM program operational quality

Subrecipient QM Plan Template

Example that can be adapted by your organization

CQM Plan Checklist

A checklist of all components that should be covered in a CQM plan

QI Project Tools

Flowchart

Tool to help identify sub-steps to care processes

Driver Diagram

Tool to help generate change ideas tied to root causes

Project Planning Form

Tool to assist in QI project planning by step

PDSA Worksheet

Template to identify and report QI project progress

IHI QI Essentials Toolkit

Repository of free QI tools!

Tools for HRSA’s RWHAP

Repository of free RWHAP tools, including CQM and QI

IHI Developing Reliable Processes

Tool to assist in creating processes that lead to consist, quality outcomes

QI Project Planning Guide

Tool to assist in planning, implementing, and evaluating QI projects

IHI QI Project Management

Tool to assist in managing QI projects

QI Project Reporting Form

Tool to concisely collect and report QI activities to ISDH

Other Resources

Report: What Matters to You?

Final report from the 2019 needs assessment for people living with HIV in Indiana

2019-2020 HSVHD CQM Plan

The Clinical Quality Management Plan that guide’s division quality management activities

CQM Plan Glossary of Terms

Accompanies HSVHD CQM Plan

IHI Tips for Effective Measures

Quick tips for creating effective performance measures

CQII Game Guide

Resource from the Center for Quality Improvement and Innovation with QI/QM educational activities

ISDH CQM Performance Measurement Methods

HSVHD has developed a performance measurement system to chart system progress in quality over time. In this system, ISDH staff relies on data submitted through regular programmatic reporting. ISDH analyzes data internally and then shares back aggregate system data on a regular basis.

 

Division Clinical Quality Management Contact Information

 

Have questions about QM or QI as it relates to the work of the Division? Write us at: HIVQuality@isdh.in.gov.