Utah Department of Health Bureau of Communicable Disease Control HIVAIDS Treatment and Care Program

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Utah Department of HealthBureau of Communicable
Disease ControlHIV/AIDS Treatment and Care
Program

• Ryan White All Titles Conference
• August 2006
• Jodie Pond, MPH, CHES

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Program Overview Structure Oversight
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Program Overview Goals

• Promote quality medical care based on
  professional standards and current guidelines
• Support efficient, effective, and appropriate use
  of resources
• Promote accessible, available, and timely care
  and service based on monitoring of illness and
  trends

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Goals cont.

• Maximize retention in care
• Promote the use of appropriate support services
  to achieve access to primary medical care
• Minimize gaps in service common to one or more
  segments of the population

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Challenges

• Maximizing limited resources
• Bringing all the pieces together
• Engaging providers who see themselves as experts

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Strategies

• What weve done
• Limit the scope of QI activities
• Use a simple improvement model
• Collaborate with providers who may be doing same
  or similar work (Title III)
• Utilize expertise on existing committees

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Strategies cont.

• Developed statewide, outcomes-based standards for
  medical care, ADAP, health insurance, and support
  services
• Engaged the states largest provider group (Title
  III) in quality improvement dialogue
• Redesigned processes, including care documentation

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Lessons Learned

• Start small
• Choose the appropriate markers to measure
• Performance feedback is essential, and most
  effective when it is soon, certain, and positive