The IDOH 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 IDOH’s overall approach to QI.
IDOH 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 sub-recipient organizations identified for participation based on their organizational service populations. You will find details on CHII capstone projects over time in the table below.
Quality Management / Quality Improvement - The Basics with QM/QI
CHII Topic | Active Dates | Description | Final Report |
---|---|---|---|
10/1/2019-9/30/2020 | Executive summary | ||
10/1/2020-2/28/2021 | Executive summary |
Indiana Department of Health (IDOH) 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, STI, and Viral Hepatitis Quality Management Committee described below.
Date | Content | Slides |
---|---|---|
6/3/2020 | CQM Infrastructure Overview | |
6/10/2020 | CQM Performance Measure Overview | |
6/17/2020 | Statewide QI Projects and Reporting |
Date | Content | Slides | Video |
---|---|---|---|
07/20/2021 | Data Drivers: Part 1, Fundamentals of Data Collection and Analysis | Link | Link |
08/24/2021 | Data Drivers: Part 2, I Have Data, Now What? | Link | Link |
Indiana’s HIV, STI, and Viral Hepatitis QM Committee (QM Committee) is a subcommittee of the Indiana HIV/STI 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.
The IDOH Internal QM Committee is made up of representatives from all division programs and is 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 sub-recipient agencies with overlapping or contradicting expectations.
IDOH has compiled a set of resources for sub-recipients that are creating and maintaining their quality management programs. Each sub-recipient received a binder of clinical quality management resources. Those resources can be found electronically here:
Resource | Description |
---|---|
CQM Program Guidance | |
Federal guidance on RWHAP CQM expectations | |
Evaluation tool for CQM program operational quality | |
Example that can be adapted by your organization | |
A checklist of all components that should be covered in a CQM plan | |
QI Project Tools | |
Tool to help identify sub-steps to care processes | |
Tool to help generate change ideas tied to root causes | |
Tool to assist in QI project planning by step | |
Template to identify and report QI project progress | |
Repository of free QI tools! | |
Repository of free RWHAP tools, including CQM and QI | |
Tool to assist in creating processes that lead to consist, quality outcomes | |
Tool to assist in planning, implementing, and evaluating QI projects | |
Tool to assist in managing QI projects | |
Tool to concisely collect and report QI activities to ISDH | |
Other Resources | |
Final report from the 2019 needs assessment for people living with HIV in Indiana | |
The Clinical Quality Management Plan that guide’s division quality management activities | |
Accompanies HSVHD CQM Plan | |
Quick tips for creating effective performance measures | |
Resource from the Center for Quality Improvement and Innovation with QI/QM educational activities |
HSVHD has developed a performance measurement system to chart system progress in quality over time. In this system, IDOH staff relies on data submitted through regular programmatic reporting. IDOH analyzes data internally and then shares back aggregate system data on a regular basis.
Have questions about QM or QI as it relates to the work of the division? Write us at: HIVQuality@health.in.gov.