The Quality Management (QM) program operates under the direction of regional Administrative Agencies subcontracted with DSHS offices, which must maintain an active QM program that meets with the approval of DSHS. These efforts include development of local goals that are directly related to quality and accessibility of clinical services, and are tailored to local needs. The DSHS QM program focuses on both internal and external programmatic activities. HIV/STD Prevention and Care Branch staff routinely use standardized administrative and service audit tools for on site review visits that are applied to Administrative Agencies and their service providers to ascertain applicable standards, laws, and contractual compliance. All contractors are expected to have a structured QI System.
Texas was selected, and is honored, to be one of the five states participating in an 18 month HAB/NQC Five State QM Cross Part Collaborative which began in October 2008. A Travel Team representing the various RW Parts A-F and regions of Texas were appointed to the HAB/NQC Five state QM Collaborative. To strengthen, support and align quality initiatives, the Texas Travel Team of the HAB/NQC Five state QM Collaborative agreed to serve as a steering committee for the Texas Statewide All Part QM Collaboration. The Texas Statewide All Part QM Collaboration began May 2008 and is composed of all Texas Ryan White Grantees of Parts A, B, C, D, and F, inclusive of the Part B Administrative Agencies. The Ryan White Part B program is an active participant in the Texas Travel Team and acts to support and convene the meeting of the Texas Statewide All Part QM Collaboration. The Aim Statement of the Texas Travel Team and the Texas Statewide All Part QM Collaboration: Purpose and goals of Texas Statewide HIV Quality Collaborative has as its task to standardize, simplify, and increase the usefulness of work being done by and with our providers. The reason is to allow providers time to work more effectively to improve client care.
The Texas Travel Team routinely meets and uses a selected leader, convenor, and facilitator to perform the administrative functions. The Texas Travel Team directs and uses expert groups to pull together and present information under consideration to the Texas Statewide All Part QM Collaboration. The Texas Statewide All Part QM Collaboration routinely meets and receives updates on the Texas Travel Team activities. The Texas QM Statewide Collaboration is in the process of developing a QM Plan and work plan with a focus on two QI projects: data entry improvement for the five core HAB measures and client retention into care. The Travel Team employs monthly newsletters, surveys, web space and other applicable communications with both the Texas Travel Team and the Texas Statewide All Part QM Collaboration members. The National Quality Center's consultant Dr. Kathleen Clanon provides guidance and is a helpful resource for the Travel Team and the Texas Statewide All Part QM Collaboration.
The Texas Travel Team submits bimonthly reports to the HAB/NQC. The report includes results of the five core HAB clinical performance measures and two additional measures which measure the performance of data reporting by grantees. A second page of the bimonthly report is narrative and describes the changes involved with the domains: alignment, priority setting, data collection, QI projects, and capacity building.
The Texas Statewide All Part QM Collaboration is using ARIES, a centralized data software system, to extract the results of each of the five core clinical HAB measures. Each Texas Grantee and service provider using ARIES has the capability of pulling the five core clinical HAB measures to assess their own level of compliance. ARIES has an additional feature that allows a provider to produce a report of clients that are out of compliance within the measurement criteria for each of the five core clinical HAB measures.