Improving Client Retention in Primary Care QI Project Review Title I Case Management HIV Quality Learning Network June 28, 2007

November 2006, Learning Network Meeting:  “Reflections on Retention” Rationale for Focusing on Retention Considering Interventions Based Upon Research Measurement Quality Improvement and Retention  URS to Measure and Improve Retention  The Learning Network’s Role In Addressing Retention  Provider Presentations - Applying QI to Address Retention Improving Client Retention in Primary Care QI Project Selection

December –January, Learning Network Survey  29 of 30 - “yes” to Learning Network-wide Project  Teams are established with common “themes”: co-located w/ primary care clinic contracted/visiting primary care providers located in the Tri-County area target population - incarcerated & recently released target population - immigrants target population - homeless Improving Client Retention in Primary Care QI Project Selection

Improving Client Retention in Primary Care Learning Network-wide QI Project Development February 2007, Learning Network Meeting:  Quality of Case Management Documentation  Primary Care Status Measure Review – 2005 Baseline  Reports from the Field – HHC and ASC Lower Manhattan  Learning Network-Wide QI Project Teamwork Team roles and responsibilities Identifying causes and a “root cause” Brainstorming Solutions/Changes to address a “root cause” Planning a Small-Scale Test of a Change

Results of February’s Meeting  Common Retention Measure: Clients should have a visit with their primary care provider at least once every 6 months.  QI Project Aim: Increase the number of patients who have connected to medical care and are retained.  Overarching Learning Network QI Project Goals: Demonstrate measurable improvements to client retention and engagement in primary care across the Title I Case Management Learning Network Share the identified best practices across the Title I Learning Network(s), with key stakeholders including primary care providers, other supportive service providers and funders

QI Project Plan February - April  Agency QI Project Teams Meet to: -Review PCSM and 2005 performance data -Utilize QI project “team” tools -Share info from LN meetings, utilize tools where helpful and get QI project teams feedback on the best strategy to test

QI Project Plan February - April (continued)  QI Training Available to T-I Agency Staff Option 1: On-line Training Module(s) The Model for Improvement - PDSA Option AIDS Institute Basic QI Workshops

QI Project Plan (continued)  February – April: QI Test of Change Worksheet: Task: Plan to Test a Strategy  April - May: CM Program’s QI Project Team Task: Implement at least one rapid cycle test of change  May: Collaborative Team Call Task: Share the progress of your test of change ...

QI Project Plan (continued)  June 28 - Quality Learning Network QI Project Teamwork: 3 Tasks: Evaluate Title I Learning Network’s Team Progress Evaluate Title I Learning Network’s Team Progress Discuss Each Program’s QI Project - Feedback & Planning of Next Steps Discuss Each Program’s QI Project - Feedback & Planning of Next Steps Select Best Overall Quality Improvement & Best Use of a PDSA Cycle (“Rapid Cycle”) Select Best Overall Quality Improvement & Best Use of a PDSA Cycle (“Rapid Cycle”)