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Understanding and Using HIVQUAL Data. Johanna Buck Senior Quality Consultant NYSDOH AIDS Institute July 18 th , 2008. First, a little background. The HIVQUAL software was developed by the National HIVQUAL Project.

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Understanding and using hivqual data

Understanding and Using HIVQUAL Data

Johanna Buck

Senior Quality Consultant


July 18th, 2008

First a little background
First, a little background

  • The HIVQUAL software was developed by the National HIVQUAL Project.

  • The National HIVQUAL Project is sponsored by HRSA/HAB Division of Community Based Services. The NYSDOH AIDS Institute is the recipient of the funding.

  • The goal of the HIVQUAL Project is to coach RW grantees (Part C and D) in using a QI model developed by the AI to improve the quality of care delivered to persons with HIV.

Hivqual software overview
HIVQUAL Software -overview

  • Designed to facilitate the monitoring of clinical care by capturing key quality elements

  • Microsoft Access runtime application

  • Indicators are based on clinical practice guidelines developed by NYSDOH AI

  • Provides a simple vehicle for the rapid generation of reports that monitor clinical care of the patients entered into the database

  • Will also analyze data for different subgroups, including age,gender,VL, race/ethnicity..

Hivqual software limitations
HIVQUAL Software – limitations

  • It is not a clinical tracking system

  • Provides a retrospective look at care

  • Does not interface easily with other software

  • Cannot be customized by users

Nys hivqual

  • As of 2007, all NYS HIV providers were required to submit performance data via the HIVQUAL software (approx. 160 providers)

  • Replaced the IPRO on-site external reviews

  • Validation of data still conducted by IPRO on a subsample

  • Technical assistance and support provided by the AI

  • Interfaces with AIRS

  • Required indicators based on program funding and services

Nys hivqual continued
NYS HIVQUAL continued

  • Move to self review across the state moved quality monitoring from “QA” to “QI”

  • Contributes to a statewide performance database to be used for benchmarking, etc.

  • Opportunity for all staff delivering care to be aware of clinical guidelines and their program’s performance

What can hivqual data be used for besides sending it to the ai
What can HIVQUAL data be used for (besides sending it to the AI?)

  • Establishing a baseline

  • Identifying and addressing variation in performance

  • Setting priorities

  • Determining whether changes lead to improvements

  • Comparing performance with others (benchmarking)

  • Demonstrating success(improvement) to others (patients, board, leadership, community..)

Putting data into action
Putting Data into Action AI?)

“While deciding what to measure and how to measure it are important challenges, an equally important challenge lies in determining the appropriate reaction to the measurement once we have it.”

- Paul E. Plsek

Using Measure to Support Improvement

Barriers to putting data into action
Barriers To Putting Data Into Action AI?)

  • Don’t even know where to get data/info

  • Paralysis by analysis

  • No one is interested in it

  • Defensiveness

  • Too complex to understand

  • Incorrect data collection and/or interpretation of data results



Analyzing Data

Stages of coping with data don berwick
Stages of Coping with Data AI?)(Don Berwick)

The data are……

Stage II

Right, not a problem

Stage I


Stage III

Right, not my problem

Stage IV

Right, it's my problem

So how about the hivqual data reports
So how about the HIVQUAL data reports? AI?)

  • Types of reports available:

  • Data Quality and Control Reports

  • Visit Frequency Reports

  • HIV Monitoring Reports

  • ARV Management Reports

  • Specific Clinical Indicator Reports