Continuous Quality Improvement

Goals and Objectives

The Outcomes & Evaluation program developed and successfully implemented within AIDSRelief has six fundamental components:

1. continuous observation and measurement of standards of care delivery and program management
2. measuring success of treatment outcomes through viral suppression, immune reconstitution, morbidity, mortality, and lost to follow up over time
3. linking available patient health information and program characteristics as a predictor of treatment outcomes
4. collecting information on adherence to treatment and treatment support
5. comprehensive and use of feedback of the information, and
6. utilization of outcomes analysis to design site specific improvement activities.

The O&E Program implements these goals and objectives through the following activities

1. continuous observation and measurement of standards of care delivery and program management 
   1. develop tools based on Component Director needs and expertise support technical assistance and capacity building activities at the site level
   2. develop tools to measure the degree to which services have been implemented in accordance with the UMSOM-IHV model of highly supported and evidenced based HIV care and treatment within a comprehensive continuum of care
    
2. measuring success of treatment outcomes through viral suppression, immune reconstitution, morbidity, mortality, and lost to follow up over time
   
   1. under the direction of the PI, develop and manage a comprehensive patient level outcomes process
   2. provide timely feedback and analysis of all collected health information and program information to establish predictors of treatment success and failure in resource limited settings
   3. build in country capacity to perform all aspects of the patient level outcomes process
   4. establish a data warehouse for all patient level outcomes data
    
3. linking available patient health information and program characteristics as a predictor of treatment outcomes
   1. provide statistical modeling and analysis support to each component and country program
   2. support the analysis and interpretation of patient data and outcomes
    
4. collecting information on adherence to treatment and treatment support
   1. support the development of tools to measure treatment adherence and support
   2. provide a dissemination and collection system for the CBTS program within the PLO and CQI processes
    
5. comprehensive and usefol feedback of the information
   
   1. support each component through the routine dissemination of health and program information in a useable fashion
   2. establish reasonable benchmarks for the timely turnaround of all collected information
    
6. utilization of outcomes analysis to design site specific improvement activities
7. provide a comprehensive methodology for the use of patient and program information
8. build the capacity of UMSOM-IHV teams to use CQI methodology in their routine scopes of work
9. build the capacity of local partner service providers to build and use CQI systems