HIV Cross-Part Care Continuum Collaborative

When HIV/AIDS Ryan White Program-funded grantees work in partnership, they have the potential to strengthen their individual quality management (QM) programs and improve the overall quality of HIV care in their region. The New Care Continuum Collaborative is designed to build regional capacity for linkage to and retention in care across all Ryan White HIV/AIDS Program Parts; align quality management goals to jointly meet the Ryan White Program legislative mandates; implement joint quality improvement activities to advance the quality of care for people living with HIV within a region; and coordinate HIV services seamlessly across Parts.


This Collaborative aims to accomplish the following objectives:

•        To maximize the use of available data, increase the availability of local cascades available to jurisdictions and teach providers how to use data from these sources effectively for improving care

•        To foster active, regional collaboration across treatment and prevention activities, and to initiate a regional quality improvement project on viral suppression across all local grantees and other stakeholders

•        To foster cross-Part alignment, partnership and collaboration among regional grantees and their stakeholders serving the geographic region

•        To develop a common quality improvement vision across grantees and regional constituencies and to generate buy-in by all participating partners

•        To advance quality management competencies by coordinated joint quality improvement training activities

•        To strengthen consumer involvement in quality activities to improve HIV care

•        To create sustainable quality improvement infrastructure across the collaborative region to maintain the regional momentum of the Collaborative


Five states—Arkansas, Mississippi, Missouri, New Jersey, Ohio—have been invited to participate in the Collaborative, which launches in September 2013. Each state team consists of representatives across all Parts. Each participating state is expected to adopt the HAB’s HIV/AIDS Core Clinical Performance Measures for Adults and Adolescents as well as additional measures appropriate to their individual programs. The performance measures presented an opportunity to create alignment across programs within a state and foster collaboration around data collection and use of data for improvement.


At the end of this Collaborative, the following will have been achieved:

•        Concrete understanding of the utility for HIV care continuum for furthering the National HIV/AIDS Strategy in additional to regional and local prerogatives

•        Ability to produce local HIV care continuum data on a regular basis

•        Implementation of system and grantee level changes aimed at improving viral load suppression and retention

•        Strengthened partnerships across Parts in the respective regions as evidenced by a sustainable infrastructure for the purpose of collaboration for quality management; region-wide quality management priorities; and joint training opportunities

•        A portfolio of key viral suppression and retention performance measures, in addition to the HAB performance measures, will be in place for strategic planning and quality improvement processes; data are routinely collected based on standardized data collection methodologies and used for quality improvement

•        At least one formal quality improvement project on linkage and retention will be initiated and each grantee will contribute to the success

•        A unified, regional cross-Part quality management plan will be in place for each collaborative region; this will be supported by a work plan for implementation specific to the collaborative

•        A response team of local quality champions will be formed in each participating region to guide linkage and retention efforts throughout the collaborative efforts and beyond

•        Regional or state-wide cascade data, as well as individual


NQC will support the participants through a variety of activities. Faculty for this Collaborative include key NQC staff and coaches with cross-Part as well as Collaborative learning expertise, HAB representatives, and content experts in the area of HIV care continuums. Multiple face-to-face learning sessions will offer the opportunity to report on progress, lessons learned, and best practices. Conference calls, a dedicated on-line space, and this webpage provide additional opportunities for the exchange of information.


NQC will share the findings and achievements of Collaborative participants with other states, regions, and stakeholders in order to facilitate wide-spread improvement efforts. The insights from the Collaborative will help other states in their efforts to support joint quality-related activities around HIV Care continuums within their jurisdiction.


Michael Hager
National Quality Center

90 Church St
13 floor
New York, NY 10007
work 212-417-4730
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