Over 80 health centers, clinics, and hospitals worked together to improve the care of people with HIV/AIDS disease in an HIV/AIDS Bureau-sponsored collaborative. Under the guidance of the Institute for Healthcare Improvement (IHI) and a panel of national experts, team members studied, tested, and implemented a variety of changes to produce rapid improvements in their organizations.

This Manual introduces the Chronic Care Model, Model for Improvement, and an approach for collaborative learning. It also provides the best of what these health centers have learned about improving the care of people with HIV/AIDS and related chronic illness.

Ideas for changes are presented along the following topic areas:

• Self-Management and Adherence
• Decision Support
• Clinical Information System
• Delivery System Design
• Organization of Health Care
• Community