Since 2004, the National Quality Center (NQC) has provided technical assistance, resources, tools and trainings to Ryan White HIV/AIDS Program (RWHAP) recipients across the United States to establish and support effective and sustainable clinical quality management programs for improving health outcomes among people living with HIV.
NQC offers a variety of services including ongoing TA, short-term TA, Regional Groups, advanced QI trainings, collaboratives, and other initiatives, including in+care Campaign, Part C/D Quality Improvement Initiative (CDQII), to meet the needs of RWHAP recipients. Individual Impact Reports are available summarizing the evaluations conducted for each NQC activity.
The NQC synergy evaluation goals are to describe: (1) the overall NQC reach within the RWHAP and participating agencies’ service utilization across NQC activities, (2) the synergistic impact of participation in different and multiple NQC components on organizational QM capacity, and (3) on quality of care.
Among the 587 RWHAP recipients funded as of January 2014, a cohort of 533 (representing 443 unique agencies; some receiving multiple RWHAP Part funding) was identified as NQC participants and included in this evaluation.
For Goal #1 – Overall NQC reach within the RWHAP and reach within each census region, HRSA region, and RWHAP Part funding were derived. Among agencies that have accessed NQC, participation rates for each NQC activity and combinations of NQC activities were determined.
For Goal #2 – A subset of agencies that received ongoing TA and had at least one organizational assessment (i.e., OA: tool to assess quality management capacity) completed after January 1, 2012 was identified. Analyses compared last OA scores (n=211) and changes between first and last OA scores (n=139) among agencies that participated in each NQC activity vs not.
For Goal #3 – A subset of agencies that participated in the in+care Campaign and submitted any performance data was identified (n=199). Analyses compared performance scores from the first and last submission rounds among agencies that participated in each NQC activity vs not.