Spreadsheet: 1af90fe4-442a-4cbc-b8dc-20bcb6cb0199
Sheet: Sheet1

Orange County Health Care Agency
HIV Planning and Coordination
Quality Management Plan FY 2013-15
Agency Name:
Reviewed and Approved by Quality Management Committee on:
Quality Statement:   A quality statement is a brief declaration that provides a vision for the Quality Management (QM) program.  The quality statement should include the following elements:
A brief purpose: Describe the end goal of your HIV quality program.
Shared vision: Takes into account Health Care Agency’s internal and external expectation for which all activities will be directed.
Quality Statement:
Quality Infrastructure:  The quality infrastructure includes details on the following elements:
Leadership:  Identifies who is responsible for the quality management initiatives.
Quality Committee Structure:  Documents who serves on the committee, who chairs the committee, and who
coordinates the QM activities (includes key persons and stakeholders).
Roles and Responsibilities:  Defines all key persons, organizations, and major stakeholders and clarifies their
expectations for the quality management program.
Resources:  Identifies the resources for the QM program.
Leadership:
Quality Committee Stucture:
Roles and Responsibilities:
Resources:
Performance Measurements:  Include details on the following elements:
Identifies Indicators: To determine progress of the QM Program.  (See attached tab Performance Measures).
Collection and Analysis of Data:  Indicates who is accountable for collecting, and analyzing data.
Accountability for Articulation of Findings:  [NAME] who is accountable for collecting, analyzing, and reviewing
performance data results for articulation of findings.
Report and Disseminate: Includes who is responsible to report and disseminate information, strategies on how to
report and disseminate results and findings, communicate information about quality improvement activities.
Data to Identify QI Activities:  Includes process to use data to identify and develop new QI activities to address
identified gaps.
Identify Indicators:  See tab titled Performance Measures for Indicators across service categories.
Collection and Analysis of Data:
Accountability for Articulation of Findings:
Report and Disseminate:
Data to Identify QI Activities:
Annual Quality Goals:  See tab titled Performance Measures for annual quality goals across service categories.
Participation of Stakeholders:  Includes the following elements:
Internal and External Stakeholders:  List internal/external stakeholders and their engagements in the QM Program
Opportunities for Learning:  Learning opportunities for members of QM Program.
Community Representatives:  Includes community representatives as appropriate.
Stakeholder Feedback:  Specifies how feedback is gathered from key stakeholders.
Internal and External Stakeholders:
Internal Stakeholders:
External Stakeholders:
Opportunities for Learning:
Community Representatives:
Stakeholder Feedback:
Evaluation:  Includes the following elements:
Effectiveness of the QM/QI infrastructure: Evaluates the effectiveness of the QM/QI infrastructure to decide whether to improve how quality
improvement work gets done.
QI Activities:  Evaluates QI activities to determine whether the annual quality goals for quality improvement are met.
Review of Performance Measures:  Reviews performance measure to document whether the measures are
appropriate to assess the clinical and non-clinical HIV care.
Effectiveness of the QM/QI infrastructure:
QI Activities:
Review of Performance Measures:
Capacity Building:  Capacity building identifies resources and training needs required to implementing a QM program.
Includes the following elements:
Agency Staff:  Capacity building for staff, how Quality Improvement is spread amoungst staff.
QI Trainings:  Identifies methods for QI training opportunities.
Technical Assistance: Provisions for technical assistanceand support for QI activities.
Data Fed Back:  How is data being reported back to Grantee and other key stakeholders.
Agency Staff:
QI Trainings:
Technical Assistance:
Data Fed Back:
Process to Update QM Plan:  Includes the following elements:
Routine Update:  At least annually, should be dated and documented on plan that it was reviewed.
Accountability to Update and Revise:  [NAME] who will initiate process to update/revise plan.  If revisions are made prior to plan being due to Grantee, provider will highlight and date revisions in current plan and submit copy to Grantee.
Sign-Off Process:  [NAME] plan is finalized.
Routine Update:
Accountability to Update and Revise Plan:
Sign-off Process:
Communication: Outlines process to share information.  Includes the following elements:
Reporting to Stakeholders:  Process to report to stakeholders.
Format for Communication:  [NAME] for communication to staff, consumers, key stakeholders.
Communication Intervals:  Intervals in which communication is disseminated.
Reporting to Stakeholders:
Format for Communication:
Communication Intervals:
QM Plan Implementation:    Includes the following elements:
Timeline:  Specifies timelines for implementation to accomplish goals-workplan.
Accountability:  Specifies accountability for implementation steps of agency's QM Plan.
Milestones:  Milestones and associated measurable implementtation objectives.
Timeline:  Performance measures are tracked on the [NAME] White calendar year March - February.
Accountability:  (Enter Agency Name Here) is accountable for performance measures related to serivce categories provided by the agency as well as implementing the QM plan.
Milestones:  See Consolidated QM Report from previous year.