PATERSON – PASSAIC COUNTY – BERGEN COUNTY HIV HEALTH SERVICES PLANNING COUNCIL
CITY OF PATERSON RYAN WHITE PART A PROGRAM
MINUTES OF THE QUALITY MANAGEMENT TEAMFebruary 1, 2016
Agenda Item / DescriptionWelcome and Introductions / The meeting came to order at 10:05 a.m. P. Virga asked for a moment of silenceto remember persons who have died from AIDS and for those affected.
Action to be Taken / Responsible Party / Open / Closed
None / X
Minutes / Minutes are for informational purposes only and do not need approval.
Action to be Taken / Responsible Party / Open / Closed
None. / X
Quality Management Plan /
- The QM Team reviewed progress with the 2015 QM Plan.
- TheNew Jersey Quality Management Plan will expire in June, and the Cross-Part Collaborative has not addressed a new plan as yet. Although the Bergen-Passaic Quality Management Plan, expires in March, Pat Virga recommended to extend the current plan untilthe State plan is formulated. This would allow for coordination between the CPC and the Bergen-Passaic QM Team.
- One consumer is no longer able to participate in QM activities. A potential replacement has been identified and will be invited.
Action to be Taken / Responsible Party / Open / Closed
- Focus on new PDSA for 2016.
- Continue review at each quarterly meeting.
- Continue consumer recruitment for QM Team.
NJ-Cross Part Collaborative & National Quality Center Data Updates / Cycle 11 results were distributed along with a slide show presentation. Results:
- Bergen-Passaic H4C Cycle 11viral suppression is at 87%,measurement started at 79%
- Antiretroviral Therapy- Bergen-Passaic 95% and NJ rates - 95%
- Medical visit frequency visit (2 or more) – NJ 69%; TGA 69%
- Gap in medical visits (from initial visit) – NJ 14%; TGA 16%
- Close-cohort study – 71% from the initial cohort are now VL suppressed
Action to be Taken / Responsible Party / Open / Closed
- Continue participation in H4C by submitting bi-monthly reports and attending coordination meetings.
OPR Data Update / Slide show presentation and reports provided to team members. Results:
- Measure 1: The number of unduplicated clients servedis at 1,905in 2015 compared to 1,427 in 2014.
- Measure 2: Percentage of clients with HIV infection who have a medical visit in a HIV care setting at least every 6 months (Ryan White Only) – 89% compared to 86% in 2014.
- Measure 3: Percentage of HIV infected case management clients who had a case management care plan developed and/or updated two or more times in the measurement year has increased. (Ryan White and MAI) Target at 83%is not met. Current performance is69.3%; when broken down further, MAI is only showing 24%.
Action to be Taken / Responsible Party / Open / Closed
- Continue to monitor.
- Communicate results to case managers at pending case management training.
Grantee / X
Annual Quality Indicators / Members received annual reports on STI, pap, mental health screen, CD4 and VL test frequency, ER and hospital utilization, and CD4 and VL test results.
Action to be Taken / Responsible Party / Open / Closed
None / QM Team / X
Viral Load Suppression /
- Provider PDSA progress reports were addressed. See NJ-CPC Update above.
- Reports on PDSA and Closed Cohort Study: Paterson Counseling Center stated that 2 people are not suppressed. The clients keep saying that they are taking their medication, but when the bloodwork comes back, they say “Oh I stopped.”
- St. Mary’s did a PowerPoint presentation. Hackensack and Paterson Counseling did their presentations from notes.
Action to be Taken / Responsible Party / Open / Closed
- Continue to monitor PDSA results.
New QM Team Indicators – Progress Report /
- Oral health data entry has begun.
- Hep A screening should come as 100%, as per providers. Pat Virga said to look at how information is being entered. Providers stated that there was no place to enter Hep C Viral Load.
- We need a definition to use for Treatment Adherence. Not all clients who get Clinical Case Management necessarily receive Treatment Adherence services. Each provider may utilize it differently. Only two providers have this service. We need to get the other provider who does treatment adherence to come to the QM meeting. Question to be answered: What are the benefits of using Treatment Adherence standard as a performance measure?
Action to be Taken / Responsible Party / Open / Closed
- Treatment Adherence performance measure is on hold until next meeting.
SPNS and the HIV Care Continuum /
- SPNS Team is working with the NJ-Department of Health. We received some requested data but need further detail.
- ePTAS – People Take Action Save Lives is the second component of the project and is now in the planning stage.
Action to be Taken / Responsible Party / Open / Closed
- Continue to report activities to the QM Team
System Improvements / Policies and procedures for the accepted standards are in place.
Action to be Taken / Responsible Party / Open / Closed
Policies and Procedures / Grantee / X
Adjournment / Meeting adjourned at 1:00 p.m.
Attendance / Present:
Robert Folger, RDE
Milagros Izquierdo, Ryan White Part A, MAI, SPNS and HOPWA Program
Robert Folger, RDE
Rosalyn Liebhober, Paterson Counseling Center
Kim Morisco, Paterson Counseling Center
Priscilla Moschella, St. Mary’s Hospital
Irene Panagiotis, Hackensack UMC
Blanca Roman, Paterson Counseling Center
Tisa Smith, CAPCO
Paula Tenebruso, Bergen Family Center
Kavitha Thirukandalam, RDE
Linda Williams, Consumer, CAPCO
Donna Wilson, Hackensack UMC
Pat Virga, NSI
Joyce Malcolm, Grantee’s Office
Jaimi Rodriguez, Grantee’s Office
Next Meeting Date / March 9, 2016 Paterson Library @ 10:00 a.m.
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10/19/2018
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