title: Development and implementation of a quality improvement program for Ryan White Title I care services using a stakeholder-based model.
abstract: Both medical and community support services for people living with HIV and/or AIDS have been implemented on a widespread basis since the implementation of the 1990 Ryan White CARE Act. However, many services are provided without adequate evaluation or quality assurance, in spite of federal directions to both evaluate and ensure quality. This report details the development and implementation of a quality improvement project to evaluate Ryan White CARE services using a community stakeholder-based effort. The evaluation was consumer rather than administratively driven, including both consumers and providers to define, measure, and improve services. Project phases included: (1) developing service standards for 14 areas of service provided under Title I of the Ryan White CARE Act; (2) creating and implementing a provider/consumer peer site visit instrument to assess agencies' activities in meeting the service standards; and (3) developing a mechanism to improve quality by linking agencies to technical assistance resources in the metropolitan provider community. By involving providers and consumers in evaluation roles, recommendations by peers could serve as the basis for ongoing quality improvement.
authors.affiliation: Midwest AIDS Training and Education Center, Jane Addams College of Social Work, University of Illinois at Chicago, Chicago, Illinois 60608, USA. nlinsk@uic.edu
authors.forename: Nathan L
authors.initials: NL
authors.lastname: Linsk
authors.forename: Douglas
authors.initials: D
authors.lastname: Bruce
authors.forename: Barbara
authors.initials: B
authors.lastname: Schechtman
authors.forename: Richard
authors.initials: R
authors.lastname: Warnecke
authors.forename: Kathleen
authors.initials: K
authors.lastname: Tunney
authors.forename: Michael
authors.initials: M
authors.lastname: Bass
mesh_terms: D019058:Community Networks / Q000592:standards*; D019033:Delivery of Health Care, Integrated / Q000592:standards*; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D017146:Models, Organizational; D011785:Quality Assurance, Health Care; D014481:United States; D014504:Urban Health