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Quality Improvement and Program Monitoring and Evaluation

image of a man looking at a linegraphQuality improvement (QI) and program monitoring and evaluation (M&E) methods can be used to determine whether prevention services for persons with HIV are acceptable, are implemented as intended, are yielding the expected improvement in outcomes, and are meeting requirements for continued funding or accreditation. QI efforts often focus on improving adherence to clinical practice guidelines; on increasing efficiency, lowering costs, and utilizing staff and health information more efficiently; and on improving care coordination or patient flow. QI initiatives typically rely on the routine collection and analysis of “real-time” demographic, administrative, and health data and involve small, incremental changes in practice and rapid feedback of results.87 M&E methods usually focus on broader questions of program design, implementation, effectiveness, acceptability, coverage, and cost.88

The forthcoming recommendations will include recommendations and best practices about QI and M&E for HIV prevention services for clinicians, HIV care facilities, community-based HIV prevention programs, health departments, and HIV prevention planning groups. Many are consistent with these recommendations from existing federal government guidance about QI and M&E for federally funded prevention programs for persons with HIV:

  • Clinicians serving persons with HIV should participate in quality improvement activities that focus on improving the delivery and quality of HIV prevention services.87, 89, 90
  • Federally funded HIV care facilities, health departments, HIV planning groups, and community-based HIV prevention programs should monitor and periodically evaluate HIV prevention programs for persons with HIV.90-94

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