GOAL:To assess how the program evaluates the extent to which it is meeting the identified program goals related to quality improvement planning, priorities, and implementation.
Quality program evaluation can occur at any point during the cycle of quality activities but should occur annually at a minimum. The process of evaluation should be linked closely to the quality plan goals: to assess what worked and what did not, to determine ongoing improvement needs and to facilitate planning for the upcoming year. The evaluation examines the methodology, infrastructure and processes, and assesses whether these led to expected improvements and desired outcomes. At a minimum, the evaluation should assess access to data to drive improvements, success of QI project teams; and effectiveness of quality structure. Where appropriate, external evaluations and assessments should be utilized in partnership with the internal evaluation. The evaluation is most effectively performed by program leadership and the program’s quality committee, optimally with some degree of consumer involvement.
F.1. Is a process in place to evaluate the HIV program’s infrastructure, activities, processes, and systems to ensure attainment of quality goals, objectives, and outcomes? Each score requires completion of all items in that level and all lower levels (except any items in level 0).
Planning and initiation
Progress toward systematic approach to quality
Full systematic approach to quality management in place