Organizational Quality Assessment Tool National Report

Objective

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Update at October 17,2017

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Year	Hospital	A1	A2	A3	A4	B1	B2	B3	C1	C2	D1	D2	E1	F1	G1	H1	Total
2009	508	3.22	3.47	3.24	3.01	3.30	3.39	3.07	3.39	3.15	3.22	3.21	3.31	3.13	3.06	3.53	48.70
2010	493	3.38	3.51	3.31	3.18	3.46	3.56	3.23	3.53	3.15	3.20	3.34	3.45	3.21	2.93	3.51	49.95
2011	571	3.49	3.51	3.41	3.32	3.54	3.60	3.34	3.65	3.34	3.32	3.50	3.58	3.33	3.04	3.58	51.55
2012	560	3.58	3.64	3.51	3.40	3.66	3.73	3.51	3.71	3.43	3.44	3.59	3.63	3.43	3.21	3.72	53.19
2013	434	3.56	3.53	3.49	3.33	3.60	3.70	3.41	3.62	3.43	3.44	3.58	3.63	3.41	3.25	3.68	52.66
2014	107	3.81	3.70	3.52	3.58	3.83	3.86	3.57	3.91	3.71	3.59	3.75	3.78	3.50	3.48	3.90	55.49
2015	13	3.54	3.69	3.62	3.54	3.77	3.85	3.54	3.92	3.77	3.46	3.85	4.08	3.46	3.46	4.08	55.63
2016	3	4.33	4.33	4.00	4.33	5.00	5.00	4.00	4.67	4.33	4.00	4.33	4.00	4.00	4.00	5.00	65.32

Topic	Definitions
Year	Year of organizational measurement on quality development
	Quality Structure
A1	Does the HIV program have an organizational structure to assess and improve the quality of care?
A2	Were appropriate resources committed to support the HIV quality program?
A3	Did the HIV leadership support the HIV quality program?
A4	Does the HIV quality program have a comprehensive quality plan?
	Quality Planning
B1	Were annual goals established for the HIV quality program?
B2	Does the HIV program clearly described roles and responsibility for HIV quality program?
B3	Did the HIV program routinely measure the quality of care – time framework?
	Quality Performance Measurement
C1	Were appropriate quality indicators selected in the HIV quality program?
C2	Did the HIV program routinely measure the quality of care?
	Quality Improvement Activities
D1	Did the HIV program conduct quality projects to improve the quality of care?
D2	Were quality improvement teams formed to improve specific quality aspects?
	Self Involvement
E1	Does the HIV program routinely engage staff in quality program activities?
	Consumer Involvement
F1	Are consumers involved in quality-related activities?
	Evaluation of Quality Program
G1	Is a process in place to evaluate the HIV quality program?
	Clinical Information System
H1	Does the HIV program have an information system in place to track patient care and measure quality?
Total	Total score received from Evaluation of organizational structure for quality development