XIX International AIDS Conference

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MOPE462 - Poster Exhibition


An effective model to build provider capacity for quality improvement: experience from three national training programs

C. Steinbock1, K. Garrett1, A. Greenfield1, K. Clanon2, V. Crowe3, B. Boushon4, B. Agins1, T. Matthews5, M. Matosky5, M. Palumbo1

1New York State Department of Health AIDS Institute, New York, United States, 2Pacific AIDS Education and Training Center, San Francisco, United States, 3Hamilton Consulting, Big Rapids, United States, 4Boushon Consulting, McFarland, United States, 5Health Resources and Services Administration HIV/AIDS Bureau, Rockville, United States

Background: Training programs often face barriers to cost-effectively reach all HIV providers. The National Quality Center (NQC), funded by the United States Government, has developed three national training programs to increase the national capacity for quality improvement (QI) among HIV providers: Training-of-Trainers (TOT), Training of Quality Leaders (TQL), and Training on Coaching Basics (TCB). These programs have been created to address national HIV-specific QI needs in the most sustainable and cost-effective manner possible.
Methods: The aim of the TOT Program is to nationally increase the pool of qualified QI trainers, the aim of the TQL Program is to build the skills of those who direct QI programs to effectively facilitate QI activities, and the aim of the TCB Program is to build the individual capacity of quality leaders to coach other HIV providers. To date, 13 TOT, 6 TQL, and 3 TCB sessions have graduated 437, 204, and 81 individuals, respectively. All trainings consist of pre-work activities, 3-day intensive meetings filled with interactive presentations and advice by QI expert faculty, and post-training components, including quarterly webinars and peer-driven study groups that provide ongoing support and networking opportunities.
Results: All three programs have allowed participants to share their experiences and build a national network of QI professionals. Evaluation data indicate that the experience has created a significant increase in QI competencies, with 96% of participants indicating an increase in knowledge and/or skills as a result of the 3-day training (n=699). Thus far, graduates of the TOT Program have conducted 389 trainings and reached 6,104 individuals (not unduplicated).
Conclusions: This national training model rapidly increased the capacity for quality improvement by preparing graduates to train HIV providers and public health officials and reach providers who would not be reached otherwise. Further analysis of the impact and cost-effectiveness of these training programs is required.


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