About

The STOP HIV/AIDS Structured Learning Collaborative (the ‘Collaborative’) was launched on December 2nd 2010 to improve the quality of HIV care and services, improve patient engagement in care, and strengthen partnerships in care. The Collaborative followed Breakthrough Series Collaborative Methodology, to provide diverse healthcare sites a framework for learning, sharing, collaborating, and improving their HIV care. Collaborative staff supported teams across BC to develop quality improvement (QI) capacity to implement the Chronic Care Model (CCM) to achieve these aims. A total of 17 teams participated, with 12 teams located in STOP HIV/AIDS funded communities and 5 in other communities across BC.

  • Participants learned and implemented the CCM to deliver proactive and organized needs-based HIV care, with supports for patient self-management.
  • Improvements were observed in nearly all QI indicators. After three years, gains have been sustained and additional improvements have been observed (see attached report).
  • 88% of teams collected patient satisfaction data at least once during the Collaborative.
  • A post-Collaborative survey highlighted the value of participation to be: ability to develop beneficial province-wide networks and working relationships, make “high clinical standards the norm”, and learn skills to develop improvement capacity.

Participating teams have been observed1 over time to have developed greater system capacity for change, effective chronic illness care, and ability to meet increased demand with high quality HIV care and services.  These are important secondary outcomes that can be attributed to the Collaborative and pilot project, and point to a legacy of improvement capability in 17 different BC sites.  To illustrate:

  • Greater capacity for change and improvement.
  • Implementation of the Chronic Care Model (CCM) benefits whole systems.
  • Greater system capacity to meet greater demand for high quality HIV care and services.

Conclusions

The Structured Learning Collaborative has helped 17 sites around BC improve the quality of HIV/AIDS care and services, improve patient engagement in care, and strengthen partnerships in care.  In addition to positive gains for these primary aims, participants and teams have been observed to have developed greater system capacity for change, effective chronic illness care, and ability to meet increased demand with high quality HIV care and services.  Important secondary outcomes can be attributed to participation in the STOP HIV/AIDS Structured Learning Collaborative and to STOP HIV/AIDS Pilot Project support.

All documents, resources, webinars, and event recordings related to the Collaboratives are available for viewing in the Resource Library. If you would like more information, please contact hivcollaborative@cfenet.ubc.ca.