Institute for Healthcare Improvement: Improvement Stories

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HIV/AIDS: General

IHI.org has two types of Improvement Stories:

IHI.org Stories that describe the changes and results in specific organizations.
Improvement Project Reports from IHI.org users that describe improvement projects in their organizations.

We all learn from others' experiences testing and implementing changes in real settings — who should be on the team; what measures were tracked; which changes worked best or didn't work at all; and what lessons were learned.

Improvement Project Reports, submitted by IHI.org users, accelerate our learning. In the spirit of "all teach, all learn," we encourage you to share your Improvement Report with the IHI.org community. Please click the Submit an Improvement Report button below.

Choose the story types you would like to see:

Improvement Project Reports
IHI.org Stories

only the story types I've requested

Preventing Mother-to-Child Transmission of HIV in South Africa
In partnership with local health care leaders and organizations, the Institute for Healthcare Improvement has been working in several regions of South Africa to improve the exisiting Prevention of Mother-to-Child Transmission program (PMTCT) targeting HIV.

Umkhanyakude District, KwaZulu-Natal, South Africa Doubles the Number of People on Antiretroviral Treatment for HIV
In partnership with the Center for Rural Health (University of KwaZulu-Natal) and IHI, this District has doubled the number of people initiated on antiretroviral treatment for HIV during each of the last two years. Its goal is more ambitious still: to have all people on treatment who require it by the end of 2007.

Harriet Shezi Paediatric ARV Clinic, South Africa, Increases the Number of Patients Receiving Antiretroviral Treatment from 166 to 1,500
At the Harriet Shezi Paediatric ARV Clinic (Soweto, South Africa), one of the largest clinics of its kind in South Africa, a dedicated and increasingly systems-focused local staff used the Chronic Care Model and the Model for Improvement to increase treatment rates for patients with HIV. As a result, the number of patients receiving highly active antiretroviral treatment increased from 166 in October 2004 to 1,500 in September 2006.

Profiles in Improvement: Dr. Bruce Agins of the New York State Department of Health AIDS Institute
Who’s improving health care? People are — at hospitals and in office practices all across the US and internationally. IHI decided to share the stories of these individuals. Here is a profile of Bruce Agins of the New York State Department of Health AIDS Institute.

IHI at Forefront of National Program to Advance Patient Self-Management of Care
Patients battling chronic diseases such as asthma, diabetes, hypertension, and HIV have complex and often overlapping medical needs that our health system has struggled to meet. General and family practice groups increasingly tap into new tools and strategies developed to help their patients with chronic conditions stay healthier, avoid hospitalizations, and remain engaged in their family lives, work and communities.

Improving Access and Quality of HIV/AIDS Care in Eastern Cape, South Africa
IHI's global team is working with Collaborative sites in Mhlontlo District, Eastern Cape, South Africa to improve access to, and quality of, HIV/AIDS care.

South Africa: Where Collaborative Methods are Rapidly Spreading AIDS Care
Disparities in care can seem especially dramatic on the global level. But IHI’s methods of rapid improvement and collaborative learning are applicable anywhere, as demonstrated by the encouraging early results of an improvement project currently underway in South Africa.

Improving Dental Clinic Show Rates
The State University of New York (SUNY) Downstate Hospital's STAR Health Center (Brooklyn, New York, USA) implemented a variety of strategies to increase their rate of kept dental appointments among HIV/AIDS patients referred for dental care to 75 percent.

Increasing Purified Protein Derivative (PPD) Placement and Reading Rates
By decentralizing responsibility for identifying HIV+ patients in need of PPD screening, as well as modifying the follow-up strategy, Gouverneur Healthcare Services (New York, New York, USA) increased the percentage of patients with a PPD placed and read from 54 percent to 76 percent.

Improving Purified Protein Derivative (PPD) Placement and Reading Rates
By identifying staff responsible for scheduling and placing PPDs, as well as creating a system to encourage patients to return to have their PPDs read, the Program for AIDS Treatment and Health Center at Brooklyn Hospital (Brooklyn, New York, USA) increased the percentage of charts within the HIV patient population, documenting PPDs placed and read from 68 percent to 88 percent.

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