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dc.contributor.authorCosimi, Lisa A.en_US
dc.contributor.authorDam, Huong V.en_US
dc.contributor.authorNguyen, Thai Q.en_US
dc.contributor.authorHo, Huyen T.en_US
dc.contributor.authorDo, Phuong T.en_US
dc.contributor.authorDuc, Duat N.en_US
dc.contributor.authorNguyen, Huong T.en_US
dc.contributor.authorGardner, Bridgeten_US
dc.contributor.authorLibman, Howarden_US
dc.contributor.authorPollack, Todden_US
dc.contributor.authorHirschhorn, Lisa R.en_US
dc.date.accessioned2015-08-03T14:02:38Z
dc.date.issued2015en_US
dc.identifier.citationCosimi, L. A., H. V. Dam, T. Q. Nguyen, H. T. Ho, P. T. Do, D. N. Duc, H. T. Nguyen, et al. 2015. “Integrated clinical and quality improvement coaching in Son La Province, Vietnam: a model of building public sector capacity for sustainable HIV care delivery.” BMC Health Services Research 15 (1): 269. doi:10.1186/s12913-015-0935-8. http://dx.doi.org/10.1186/s12913-015-0935-8.en
dc.identifier.issn1472-6963en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:17820922
dc.description.abstractBackground: The global scale-up of antiretroviral therapy included extensive training and onsite support to build the capacity of HIV health care workers. However, traditional efforts aimed at strengthening knowledge and skills often are not successful at improving gaps in the key health systems required for sustaining high quality care. Methods: We trained and mentored existing staff of the Son La provincial health department and provincial HIV clinic to work as a provincial coaching team (PCT) to provide integrated coaching in clinical HIV skills and quality improvement (QI) to the HIV clinics in the province. Nine core indicators were measured through chart extraction by clinic and provincial staff at baseline and at 6 month intervals thereafter. Coaching from the team to each of the clinics, in both QI and clinical skills, was guided by results of performance measurements, gap analyses, and resulting QI plans. Results: After 18 months, the PCT had successfully spread QI activities, and was independently providing regular coaching to the provincial general hospital clinic and six of the eight district clinics in the province. The frequency and type of coaching was determined by performance measurement results. Clinics completed a mean of five QI projects. Quality of HIV care was improved throughout all clinics with significant increases in seven of the indicators. Overall both the PCT activities and clinic performance were sustained after integration of the model into the Vietnam National QI Program. Conclusions: We successfully built capacity of a team of public sector health care workers to provide integrated coaching in both clinical skills and QI across a province. The PCT is a feasible and effective model to spread and sustain quality activities and improve HIV care services in a decentralized rural setting.en
dc.language.isoen_USen
dc.publisherBioMed Centralen
dc.relation.isversionofdoi:10.1186/s12913-015-0935-8en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504451/pdf/en
dash.licenseLAAen_US
dc.subjectQuality improvementen
dc.subjectCoachingen
dc.subjectTeamworken
dc.subjectResource limiteden
dc.titleIntegrated clinical and quality improvement coaching in Son La Province, Vietnam: a model of building public sector capacity for sustainable HIV care deliveryen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalBMC Health Services Researchen
dash.depositing.authorCosimi, Lisa A.en_US
dc.date.available2015-08-03T14:02:38Z
dc.identifier.doi10.1186/s12913-015-0935-8*
dash.authorsorderedfalse
dash.contributor.affiliatedPollack, Todd
dash.contributor.affiliatedLibman, Howard
dash.contributor.affiliatedCosimi, Lisa
dash.contributor.affiliatedHirschhorn, Lisa


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