The Health Resources and Services Administration's HIV/AIDS Bureau (HAB) is committed to improving the quality of HIV care and treatment services for people living with HIV.

Under the Ryan White HIV/AIDS Program, Quality Management is:

a series of activities that focus on enhancing the quality of HIV care provided and increasing access to services. These efforts focus on how health and social services meet established professional standards and user expectations.

The Ryan White HIV/AIDS Program (RWHAP) Legislation  requires RWHAP Parts A – D to establish a clinical quality management (CQM) program to:

  • Assess the extent to which HIV health services provided to patients under the grant are consistent with the most recent Public Health Service guidelines (otherwise known as the HHS guidelines) for the treatment of HIV disease and related opportunistic infections.
  • Develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV services; and
  • Review implementation of Health Care Reform/National HIV/AIDS Strategy impact to RW.
  • Define needs assessment.
  • Update Service Category definitions & refine Standards of Care (SOC).
  • Review HRSA: HIV/AIDS Bureau (HRSA:HAB) performance measures.
  • Review National HIV/AIDS Strategy (NHAS) and the San Antonio TGA performance.
  • Determine specific Plan-Do-Study-Act (PDSA) initiatives and review results.
  • Determine focus of SOC/Performance Measure site visits.

It is the responsibility of the recipient to work directly with their subrecipients to provide overall direction and to implement, monitor and exchange any needed data for performance measure data and/or quality improvement activities of HIV services.

Consumer Satisfaction Surveys

The Ryan White Part A Program conducts a Consumer Satisfaction Survey annually to learn what consumers think about the quality of core medical and support services provided.

Cross Part Collaborative Quality Plan

The Cross Part Collaborative Quality Plan was created by the Ryan White Part A, B, C, D, F and  HIV prevention programs to:

  • Link quality activities to the Statewide Coordinated Statement of Need (SCSN), Comprehensive Care Plan and San Antonio TGA Comprehensive Care Plan using the team to accomplish and implement their respective goals and objectives.
  • Actively reduce barriers to care and health disparities through quality improvement activities and tailored interventions.
  • Bring together stakeholders to discuss our common vision for quality care and enable participation across all parts and programs.

Needs Assessments

Needs Assessments are completed annually to collect information on the local needs of persons living with HIV/AIDS in the San Antonio TGA- both those receiving care and those not in care.

Performance Measures

The Ryan White Part A Quality Management Program develops TGA-specific performance measures to identify shortfalls, identify quality improvement areas, and continually monitor changes to ensure stability and sustainability.



June 3, 2020  - WebEx Conference Call

June 30, 2020

April 30, 2020

July 30, 2019

April 29, 2019



HAB Performance Measure Portfolio

HHS Clinical Guidelines

Clinical Quality Management Policy Clarification Notice 15-02 (PDF - 95 KB)

Frequently Asked Questions about Policy Clarification Notice 15-02 (PDF - 223 KB)



National Quality Center


San Antonio HIV Health Services Planning Council

Corporate Square, Suite 200

4801 NW Loop 410, San Antonio, Texas, 78229






This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) via grant H89HA00007.



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