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Quality Management

Welcome to the HIV/STD/Viral Hepatitis Division’s (HSVHD) Clinical Quality Management (CQM) page where you will find a repository of resources, training materials and program information including quality improvement (QI) activities. The purpose of this page is for HSVHD to share timely information that promotes stakeholder engagement in the statewide CQM program.

Division Clinical Quality Management Plan

The IDOH HSVHD uses a division-wide approach to QM. The HSVHD Clinical Quality Management Plan (CQM Plan) provides a statewide framework for QM activities in Indiana. The CQM Plan includes detailed information on the roles and responsibilities of all stakeholders in the overall statewide QM Program. In addition, the CQM Plan includes the breakdown of quality performance measures by division program and provides the background on IDOH’s overall approach to QI. Download the 2021-2022 IDOH Inclusive CQM Plan.

Statewide QI Projects

IDOH has produced the Community Health Improvement Initiative (CHII) as its landmark statewide QI Project. Service populations of focus and related topics are generated as a set curriculum and set of associated activities for subrecipient organizations identified for participation based on their organizational service populations. You will find details on CHII capstone projects over time in the table below.

New Recorded Training

Quality Management / Quality Improvement - The Basics with QM/QI

CHII Topic

Active Dates


Final Report

African American MSM


Executive summary

Coming soon!

Adolescents (<24 yrs)


Executive summary

Framework for Quality Management

Indiana Department of Health (IDOH) uses the RWHAP framework for QM seen to the right as the basis for its overall Division-wide QM framework. The Infrastructure for the QM program is rooted in the Division Clinical Quality Management Plan and the Indiana HIV, STD, and Viral Hepatitis Quality Management Committee described below. 

CQM Technical Assistance Webinars






CQM Infrastructure Overview




CQM Performance Measure Overview




Statewide QI Projects and Reporting



Data Drivers: From Collection to Analysis Webinar Series

Data Drivers: Part 1, Fundamentals of Data Collection and Analysis
08/24/2021 Data Drivers: Part 2, I Have Data, Now What? LinkLink

Indiana HIV, STD, and Viral Hepatitis QM Committee

Indiana’s HIV, STD, and Viral Hepatitis QM Committee (QM Committee) is a subcommittee of the Indiana HIV/STD Advisory Council (Advisory Council). Membership on the QM Committee is drawn from providers and consumers that represent all funded programs of the Division. Committee members represent diversity in geography, gender, and race. As a subcommittee of the broader Advisory Council, the work of the QM Committee is overseen by the Advisory Council in which all division sub-recipients of funding are required to participate.

IDOH HSVHD Internal QM Committee

The IDOH Internal QM Committee is made up of representatives from all division programs and is led by CQM staff. The purpose of the internal committee is to align CQM activities and expectations with other division priorities. The goal is for the Division to communicate expectations in one voice and avoid over-burdening sub-recipient agencies with overlapping or contradicting expectations.

IDOH HSVHD QM Resource Center

IDOH has compiled a set of resources for sub-recipients that are creating and maintaining their quality management programs. Each sub-recipient received a binder of clinical quality management resources.  Those resources can be found electronically here:



CQM Program Guidance


Federal guidance on RWHAP CQM expectations

CQM OA for Subrecipients

Evaluation tool for CQM program operational quality

Subrecipient QM Plan Template

Example that can be adapted by your organization

CQM Plan Checklist

A checklist of all components that should be covered in a CQM plan

QI Project Tools


Tool to help identify sub-steps to care processes

Driver Diagram

Tool to help generate change ideas tied to root causes

Project Planning Form

Tool to assist in QI project planning by step

PDSA Worksheet

Template to identify and report QI project progress

IHI QI Essentials Toolkit

Repository of free QI tools!

Tools for HRSA’s RWHAP

Repository of free RWHAP tools, including CQM and QI

IHI Developing Reliable Processes

Tool to assist in creating processes that lead to consist, quality outcomes

QI Project Planning Guide

Tool to assist in planning, implementing, and evaluating QI projects

IHI QI Project Management

Tool to assist in managing QI projects

QI Project Reporting Form

Tool to concisely collect and report QI activities to ISDH

Other Resources

Report: What Matters to You?

Final report from the 2019 needs assessment for people living with HIV in Indiana

2020-2021 IDOH Integrated CQM Plan

The Clinical Quality Management Plan that guide’s division quality management activities

CQM Plan Glossary of Terms

Accompanies HSVHD CQM Plan

IHI Tips for Effective Measures

Quick tips for creating effective performance measures

CQII Game Guide

Resource from the Center for Quality Improvement and Innovation with QI/QM educational activities

IDOH CQM Performance Measurement Methods

HSVHD has developed a performance measurement system to chart system progress in quality over time. In this system, IDOH staff relies on data submitted through regular programmatic reporting. IDOH analyzes data internally and then shares back aggregate system data on a regular basis.

Division Clinical Quality Management Contact Information

Have questions about QM or QI as it relates to the work of the division? Write us at: HIVQuality@isdh.in.gov.