The purpose of this plan is to establish an organized and efficient approach to quality assessment and performance improvement for the National Healthcare Corporation Program. In addition, this plan meets all compliances required by the U.S. Health Resources and Services Administration (HRSA) for measuring and influencing quality of care and patient care improvements. The overall mission of the National Healthcare Corporation is to assure equitable access to high-quality care, improve clinical outcomes, maximize collaboration of stakeholders, coordinate services, ensure high quality customer service and ensure compliance with County and HRSA mandates. The methodology of the Performance Improvement Program includes a continuous improvement process: a cycle of assessment, analysis and action for improvement with a foundation of education and training. The plan and its activities are based on the active and full collaboration of Miami-Dade County, the provider community, the Miami-Dade HIV/AIDS Partnership, and consumers. Service providers who receive Ryan White Program funding are contractually required to participate in the Performance Improvement Program through development and implementation of their own quality improvement plans, including self-assessment of performance through reviews and customer satisfaction evaluations, problem identification and problem solving using a standard model, and implementation and evaluation of improvements. The Miami-Dade County Office of Grants Coordination (OGC), the Part A/MAI grantee, administers the activities of the program and is responsible for the implementation and monitoring of the Performance Improvement Plan. OGC contracts with Behavioral Science Research (BSR) for development and management of the Performance Improvement Program. Key to implementation of the program is the Performance Improvement Advisory Team (PIAT), an advisory body comprised of representatives of Ryan White