Evaluation of the Lead States in Public Health Quality Improvement Program

Evaluation conducted September 2007 through September 2009

    • January 17, 2008

The Program Being Evaluated

The Robert Wood Johnson Foundation's Lead States in Public Health Quality Improvement program was designed to create a peer network of innovator states with experience in designing and implementing a process for systematic assessment of local public health agency capacity and performance.

About the Evaluation

The lead evaluator for this program is Brenda Joly, Ph.D., M.P.H., at the Muskie School of Public Service, the University of Southern Maine.

This evaluation will:

  • Assess the overall collaborative processes, structure and outcomes;
  • Assess the impact of individual activities and outcomes of the 10 grantees;
  • Produce case studies of specific Quality Improvement (QI) initiatives in three states. The goal of this evaluation is to provide practical and timely information that is useful for all stakeholders including grantees, partner agencies, and funders.

Major Evaluative Topics and Questions

The evaluation will address the following questions:

  • To what extent did the initiative directly or indirectly influence the QI-related infrastructure, technical capacities, and the organizational culture in the participating health departments? To what extent, if any, were there QI-related changes in workforce capacity, data systems and standards?
  • What were the key internal and external drivers for QI?
  • Which organizational elements were most important in implementing QI processes?
  • What, if any, interactions exist among the components of the QI model?
  • To what extent was QI adopted throughout the organization?

Products and Dissemination

The evaluation will include:

  • An analysis of each state's capacity, strengths and barriers;
  • Creation of a framework or typology to classify each state in terms of their stage of development related to performance assessment and quality improvement;
  • Case studies conducted in three separate states reflecting different levels of QI maturity.