The purpose of this study was to assess the current status of quality improvement (QI) within local health departments (LHDs) and examine the characteristics associated with such QI efforts.
A QI module was administered to a representative sample of 545 LHDs, along with the core instrument in the 2008 NACCHO Profile survey of all LHDs nationally. Using the Profile survey data set, a quantitative approach was employed to determine the current status of QI within LHDs. Statistical analysis was performed to identify characteristics of LHDs associated with QI. The response rate to the QI module was 82 percent.
- Of the 448 LHDs that responded to the QI Module, 55 percent reported conducting formal QI efforts during the previous two years.
- Forty-four percent of these LHDs used a specific framework for QI, 56 percent used at least one of four commonly employed QI tools or techniques, and customer focus and satisfaction was the most frequently reported area (76%) of QI efforts.
- LHDs with large size of jurisdiction population and those with centralized governance were more likely to have engaged in quality or performance improvement, have managers who received formal QI training and have provided QI training to staff.
The 2008 NACCHO Profile QI module furnishes an excellent baseline for measuring progress of health department QI activities as accreditation and other related activities intensify. A clear definition of QI in public health that is understood by practitioners will greatly increase our ability to measure the adoption of QI by LHDs. Further research is necessary to identify and explore some of the predictors and possible barriers to increasing the application of QI by LHDs.
- 1. Quality Improvement in Public Health
- 2. Quality Improvement and Performance
- 3. Achieving a Culture of Quality Improvement
- 4. Defining Quality Improvement in Public Health
- 5. Opportunities to Advance Quality Improvement in Public Health
- 6. Supporting Public Health Departments' Quality Improvement Initiatives
- 7. The National Public Health Performance Standards
- 8. Taking Improvement Action Based on Performance Results
- 9. State Landscape in Public Health Planning and Quality Improvement
- 10. The Quality Improvement Experience in a High-Performing Local Health Department
- 11. Quality Improvement in Local Health Departments
- 12. Promoting Quality Improvement and Achieving Measurable Change
- 13. Evaluating the Multi-State Learning Collaborative
- 14. Driving Quality Improvement in Local Public Health Practice
- 15. Realizing Transformational Change Through Quality Improvement in Public Health
- 16. Quality Improvement and Accreditation