Analysis of Local Health Department Factors That Accelerate Population-Based Intervention Strategies

Preliminary Findings


Local health department performance and factors such as organizational quality improvement maturity, structure and governance are examined in this study.

The Issue:
This practice-based research study capitalized on the statewide implementation of a comprehensive, locally-driven initiative in Minnesota to implement evidence-based policy, system and environmental changes related to obesity and tobacco use. 

Key Findings

  • Of the final sample of 91 counties/cities, 87 had complete data for multivariate analysis. The distribution of grantee performance was: exceeds expectations (29.7%), meets expectations (55.0%) and approaching expectations (15.3%). Organizational QI maturity was strongly, positively associated with grantee performance comparing the “exceeds expectations” to those who “met or approached expectations” (OR=4.29, 95 % CI: 1.90-9.73, p=0.0005).

Organizational QI maturity was strongly associated with LHD performance. More research is needed to determine whether a more mature approach to quality improvement is merely a marker for overall LHD capacity or has its own unique contribution to performance.

About the Study:
Findings from this study have been used to inform the next funding cycle of this initiative and provide support to implementing annual assessment of QI maturity in MN.

— Excerpt from Frontiers in Public Health Services and Systems Research