View all items in this collection

Frontiers in Public Health Services and Systems Research

An RWJF Collection

View all items in this collection

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

Preliminary Findings

A speaker talks to college students in a classroom.

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