Online Program

Measuring changes in quality improvement based on agency-wide efforts

Tuesday, November 5, 2013

Brenda Joly, PhD, MPH, Graduate Program in Public Health, University of Southern Maine, Portland, ME
Nancy Birkhimer, MPH, Performance Improvement Program, Maine Center for Disease Control, Augusta, ME
Prashant Mittal, MSc, MS, Muskie School of Public Service, Univiersity of Southern Maine, Portland, ME
Brynn Riley, MS, Muskie School of Public Service, University of Southern Maine, Portland, ME
Kristine Perkins, MPH, Division of Public Health Systems, Maine Center for Disease Control and Prevention, Augusta, ME
Public health departments have begun to embrace quality improvement (QI) initiatives by building capacity, implementing specific projects, and developing supportive policies. As investments in QI continue to increase, it is important to monitor changes and understand the factors that drive improvements and impede change. This session will focus on efforts, in Maine, to formally assess the state health department's QI evolution over the past three years (2011-2013). The findings are based on the validated QI Maturity Tool administered to all staff (n=411). This tool measures QI organizational culture, QI capacity/competency, and the alignment of QI throughout a health department. The tool categorizes agencies into one of five groups representing a continuum of QI maturity including: lagging, emerging, progressing, achieving and excelling. Results revealed modest improvements in building a culture of QI, assuring staff capacity, and aligning the agencies policies and plans to sustain improvements. Differences based on staff characteristics and roles were revealed and will be discussed. In addition, differences among divisions will be highlighted. Finally, changes in the agencies maturity classification will be presented. The session will conclude with next steps for practice and implications for future research on the measurement of QI efforts in public health settings.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Describe an agency-wide policy that was adopted to promote QI. Discuss opportunities for strengthening an agency’s level of QI maturity. Identify differences in perceptions regarding an agency’s QI culture.

Keyword(s): Quality Improvement, Health Departments

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I led the administration and analysis of the QI Maturity Tool and summarized the findings. Social and Behavioral Health, Applied Public Health Research and Evaluation and Public Health Practice. When she is not teaching, she spends her time evaluating public health efforts at the local, state and federal levels. Currently, she is part of a national CDC evaluation team looking at ways to improve the performance of state, local, tribal and territorial public health departments
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.