142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Standardizing measurement to better study variation in local public health services: Minnesota's MPROVE Experience

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 10:45 AM - 11:00 AM

Kim Gearin, PhD, MS , Office of Performance Improvement, Minnesota Department of Health, St.Paul, MN
Beth Gyllstrom, PhD, MPH , Office of Performance Improvement, Minnesota Department of Health, St. Paul, MN
The Multi-network Practice and Outcome Variation Examination (MPROVE), is a multi-state study aimed at studying the variation in public health services among local jurisdictions. Minnesota provided guidance to measure selection and the relevant data for 30 measures that cover chronic disease, communicable disease and environmental health.  In Minnesota, the practice-based research network (PBRN) is housed at the state health department.  This enabled the Minnesota PBRN to obtain most of the communicable disease and environmental health measures in-house. The chronic disease measures were incorporated into an online, annual reporting system for local public health, by making use of existing relationships and mechanisms.  

Overall, the MPROVE package of measures highlight the complexity of how Minnesota delivers public health services at the local level. Relatively little variation was detected on many measures. Statewide funding for policy, systems and environmental (PSE) change strategies has likely contributed to fairly widespread, population-based approaches to tobacco and obesity prevention. In addition, the state-local partnership to address communicable disease and environmental health may have resulted in more standard service levels across the state.

Minnesota-specific analyses also examined variation in MPROVE chronic disease services by level of QI maturity and capacity, as measured by local public health’s ability to meet national standards. Preliminary analysis suggests some variation among Minnesota CHBs in the provision of several specific services by levels of organizational QI maturity and capacity, however variation was not seen for all of the measures within the chronic disease domain.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
Describe mechanisms by which standard measures can be incorporated into routine local public health reporting. Compare service delivery among local public health departments Discuss potential differences in service delivery by measures of capacity and organizational quality improvement maturity

Keyword(s): Practice-Based Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the principal investigator on the study being presented and led this study in Minnesota. I am also the co-Director of Minnesota's practice-based research network and have extensive experience in public health services and systems research.
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.