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Optional: Add logos. Foundation of new accreditation program Results of investment in public health Getting better all the time.

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Presentation on theme: "Optional: Add logos. Foundation of new accreditation program Results of investment in public health Getting better all the time."— Presentation transcript:

1 Optional: Add logos

2 Foundation of new accreditation program Results of investment in public health Getting better all the time

3 Goal: To provide a foundation for (Insert LHD Name)s quality improvement efforts Learning Objectives: - Understand the distinction between quality improvement and other, related activities - Understand the phases of a Plan-Do-Check- Act cycle - Cite an example of a PDCA cycle undertaken by a local health department


5 Quality improvement in public health is the use of a deliberate and defined improvement process, such as Plan-Do-Check-Act, which is focused on activities that are responsive to community needs and improving population health. It refers to a continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes, and other indicators of quality in services or processes which achieve equity and improve the health of the community. This definition was developed by the Accreditation Coalition Workgroup (Les Beitsch, Ron Bialek, Abby Cofsky, Liza Corso, Jack Moran, William Riley, and Pamela Russo) and approved by the Accreditation Coalition on June 2009.

6 Quality Assurance Reactive Works on problems after they occur Regulatory usually by State or Federal Law Led by management Periodic look-back Responds to a mandate or crisis or fixed schedule Meets a standard (Pass/Fail) Quality Improvement Proactive Works on processes Seeks to improve (culture shift) Led by staff Continuous Proactively selects a process to improve Exceeds expectations

7 Evaluation Assess a program at a moment in time Static Does not include identification of the source of a problem or potential solutions Does not measure improvements Program-focused A step in the QI process Quality Improvement Understand the process that is in place Ongoing Entails finding the root cause of a problem and interventions targeted to address it Focused on making measurable improvements Customer-focused Includes evaluation

8 Topic Organization-wide Program/unit Improvement Quality Improvement Planning Quality Improvement Goals Approaches System focus Tied to the Strategic Plan Strategic Plan Baldrige Program Organization QI Council Specific project focus Program/unit level Individual program/unit level plans Lean Six Sigma Individual QI Teams Rapid Cycle PDCA


10 Plan – Do – Check – Act vs. Plan – Do – Study – Act

11 Plan Do Check/ Study Act

12 Identify and prioritize quality improvement opportunities

13 Develop an AIM Statement WHAT are we striving to accomplish? WHEN will this occur (what is the timeline)? HOW MUCH ? What is the specific, numeric improvement we wish to achieve? FOR WHOM ? Who is the target population?

14 Develop an AIM Statement Statement #1: We will improve the number of hearing tests given by the health department. Statement #2: Between September 1 and December 15, 90% of first grade students enrolled in the countys schools will receive hearing tests.

15 Describe the current process

16 Collect data on the current process

17 Identify all possible causes

18 Identify potential improvements

19 Develop an improvement theory IF…THEN…

20 Develop an action plan

21 Implement the improvement Collect and document the data Document the problems, unexpected observations, lessons learned, and knowledge gained

22 Analyze the results: was an improvement achieved? Document lessons learned, knowledge gained, and any surprising results that emerged.

23 Take action: Adopt - standardize Adapt – change and repeat Abandon – start over Once youve adopted – monitor and hold the gains!

24 Myth: QI is about weeding out the bad apples Truth: QI is about processes - series of steps or actions performed to achieve a specific purpose

25 Myth: If I dont achieve my goal, Ive failed Truth: When doing QI, there is no such thing as failure

26 Myth: All change = improvement Truth: All improvement = change


28 Aim: Reduce new early syphilis cases by 25 percent compared to the previous year.






34 Step 1 Step 2 Step 3 Step 4 Step 5 content/uploads/2008/12/steps-to-success.jpg

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