1. Quality Improvement for a Healthy Minnesota
Gail Gentling
Office of Public Health Practice
Minnesota Department of Health

2. Overview Minnesota’s Public Health System
Multi-State Learning Collaborative
Minnesota Public Health Collaborative for Quality Improvement (QI Collaborative)
Performance Management
Accreditation
Statewide Health Improvement Plan (SHIP)

3. Public Health in Minnesota
53 Community Health Boards, 75 local health departments, 7 tribal governments
1 SCHSAC – State Community Health Services Advisory Committee
Partnership, coordination and communication
Longstanding (30-year) local assessment and planning process

4. Minnesota and MLC Joined in second phase (MLC-2)
Partnership among the Minnesota Department of Health, Local Public Health Association, University of Minnesota School of Public Health
Established MN Public Health Collaborative for Quality Improvement
Strengthened public health performance management system

5. Minnesota Public Health Collaborative for Quality Improvement
Based on the Model for Improvement
Plan-Do-Study-Act (PDSA) cycle
Structure similar to IHI Breakthrough Series*
Project teams:
Local public health staff
MDH public health nurse consultant
SPH faculty and graduate student
Others impacted by the issue
8 quality improvement projects with 34 local health depts
*Institute for Healthcare Improvement Breakthrough Series:

6. Minnesota Public Health Collaborative for Quality Improvement
Health Improvement Planning
Up to 60 community health boards or tribal governments
Focus on community engagement
November ‘08 through October ‘09
Reducing Risk Factors…/Obesity
Focus on policy and environmental change
January ‘10 through December ‘10

7. Performance Management
Essential local public health activities
Performance measures
Assessment and improvement planning
Capacity
Health Outcomes
Accountability review process

8. Performance Management
Goals:
Identify gaps in current system with respect to national accreditation standards
Update system components to be consistent with accreditation standards
Facilitate dialogue about relationship between state and national systems

9. Accreditation Establish a SCHSAC local accreditation workgroup
Facilitate dialogue at MDH about the value of state accreditation
Assess state and local public health readiness for accreditation
Develop state and local guidelines for accreditation preparedness
Consider state incentives for local accreditation

10. Statewide Health Improvement Plan (SHIP)
Legislation passed in 2008 session
Focused on prevention and control of obesity and tobacco use
Makes funding available to local public health for 2 years
July $20 million
July $27 million
Use HIP collaborative to plan for it and Obesity collaborative to implement it

11. Lessons Learned from MLC-2
Allow yourself plenty of planning time
Include quality improvement AND subject-matter experts
Failure is as valuable as success – do not be afraid to talk about it
Structure is your friend
Be flexible
Collaboration is the key to the collaborative