Formal QI in Specific Areas

Idaho Department of Health and Welfare
Completed
Impact Statement:
In order to simplify and standardize its formal contracts (numbering over 200) with the seven local health districts in Idaho, which led to great frustration and wasted time by both local and state staff in processing multiple different forms for contracts, the Idaho Division of Public Health used...
DPH
Completed
Impact Statement:
Using Kaizen Rapid Improvement Event, Denver Public Health not only made the vaccine administrative process more efficient, but helped to ensure the appropriate vaccine and fund source was applied, thereby preserving scarce privately funded vaccines.
RiverStone Health
Completed
Impact Statement:
WIC enrollment is well below the eligible population in Yellowstone, MT, and a substantial number of those enrolled do not regularly pick up their food coupons, resulting in automatic disenrollment and loss of benefits. Utilizing PDCA, RiverStone Health addressed the root causes of the drop off in...
Wicomico County Health Department
Completed
Impact Statement:
Wicomico County had a salmonella infection rate twice as high as the state average. Their QI project found that by focusing on reducing critical violations in retail food service facilities through increasing its outreach and education services to those facilities, the Wicomico County Health...
Salt Lake County Health Department
Completed
Impact Statement:
Due to a variety of barriers, including inefficient flow of clients during WIC visits, eligible families were not engaging with WIC services. The clinics at this health department improved their processes and exceeded their initial goals, allowing many more families to be able to eat well and be...
Barron County Department of Health and Human Services
Completed
Impact Statement:
A local health department noted a high rate of early post-partum unintended pregnancies among women in the Women, Infants and Children (WIC) program, and used QI to identify three interventions to reduce the rate.
DPH
Completed
Impact Statement:
Denver Health used rapid cycle improvement to implement a brief tobacco cessation intervention (2As &R) in a high risk urban family planning and sexual health clinic. The intervention was enhanced by modifications to the electronic medical record system. They plan to spread this intervention...
Health Promotion Strategies, LLC
Completed
Impact Statement:
This mixed semi-urban and rural county had the lowest rate of kindergartners completely immunized in New York State (89%), with baseline data for the immunization rates among schools in the county ranging from 15.4% to 90%. The QI initiative aimed to improve the immunization rate for children...
CT DPH
Completed
Impact Statement:
The CT DPH innovatively improved its ability to collect and report sociodemographic information, so health disparities could be identified throughout the state and efforts could be taken to improve population health and better address health inequities.
SC DHEC Region 2
Completed
Impact Statement:
Although located in an area with significant need for teen family planning services, a public health teen clinic in Spartanburg County had low rates of use. The South Carolina Department of Health and Environmental Control followed a Plan-Do-Study-Act (PDSA) approach and used QI tools to understand...
LCHD
Completed
Impact Statement:
In the long term, Licking County Health Department anticipates cost savings with respect to medical supplies. In the interim, they have successfully reorganized their supply process by creating a central supply storage location and implementing a streamlined supply ordering process without...
Clark County Health Department
Completed
Impact Statement:
Wisconsin’s Prenatal Care Coordination (PNCC) program has been shown to decrease low-birth weight among single women, increase family support and involvement of the father, decrease preeclampsia, and decrease smoking among pregnant women. Clark County health department used QI to achieve 100%...
SHD
Completed
Impact Statement:
The Snohomish County Health Dept used QI on its immunization process.. By analyzing causes of error, introducing a new and standardized work flow, and using job aids that help to verify client records and data, the immunization error rate was reduced by over 50%.
St. Croix County DHHS–Public Health
Completed
Impact Statement:
St. Croix County Public Health nurses were concerned that the time needed to complete required paperwork was taking them away from serving postpartum mothers and newborn babies. To put clients first, they conducted a quality improvement initiative that reduced the time for documentation by 37%....
Cleveland County Health Department
Completed
Impact Statement:
The county health department improved their planning processes for community meetings so that community partners would more actively collaborate in a community health improvement process and together make a stronger impact on priority health issues.
Allegan County Health Department
Completed
Impact Statement:
The local health department improved how they got customer satisfaction information from clients at their sexually transmitted disease clinics, enabling them to use the feedback to increase client satisfaction, improve program efficiency and provide culturally-appropriate services.
Mahoning County District Board of Health
Completed
Impact Statement:
By reducing the time to perform inspections of residential septic and well systems for real estate transactions, the Mahoning County District Board of Health made a positive economic impact in its community and improved customer service relations with local realtors.
Kittitas County Public Health Department
Completed
Impact Statement:
Following a Pertussis outbreak, a health department worked with families and providers to increase adolescence immunization rates using QI to identify barriers that previously had resulted in undervaccination. In addition, a clinic-specific and county immunization monitoring system was set up to...
Central Michigan District Health Department (CMDHD)
Completed
Impact Statement:
This six-county health district department used QI to achieve a 75% increase in response to satisfaction surveys by customers of their environmental health services.
Hennepin County Human Services and Public Health Department
Completed
Impact Statement:
The health department was concerned about a falling rate of visits by homeless people to the federally funded Health Care for Homeless project despite an increase in the homeless population. They investigated the causes and made several changes including implementing a process for walk-in service...
NC Center for Public Health Quality
Completed
Impact Statement:
The state health department developed a training program for public health staff at the state and local levels to apply continuous quality improvement in their delivery of public health services, in turn resulting in better health outcomes for the people of North Carolina.
Macon County Public Health
Completed
Impact Statement:
Challenged by undesired delays for clinic appointments, high no-show rates, client dissatisfaction, and suboptimal productivity, Macon County Public used QI to implement an open access clinic appointment system that allowed them to schedule appointments within 72 hours for all clients and all...
Houston Department of Health and Human Services
Completed
Impact Statement:
The Health Department improved the process for obtaining birth and death certificates so customers weren’t forced to miss time from work or take other extraordinary steps to obtain these vital documents in a timely fashion.
Cabarrus Health Alliance
Completed
Impact Statement:
In order to improve client satisfaction and increase the efficiency of WIC visits, this medium size local health department used QI to improve their Open Access appointment system. They were able to reduce the time for a complete WIC visit by 25% and increase participant satisfaction to 96%.
Austin/Travis County Health and Human Services Department
Completed
Impact Statement:
An urban local health department found that 35% of mid-level staff did not know who to contact for questions about new department programs and services. This workforce development QI project led to development of a common resource packet that enabled staff to respond more quickly and effectively...
Washington County Health Department
Completed
Impact Statement:
This local health department improved participation and contributions by their partners in the community to the Community Health Improvement Plan by 70%, leading to strengthened relationships with and more effective collaborative partnerships to take action to improve the community’s health.
Kane County Health Department
Completed
Impact Statement:
The Kane County Health Department utilized QI tools to improve the efficiency of its community meeting process, strengthening the engagement and commitment of community partners.
Ofuskee County Health Department
Completed
Impact Statement:
This health department improved their method of engaging their community partners in the health improvement planning processes through meeting effectiveness surveys, more inclusive community representation, and improved communication.
Kane County Health Department
Completed
Impact Statement:
The health department needed all staff nurses to be able to give vaccinations for emergencies like the H1N1 influenza epidemic, including nurses working in roles that do not involve giving clinical care. They improved the process for keeping all nurses competent in determining when, how, and which...
Comanche County Health Department
Completed
Impact Statement:
The county health department used a QI planning approach to improve their planning processes for community meetings resulting in the community becoming more involved in improving its own health.
Mid-Michigan District Health Department
Completed
Impact Statement:
The Mid-Michigan District Health Department optimized the performance of the automated telephone system for clients calling the health department to assure mis-routings were minimized, customers were directed to intended recipients, and customer satisfaction was improved.

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