Fishbone Diagram

District Health Department #10
Completed
Impact Statement:
This 10-county District health department improved the processes of immunization clinic scheduling, preparation and follow-up and reduced the number of “no shows” , leading to greater efficiency and capacity. The improved process and staff training were then standardized across the 10 counties.
Tacoma-Pierce County Health Department
Completed
Impact Statement:
This local health department addressed an unacceptable rate of low birth weight births by standardizing their referral process and timeframes; successfully making pre-natal care referrals earlier in the gestation period to ultimately improve the health of newborns in their county.
Tacoma-Pierce County Health Department
Completed
Impact Statement:
By implementing more accurate Medicaid billing procedures that resulted in an increase in Medicaid match revenue, the local health department was able to re-direct funds to necessary departmental strategic priorities that benefit the health of the local community.
St. Clair County Health Department
Completed
Impact Statement:
The local health department increased the number of infants and children receiving needed vaccines as part of a WIC visit, rather than referring them to another site and potentially losing that opportunity to protect them from getting a preventable disease or transmitting a vaccine-preventable...
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...
Green River District Health Department
Completed
Impact Statement:
The health department discovered that most of its employees were unaware of the many of the Department’s media activities for outreach and education. The department made several changes to increase employee awareness of current and new media efforts and achieved a major improvement on all three of...
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.
Oklahoma State Department of Health
Completed
Impact Statement:
To address the high percentage of Oklahoma’s youth who were overweight or obese, the CATCH (Coordinated Approach to Child Health) after-school program improved their ability to achieve parental involvement and encouragement of at-home physical fitness and nutrition activities by adding fun...
Grand Traverse County Health Department
Completed
Impact Statement:
After noting that the scores on certification exams given after food safety training courses to restaurant workers were markedly lower for workers in Chinese restaurants, the county undertook a QI project that included Chinese restaurant owners, managers and workers in the process. Multiple...

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