Flow chart

SCPHS
Completed
Impact Statement:
It has been shown that home visiting and other supportive services provided during pregnancy improve perinatal outcomes. Sullivan County Public Health Services used QI to improve its internal processes for reaching women with high-risk pregnancies, so more mothers and babies can have healthy...
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...
KCHD
Completed
Impact Statement:
Local health departments play a critical role in responding to public health emergencies and often test their ability to respond during exercises or drills. One local health department in Illinois used the PDCA cycle to improve its ability to assemble staff in a complete and timely manner during...
WCHD
Completed
Impact Statement:
Local health departments in Washington state monitor the quality of the Vaccine for Children program to ensure vaccines administered by the private sector maintain high quality and immunization rates improve. To eliminate redundancies, decrease inconsistencies between staff and improve clarity of...
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...
FCPH
Completed
Impact Statement:
In Fillmore County Public Health department, the time from notification to investigation of health problems and environmental health hazards (animal bites, infectious diseases, and nuisances) took longer than desired. Data was collected to understand the current state; investigations ranged from...
Sedgwick County Health Department
Completed
Impact Statement:
The Sedgwick County Health Department improved the quality of the collaborative process related to communication, empowerment, and recruitment of diverse people and organizations so that individuals and organizations critical to the implementation and success of its community's health...
OCHD
Completed
Impact Statement:
A systematic 9- step approach to manage access to prenatal care was the key to improving access to medical exams within the first 2 weeks of a positive pregnancy test. This systematic approach removed previous barriers that caused a delay in the process from pregnancy testing to initial medical...
Northern Kentucky Independent District Health Department
Completed
Impact Statement:
This northern Kentucky health department wanted to increase the percentage of properly licensed mobile food vendors to correct unsafe food handling and prevent foodborne illness related to mobile food vendors such as food trucks. With the large light-industry and numerous warehouses located...
Madison County Health Department
Completed
Impact Statement:
Through several PDCA cycles, the Madison County Health Department was able to increase revenue from billable service fees in two program areas -- one by 13% and the other by 16%. The process improvements gradually will be applied to all direct service program areas, followed by other improvements...
Red Cliff Community Health Center
Completed
Impact Statement:
Because surveillance for communicable disease had been provided by the state, the Red Cliff Community health department had limited knowledge of communicable diseases in their community. They used quality improvement to bring communicable disease reporting, surveillance, control and prevention...
ZMCHD
Completed
Impact Statement:
By engaging health department staff across all divisions in the process of developing proactive media messages based on local health needs and priorities, the Zanesville-Muskingum County Health Department was able to improve its provision of timely, needed public health information to the community.
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.
WCHD
Completed
Impact Statement:
Due to decreases in funding, the economic climate, and social determinants of risk behavior in Nevada, the Washoe County Health Department had to be ready to effectively manage any large Sexually Transmitted Disease outbreak with reduced numbers of Sexual Health Program staffing. Using QI processes...
Toledo–Lucas County Health Department (TLCHD)
Completed
Impact Statement:
Fast and effective investigations into foodborne illness outbreaks are an important part of a food safety program because they reduce the time that people are exposed to a pathogen. Toledo-Lucas County reduced the cycle time for an effective investigation and closure of foodborne outbreak cases...
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...
Cleveland/McClain County Health Departments
Completed
Impact Statement:
Even the implementation of evidence-based public health interventions poses challenges for most health departments. Using rapid-cycle tools and regular status monitoring, Cleveland County Health Department dramatically improved completion of the 5A’s smoking cessation service.
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%.
FCPH
Completed
Impact Statement:
Franklin County Public Health: This QI project sought to improve client satisfaction with Environmental Health programs, focusing for this project on the water quality partnership program. Understanding client satisfaction in programs that are fee-based, such as environmental health, can improve...
Deschutes County Health Services
Completed
Impact Statement:
Deschutes County Health Services improved the efficiency and accuracy of entering data on immunizations into the state immunization registry. The interventions tested included eliminating paperwork errors, balancing workload, and improving courier scheduling.
Tacoma–Pierce County Health Department (TPCHD)
Completed
Impact Statement:
TPCHD sped its response time for solid waste complaints, resulting in greater protection of the public’s health, better customer service, and greater accountability to its community members.
Florence County Health Department
Completed
Impact Statement:
By giving women improved information on the prenatal care program and the WIC program, this collaborative increased entry into prenatal care and participation in WIC, thus promoting healthy birth outcomes in the community and synergy between the two programs.
Logan County Health Department
Completed
Impact Statement:
By using quality planning to improve the effectiveness of community meetings, this small rural county increased community engagement and participation from 40 to 66% in the county-wide community health assessment and improvement planning process.
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.
Cumberland County Health Department
Completed
Impact Statement:
Cumberland County Health Department achieved dramatic improvements in the quality of services offered by their Adult Health Clinic through a Kaizen event. Prescription refill wait times decreased from as long as 6 weeks to less than 72 hours, and referrals to specialists, many of which had lengthy...
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.
City of Portland Public Health Division
Completed
Impact Statement:
This health department found the root cause of the high HIV clinic “no show” to be out of date patient contact information. They developed a simple and timely patient contact update process that dropped the “no show” rate dramatically in 8 weeks.
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%.
Alabama Department of Public Health
Completed
Impact Statement:
The Alabama state health department trained local health department family planning clinic staff in QI. The QI tools provided helped staff analyze current procedures and identify service delivery bottlenecks and then design interventions resulting in increased capacity and a reduction in waiting...
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.
Appleton Health Department
Completed
Impact Statement:
The local health department published the results of restaurant inspections on their website so that people could see them and make choices about where to eat. In addition, the public gained a better understanding of what environmental health staff of the department do to prevent food borne...
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...
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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