Format

Send to:

Choose Destination
See comment in PubMed Commons below
Health Serv Res. 2009 Oct;44(5 Pt 2):1863-79. doi: 10.1111/j.1475-6773.2009.01012.x. Epub 2009 Aug 17.

Introducing quality improvement methods into local public health departments: structured evaluation of a statewide pilot project.

Author information

  • 1University of Minnesota, School of Public Health, Minneapolis, MN 55455, USA. Riley001@umn.edu

Abstract

OBJECTIVE:

To test the feasibility and assess the preliminary impact of a unique statewide quality improvement (QI) training program designed for public health departments.

DATA SOURCES/STUDY SETTING:

One hundred and ninety-five public health employees/managers from 38 local health departments throughout Minnesota were selected to participate in a newly developed QI training program and 65 of those engaged in and completed eight expert-supported QI projects over a period of 10 months from June 2007 through March 2008.

STUDY DESIGN:

As part of the Minnesota Quality Improvement Initiative, a structured distance education QI training program was designed and deployed in a first large-scale pilot. To evaluate the preliminary impact of the program, a mixed-method evaluation design was used based on four dimensions: learner reaction, knowledge, intention to apply, and preliminary outcomes.

DATA:

Subjective ratings of three dimensions of training quality were collected from participants after each of the scheduled learning sessions. Pre- and post-QI project surveys were administered to collect participant reactions, knowledge, future intention to apply learning, and perceived outcomes. Monthly and final QI project reports were collected to further inform success and preliminary outcomes of the projects.

PRINCIPAL FINDINGS:

The participants reported (1) high levels of satisfaction with the training sessions, (2) increased perception of the relevance of the QI techniques, (3) increased perceived knowledge of all specific QI methods and techniques, (4) increased confidence in applying QI techniques on future projects, (5) increased intention to apply techniques on future QI projects, and (6) high perceived success of, and satisfaction with, the projects. Finally, preliminary outcomes data show moderate to large improvements in quality and/or efficiency for six out of eight projects.

CONCLUSIONS:

QI methods and techniques can be successfully implemented in local public health agencies on a statewide basis using the collaborative model through distance training and expert facilitation. This unique training can improve both core and support processes and lead to favorable staff reactions, increased knowledge, and improved health outcomes. The program can be further improved and deployed and holds great promise to facilitate the successful dissemination of proven QI methods throughout local public health departments.

PMID:
19686251
[PubMed - indexed for MEDLINE]
PMCID:
PMC2758410
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Write to the Help Desk