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Taking improvement action based on performance results: Washington State's experience.

Marlene Mason1, Rita Schmidt, Cindan Gizzi

  • 1MCPP Healthcare Consulting, Seattle, Washington 98101, USA. marni@mcpp.net

Journal of Public Health Management and Practice : JPHMP
|December 17, 2009
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Summary

Washington state leveraged Multistate Learning Collaborative grants to enhance public health infrastructure. Quality improvement initiatives improved both state and local health departments, establishing dedicated teams for continuous progress.

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Area of Science:

  • Public Health
  • Quality Improvement Science
  • Health Systems Strengthening

Background:

  • Washington state identified key areas for improvement through Standards Performance Review and local public health indicators.
  • State and local health departments recognized the need for collaborative efforts to address system-wide and agency-specific challenges.
  • Existing quality improvement (QI) capacity varied across health departments, necessitating targeted support.

Purpose of the Study:

  • To describe the implementation and outcomes of using Multistate Learning Collaborative grants in Washington state.
  • To highlight successful quality improvement infrastructure development and the establishment of Rapid Cycle Improvement teams.
  • To share lessons learned from agency-led QI efforts in public health.

Main Methods:

  • Utilized Multistate Learning Collaborative grants to fund statewide collaboratives.
  • Focused on addressing priorities identified through performance reviews and local health indicators.
  • Implemented two distinct agency-level QI projects: one in a large local health department and one in the State Department of Health.
  • Emphasized the creation of QI infrastructure and Rapid Cycle Improvement teams.

Main Results:

  • Successfully established statewide collaboratives involving state and local health departments.
  • Demonstrated the successful development of QI infrastructure within participating agencies.
  • Established functional Rapid Cycle Improvement teams within both a large local health department and the State Department of Health.
  • Identified measurable improvements in public health system performance.

Conclusions:

  • Multistate Learning Collaborative grants are effective in driving public health quality improvement.
  • Establishing dedicated QI infrastructure and teams is crucial for sustainable improvement in health departments.
  • Collaborative approaches enhance the capacity of both state and local public health agencies.
  • The highlighted initiatives provide a model for other health departments seeking to strengthen their QI capabilities.