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Realizing transformational change through quality improvement in public health
William J Riley1, Helen M Parsons, Grace L Duffy
1School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA. riley001@umn.edu
Objective:
This article discusses the specific components necessary to achieve transformational change within public health departments as a means for creating sustained performance improvement and better outcomes in the health of the community.
Design:
This article provides a review of transformation change concepts and application to public health departments.
Results:
Transformational change for public health departments must be intentionally designed to achieve high performance. While all improvement requires change, not all change results in improvement.
Conclusion:
The successful transformational change effort always occurs from the top-down, while the process improvement occurs from the bottom-up. Transformational change is possible in public health departments when small incremental improvements are linked with large-scale management changes to continually improve public health performance resulting in better population outcomes.
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