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Published on: February 19, 2021
From community-based pilot testing to region-wide systems change: lessons from a local quality improvement
1, Donna J Keyser, Harold Alan Pincus
1RAND Corporation, RAND-University of Pittsburgh Health Institute, PA, USA.
Summary
A pilot study tested systems improvement approaches for maternal and child health care. Qualitative data identified key factors for success, informing policy and infrastructure reforms for sustained improvements in community health.
Area of Science:
- Community health
- Maternal and child health care systems
- Quality improvement initiatives
Background:
- A 2-year pilot study was conducted by a community-based collaborative in Allegheny County, Pennsylvania.
- The study aimed to improve maternal and child health care practices and policies.
Purpose of the Study:
- To assess the feasibility of implementing small-scale, evidence-based systems improvement approaches in community settings.
- To identify policy and infrastructure reforms necessary for sustaining healthcare improvements.
Main Methods:
- A mixed-methods approach was employed, integrating quantitative performance data with qualitative insights.
- Key stakeholder interviews and a comprehensive literature review were conducted.
Main Results:
- Quantitative performance metrics showed variability across tested approaches.
- Qualitative data highlighted critical success and failure factors for the implemented practices.
- Policy and infrastructure recommendations were formulated to overcome identified practice barriers.
Conclusions:
- The study yielded valuable insights into the processes and outcomes of community-based quality improvement efforts.
- Findings offer guidance for other communities undertaking similar health care improvement initiatives.
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