From community-based pilot testing to region-wide systems change: lessons from a local quality improvement collaborative
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Published on: February 19, 2021
1, Donna J Keyser, Harold Alan Pincus
1RAND Corporation, RAND-University of Pittsburgh Health Institute, PA, USA.
Background:
A community-based collaborative conducted a 2-year pilot study to inform efforts for improving maternal and child health care practice and policy in Allegheny County, Pennsylvania.
Objectives:
(1) To test whether three small-scale versions of an evidence-based, systems improvement approach would be workable in local community settings and (2) to identify specific policy/infrastructure reforms for sustaining improvements.
Methods:
A mixed methods approach was used, including quantitative performance measurement supplemented with qualitative data about factors related to outcomes of interest, as well as key stakeholder interviews and a literature review/Internet search.
Results:
Quantitative performance results varied; qualitative data revealed critical factors for the success and failure of the practices tested. Policy/infrastructure recommendations were developed to address specific practice barriers. This information was important for designing a region-wide quality improvement initiative focused on maternal depression.
Conclusion:
The processes and outcomes provide valuable insights for other communities interested in conducting similar quality improvement initiatives.
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