Creating quality improvement culture in public health agencies

Mary V. Davis, Elizabeth Mahanna, Brenda Joly, Michael Zelek, William Riley, Pooja Verma, Jessica Solomon Fisher

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Objectives: We conducted case studies of 10 agencies that participated in early quality improvement efforts. Methods: The agencies participated in a project conducted by the National Association of County and City Health Officials (2007-2008). Case study participants included health directors and quality improvement team leaders and members. We implemented multiple qualitative analysis processes, including cross-case analysis and logic modeling. We categorized agencies according to the extent to which they had developed a quality improvement culture. Results: Agencies were conducting informal quality improvement projects (n = 4), conducting formal quality improvement projects (n = 3), or creating a quality improvement culture (n= 4). Agencies conducting formal quality improvement and creating a quality improvement culture had leadership support for quality improvement, participated in national quality improvement initiatives, had a greater number of staff trained in quality improvement and quality improvement teams that met regularly with decision-making authority. Agencies conducting informal quality improvement were likely to report that accreditation is the major driver for quality improvement work. Agencies creating a quality improvement culture were more likely to have a history of evidence-based decision-making and use quality improvement to address emerging issues. Conclusions: Our findings support previous research and add the roles of national public health accreditation and emerging issues as factors in agencies' ability to create and sustain a quality improvement culture.

Original languageEnglish (US)
Pages (from-to)e98-e104
JournalAmerican journal of public health
Volume104
Issue number1
DOIs
StatePublished - Jan 2014

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Davis, M. V., Mahanna, E., Joly, B., Zelek, M., Riley, W., Verma, P., & Fisher, J. S. (2014). Creating quality improvement culture in public health agencies. American journal of public health, 104(1), e98-e104. https://doi.org/10.2105/AJPH.2013.301413