Improving Culture, One Quality Improvement Project at a Time

We examined whether local health departments' (LHDs') participation in a longitudinal, experiential QI training program changes QI culture. Design: Prior to and following participation in a QI training program, all employees of participating LHDs were asked to complete an 8-item survey assessing components of QI culture on a 5-point scale. Intervention: From 2010 to 2015, multidisciplinary teams from North Carolina LHDs participated in sequential cohorts of a 6-month QI training program, during which the teams completed a QI project. Main Outcome Measure: We dichotomized culture survey responses, with 4 or 5 being “Supportive.” We compared adjusted proportions, using linear regression, clustering at LHD, and controlling for cohort. Results: Data from 42 LHDs were included. At baseline, 7.8% responded that their LHD had a supportive culture for all 8 components, compared with 12% at follow-up (P
Source: Journal of Public Health Management and Practice - Category: Health Management Tags: Research Reports: Research Full Report Source Type: research