Local Health Department, County

WCHD
Completed
Impact Statement:
Tuberculosis is difficult to eradicate, it can have devastating health impacts, and one active TB case can result in budget-breaking expenses for small-to-medium local health jurisdictions. A local health department in Washington state implemented a quality planning and quality improvement project...
ODH
Completed
Impact Statement:
In an effort to improve customer satisfaction, Carroll County General Health District embarked upon a QI project to decrease waiting time in the reproductive health clinic. Their aim for a 10% reduction in waiting time was nearly achieved by taking a novel approach to addressing the identified...
DOH-Seminole
Completed
Impact Statement:
The Specialty Care clinic at the Florida Department of Health in Seminole County sought to notify clients more quickly of the results from their tests at the sexually transmitted disease clinic. A QI project led to implementation of a confidential no-reply text messaging system which resulted in...
Clark County Health Department
Completed
Impact Statement:
Clark County Health Department increased the percent of eligible families that are referred to Kentucky’s home visitation program for new and expectant parents from 24% to 56%. Evidence indicates that increased participation in this program will positively impact preterm birth rates, low and very...
Cerro Gordo County Department of Public Health
Completed
Impact Statement:
Taking the whoop out of a Pertussis outbreak and enhancing a community's pertussis mitigation effort by using improved early identification and isolation outcomes methods to decrease the number of days between onset and the report of disease.
HCHD
Completed
Impact Statement:
The Harford County Health Department used QI to create a more welcoming environment for limited English proficiency populations by focused staff education, training, and standardization of processes, increasing the use translation services three fold.
SCPHS
Completed
Impact Statement:
It has been shown that home visiting and other supportive services provided during pregnancy improve perinatal outcomes. Sullivan County Public Health Services used QI to improve its internal processes for reaching women with high-risk pregnancies, so more mothers and babies can have healthy...
Green Lake County Deptartment of Health and Human Services
Completed
Impact Statement:
A local health department in rural Wisconsin was missing opportunities to immunize a significant number of teenagers who would potentially benefit from mandated or optional vaccines. They implemented an improvement project to standardize the process and educate staff in order to decrease missed...
Wicomico County Health Department
Completed
Impact Statement:
Wicomico County had a salmonella infection rate twice as high as the state average. Their QI project found that by focusing on reducing critical violations in retail food service facilities through increasing its outreach and education services to those facilities, the Wicomico County Health...
WCHD
Completed
Impact Statement:
Local health departments in Washington state monitor the quality of the Vaccine for Children program to ensure vaccines administered by the private sector maintain high quality and immunization rates improve. To eliminate redundancies, decrease inconsistencies between staff and improve clarity of...
Salt Lake County Health Department
Completed
Impact Statement:
Due to a variety of barriers, including inefficient flow of clients during WIC visits, eligible families were not engaging with WIC services. The clinics at this health department improved their processes and exceeded their initial goals, allowing many more families to be able to eat well and be...
Barron County Department of Health and Human Services
Completed
Impact Statement:
A local health department noted a high rate of early post-partum unintended pregnancies among women in the Women, Infants and Children (WIC) program, and used QI to identify three interventions to reduce the rate.
Madison County Health Department
Completed
Impact Statement:
Through several PDCA cycles, the Madison County Health Department was able to increase revenue from billable service fees in two program areas -- one by 13% and the other by 16%. The process improvements gradually will be applied to all direct service program areas, followed by other improvements...
Health Promotion Strategies, LLC
Completed
Impact Statement:
This mixed semi-urban and rural county had the lowest rate of kindergartners completely immunized in New York State (89%), with baseline data for the immunization rates among schools in the county ranging from 15.4% to 90%. The QI initiative aimed to improve the immunization rate for children...
WCHD
Completed
Impact Statement:
Due to decreases in funding, the economic climate, and social determinants of risk behavior in Nevada, the Washoe County Health Department had to be ready to effectively manage any large Sexually Transmitted Disease outbreak with reduced numbers of Sexual Health Program staffing. Using QI processes...
LCHD
Completed
Impact Statement:
In the long term, Licking County Health Department anticipates cost savings with respect to medical supplies. In the interim, they have successfully reorganized their supply process by creating a central supply storage location and implementing a streamlined supply ordering process without...
Cleveland/McClain County Health Departments
Completed
Impact Statement:
Even the implementation of evidence-based public health interventions poses challenges for most health departments. Using rapid-cycle tools and regular status monitoring, Cleveland County Health Department dramatically improved completion of the 5A’s smoking cessation service.
Clark County Health Department
Completed
Impact Statement:
Wisconsin’s Prenatal Care Coordination (PNCC) program has been shown to decrease low-birth weight among single women, increase family support and involvement of the father, decrease preeclampsia, and decrease smoking among pregnant women. Clark County health department used QI to achieve 100%...
SHD
Completed
Impact Statement:
The Snohomish County Health Dept used QI on its immunization process.. By analyzing causes of error, introducing a new and standardized work flow, and using job aids that help to verify client records and data, the immunization error rate was reduced by over 50%.
Wood County Health Department
Completed
Impact Statement:
By improving processes in its WIC program, the Wood County Health Department has made WIC education more accessible to clients, increased client satisfaction, and freed up staff time to complete other work assignments.
St. Croix County DHHS–Public Health
Completed
Impact Statement:
St. Croix County Public Health nurses were concerned that the time needed to complete required paperwork was taking them away from serving postpartum mothers and newborn babies. To put clients first, they conducted a quality improvement initiative that reduced the time for documentation by 37%....
FCPH
Completed
Impact Statement:
Franklin County Public Health: This QI project sought to improve client satisfaction with Environmental Health programs, focusing for this project on the water quality partnership program. Understanding client satisfaction in programs that are fee-based, such as environmental health, can improve...
Deschutes County Health Services
Completed
Impact Statement:
Deschutes County Health Services improved the efficiency and accuracy of entering data on immunizations into the state immunization registry. The interventions tested included eliminating paperwork errors, balancing workload, and improving courier scheduling.
Cleveland County Health Department
Completed
Impact Statement:
The county health department improved their planning processes for community meetings so that community partners would more actively collaborate in a community health improvement process and together make a stronger impact on priority health issues.
Allegan County Health Department
Completed
Impact Statement:
The local health department improved how they got customer satisfaction information from clients at their sexually transmitted disease clinics, enabling them to use the feedback to increase client satisfaction, improve program efficiency and provide culturally-appropriate services.
Tacoma–Pierce County Health Department (TPCHD)
Completed
Impact Statement:
TPCHD sped its response time for solid waste complaints, resulting in greater protection of the public’s health, better customer service, and greater accountability to its community members.
St. Clair County Health Department
Completed
Impact Statement:
Recognizing the power and strength of inclusive community-based collaboration, the health department, under the leadership of the St. Clair County Health Care Commission, used quality planning to enlist more than 60 local organizations to develop a comprehensive strategy to reduce the unacceptably...
YCHD
Completed
Impact Statement:
Yadkin-County Health department used QI tools and methods decrease the time for notifying clients of abnormal Pap smear results, enabling clients to make informed decisions about follow-up care.
Florence County Health Department
Completed
Impact Statement:
By giving women improved information on the prenatal care program and the WIC program, this collaborative increased entry into prenatal care and participation in WIC, thus promoting healthy birth outcomes in the community and synergy between the two programs.
Logan County Health Department
Completed
Impact Statement:
By using quality planning to improve the effectiveness of community meetings, this small rural county increased community engagement and participation from 40 to 66% in the county-wide community health assessment and improvement planning process.
Cumberland County Health Department
Completed
Impact Statement:
Cumberland County Health Department achieved dramatic improvements in the quality of services offered by their Adult Health Clinic through a Kaizen event. Prescription refill wait times decreased from as long as 6 weeks to less than 72 hours, and referrals to specialists, many of which had lengthy...
Kittitas County Public Health Department
Completed
Impact Statement:
Following a Pertussis outbreak, a health department worked with families and providers to increase adolescence immunization rates using QI to identify barriers that previously had resulted in undervaccination. In addition, a clinic-specific and county immunization monitoring system was set up to...
Hennepin County Human Services and Public Health Department
Completed
Impact Statement:
The health department was concerned about a falling rate of visits by homeless people to the federally funded Health Care for Homeless project despite an increase in the homeless population. They investigated the causes and made several changes including implementing a process for walk-in service...
Genesee County Health Department
Completed
Impact Statement:
Committed to minimizing the health and social impact of pandemic influenza in its jurisdiction, this health department applied continuous quality improvement (CQI) tools and methods to improve the accuracy, effectiveness, and timeliness of its risk communications plan and messages to staff and...
Macon County Public Health
Completed
Impact Statement:
Challenged by undesired delays for clinic appointments, high no-show rates, client dissatisfaction, and suboptimal productivity, Macon County Public used QI to implement an open access clinic appointment system that allowed them to schedule appointments within 72 hours for all clients and all...
Cabarrus Health Alliance
Completed
Impact Statement:
In order to improve client satisfaction and increase the efficiency of WIC visits, this medium size local health department used QI to improve their Open Access appointment system. They were able to reduce the time for a complete WIC visit by 25% and increase participant satisfaction to 96%.
Washington County Health Department
Completed
Impact Statement:
This local health department improved participation and contributions by their partners in the community to the Community Health Improvement Plan by 70%, leading to strengthened relationships with and more effective collaborative partnerships to take action to improve the community’s health.
Kane County Health Department
Completed
Impact Statement:
The Kane County Health Department utilized QI tools to improve the efficiency of its community meeting process, strengthening the engagement and commitment of community partners.
Tacoma-Pierce County Health Department
Completed
Impact Statement:
This local health department addressed an unacceptable rate of low birth weight births by standardizing their referral process and timeframes; successfully making pre-natal care referrals earlier in the gestation period to ultimately improve the health of newborns in their county.
Tacoma-Pierce County Health Department
Completed
Impact Statement:
By implementing more accurate Medicaid billing procedures that resulted in an increase in Medicaid match revenue, the local health department was able to re-direct funds to necessary departmental strategic priorities that benefit the health of the local community.
St. Clair County Health Department
Completed
Impact Statement:
The local health department increased the number of infants and children receiving needed vaccines as part of a WIC visit, rather than referring them to another site and potentially losing that opportunity to protect them from getting a preventable disease or transmitting a vaccine-preventable...
Spokane Regional Health District
Completed
Impact Statement:
There was a lag between the time when health care providers diagnosed cases of sexually transmitted diseases and the providers notifying the health department. By improving the timeliness of the reports, the health department could quickly reach and treat contacts of the patient, thus...
Ofuskee County Health Department
Completed
Impact Statement:
This health department improved their method of engaging their community partners in the health improvement planning processes through meeting effectiveness surveys, more inclusive community representation, and improved communication.
Kane County Health Department
Completed
Impact Statement:
The health department needed all staff nurses to be able to give vaccinations for emergencies like the H1N1 influenza epidemic, including nurses working in roles that do not involve giving clinical care. They improved the process for keeping all nurses competent in determining when, how, and which...
Comanche County Health Department
Completed
Impact Statement:
The county health department used a QI planning approach to improve their planning processes for community meetings resulting in the community becoming more involved in improving its own health.
Grand Traverse County Health Department
Completed
Impact Statement:
After noting that the scores on certification exams given after food safety training courses to restaurant workers were markedly lower for workers in Chinese restaurants, the county undertook a QI project that included Chinese restaurant owners, managers and workers in the process. Multiple...

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