PDCA/PDSA Cycle (Plan, Do, Check/Study, Act)
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MMS CHS Completed Impact Statement: This QI project used many QI tools to identify and design improvement actions to increase the redemption of food vouchers by WIC clients. While this project did not achieve the improvement target, , the development and application of tools could be helpful to other community health programs seeking... |
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Idaho Department of Health and Welfare Completed Impact Statement: In order to simplify and standardize its formal contracts (numbering over 200) with the seven local health districts in Idaho, which led to great frustration and wasted time by both local and state staff in processing multiple different forms for contracts, the Idaho Division of Public Health used... |
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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. |
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CCHD Completed Impact Statement: Pregnant women face economic barriers to receipt of pertussis vaccines, increasing risks for infant transmission of the disease. Using PDSA and rapid cycle improvement, the health department partnered with a prenatal care provider to increase Tdap coverage from 1% to 49% of pregnant women whose... |
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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. |
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RiverStone Health Completed Impact Statement: WIC enrollment is well below the eligible population in Yellowstone, MT, and a substantial number of those enrolled do not regularly pick up their food coupons, resulting in automatic disenrollment and loss of benefits. Utilizing PDCA, RiverStone Health addressed the root causes of the drop off in... |
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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... |
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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... |
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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... |
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KCHD Completed Impact Statement: Local health departments play a critical role in responding to public health emergencies and often test their ability to respond during exercises or drills. One local health department in Illinois used the PDCA cycle to improve its ability to assemble staff in a complete and timely manner during... |
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Nebraska Department of Health and Human Services Completed Impact Statement: To improve the reach of chronic disease management in Nebraska, an evidence-based chronic disease self-management program, Living Well, was implemented using awareness and communication techniques in Lancaster and Buffalo counties to improve participants' ability to manage their health... |
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Washington State DOH Completed Impact Statement: The Washington state health department conducted a Kaizen event to streamline the application process for HIV positive Washington state residents with low incomes to receive coverage. Multiple improvements were made, several target goals were exceeded, resulting in quicker access to life-saving... |
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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... |
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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... |
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KCPHD Completed Impact Statement: Kittitas County Health Department improved their process for Alcohol Drug Dependency Service (ADDS) clients to follow through with Hepatitis C testing so that treatment would be received earlier and the spread of the disease reduced. |
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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. |
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DPH Completed Impact Statement: Denver Health used rapid cycle improvement to implement a brief tobacco cessation intervention (2As &R) in a high risk urban family planning and sexual health clinic. The intervention was enhanced by modifications to the electronic medical record system. They plan to spread this intervention... |
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FCPH Completed Impact Statement: In Fillmore County Public Health department, the time from notification to investigation of health problems and environmental health hazards (animal bites, infectious diseases, and nuisances) took longer than desired. Data was collected to understand the current state; investigations ranged from... |
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Sedgwick County Health Department Completed Impact Statement: The Sedgwick County Health Department improved the quality of the collaborative process related to communication, empowerment, and recruitment of diverse people and organizations so that individuals and organizations critical to the implementation and success of its community's health... |
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OCHD Completed Impact Statement: A systematic 9- step approach to manage access to prenatal care was the key to improving access to medical exams within the first 2 weeks of a positive pregnancy test. This systematic approach removed previous barriers that caused a delay in the process from pregnancy testing to initial medical... |
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Northern Kentucky Independent District Health Department Completed Impact Statement: This northern Kentucky health department wanted to increase the percentage of properly licensed mobile food vendors to correct unsafe food handling and prevent foodborne illness related to mobile food vendors such as food trucks. With the large light-industry and numerous warehouses located... |
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Red Cliff Community Health Center Completed Impact Statement: Because surveillance for communicable disease had been provided by the state, the Red Cliff Community health department had limited knowledge of communicable diseases in their community. They used quality improvement to bring communicable disease reporting, surveillance, control and prevention... |
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ZMCHD Completed Impact Statement: By engaging health department staff across all divisions in the process of developing proactive media messages based on local health needs and priorities, the Zanesville-Muskingum County Health Department was able to improve its provision of timely, needed public health information to the community. |
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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... |
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CT DPH Completed Impact Statement: The CT DPH innovatively improved its ability to collect and report sociodemographic information, so health disparities could be identified throughout the state and efforts could be taken to improve population health and better address health inequities. |
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Gwinnett, Newton, and Rockdale County Health Departments Completed Impact Statement: The public health community has lagged in using digital communications to make its presence and services delivered known to the general public. Gwinnett, Newton, and Rockdale County Health Departments found that creating a better experience and better information for website visitors was better... |
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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... |
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SC DHEC Region 2 Completed Impact Statement: Although located in an area with significant need for teen family planning services, a public health teen clinic in Spartanburg County had low rates of use. The South Carolina Department of Health and Environmental Control followed a Plan-Do-Study-Act (PDSA) approach and used QI tools to understand... |
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Toledo–Lucas County Health Department (TLCHD) Completed Impact Statement: Fast and effective investigations into foodborne illness outbreaks are an important part of a food safety program because they reduce the time that people are exposed to a pathogen. Toledo-Lucas County reduced the cycle time for an effective investigation and closure of foodborne outbreak cases... |
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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... |
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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. |
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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%... |
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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%. |
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ACHD Completed Impact Statement: The Allegan County Health Department used QI to increase of the percent of department programs that perform client satisfaction surveys from 33 to 81%. As a result valuable feedback from clients is enabling the department to provide services and programs that better meet the needs of its community. |
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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. |
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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%.... |
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Washington State Department of Health Completed Impact Statement: Washington State Department of Health enhanced their ability to lower the risk of clients receiving substandard care in hospital settings. Using a Lean process, staff implemented a host of improvements to increase the rate of hospital inspections conducted within the state-mandated 18-month... |
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Spokane Regional Health District Completed Impact Statement: Compliance with required school immunizations rose after completion of a review of school immunization records was coupled with better methods of contacting parents. As a result, both children and the wider community experienced less spread of diseases. |
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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... |
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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. |
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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. |
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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. |
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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. |
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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... |
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SRHD Completed Impact Statement: A local health department in Washington state used QI to increase the percent of department staff who engage in physical activity as part of a worksite wellness program, learning that variety and support are critical for wellness activities to succeed. |
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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. |
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Skagit County Public Health Department Completed Impact Statement: Using QI, Skagit County improved their implementation of the Coordinated Approach to Child Health (CATCH) Kids Club Program as a strategy for addressing childhood obesity in their community, which resulted in a 71% increase in physical activity among the program participants. |
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SRHD Completed Impact Statement: SRHD reduced the number of water recreation facilities with violations that required re-inspection, resulting in better efficiency and reduced risk of illness and injury among community members. |
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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. |
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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. |
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