Assessing and Improving Agency-Wide Quality Improvement Training


Impact Statement: 
Staff are Customers too! How involving all staff in the identification of barriers to completing department offered QI Training resulted in greater acceptance of, participation in, and an increase in the number of staff completing six required training modules.

Kane County Health Department (KCHD) has used SlideRocket to create quality improvement (QI) training modules and tracks staff progress using an internal database, which contains personal staff information and is shared internally within the Community Health Resources (CHR) section. The fiscal year (FY) 2014 QI plan states that staff must complete six required QI modules: aim statements; cause-and-effect diagrams; data collection and analysis; flowcharts; QI 101/Plan, Do, Check, Act (PDCA) cycle; and Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis. In May 2014, only 61.7% of staff had completed all six of the required modules. By using the PDCA tool, the QI and Performance Management (QuIPM) Committee and the CHR section created an aim statement.

Staff were surveyed on May 20, 2014, about barriers of and opportunities from training module completion and use. A cause-and-effect diagram and affinity diagram were then completed on July 16. CHR section staff and the QuIPM Committee were then surveyed about the best possible solution, which would be having the health data and quality coordinator (HDQC) send (via a hyperlink) regular updates to staff with the modules they need to complete, thus addressing the barriers of not knowing which tools need to be completed and where they were.

Within days, the completion percentage increased by 10%, and by September 19, the percentage had reached 77.6%, which did not meet the desired goal. The group still deemed it a success. In the few weeks after the testing phase, the percentage rose to 83.1%. The notification is now a standard monthly process used by the HDQC, who tracks the trainings internally and collectively through the performance management system. Many future plans arose from the project, such as a QI resource library, QuIPM members completing all 13 of the total QI modules, 5-minute reports of QI activities during section meetings, and increased training for QuIPM members.

Organization that conducted the QI initiative: 

Eder, D. Public Health Quality Improvement Exchange. Assessing and Improving Agency-Wide Quality Improvement Training. Wed, 10/11/2017 - 12:18. Available at Accessed June 21, 2024.

Submission Status: 
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Submitted by Kay Conley on

Our department has had a focus on increasing staff training related to Quality Improvement and Accreditation in general.  We consider the training as part of our accreditation activities within our workforce development and quality improvement plans.  I never thought of using the trainings themselves as a QI project!  Interesting!  I think compliance from staff regarding any number of activities whether training or participation in wellness activities, is a sign of overall good morale and culture of the agency.  So anything to help identify barriers or issues related to compliance is worthwhile. 

On another note, I'm curious about what PHAB thinks about the QI projects being conducted.  For those in the final stages of accreditation, what feedback have you received, good or bad, about your QI projects?  Sometimes we (I know I do) think that QI projects need to be a large project with significant results.  However, when I read about some of the projects on this site, I'm realizing it's small projects that can are being done.  I was just curious about what PHAB thinks about the array of projects identified by departments.  Nice project!  Kay

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Kay Conley

Submitted by Tracey Kellogg on

Our QI Council just came up with the same idea!


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Tracey Kellogg, CPA
Kitsap Public Health District

Submitted by Kdyer on

we at OCCHD are also struggling with this issue.  Good ideas.

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Grace Gorenflo's picture
Submitted by Grace Gorenflo on

Thanks for this submission.  Are you all able to share the QI training modules with the PHQIX community?


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