Missoula City-County Health Department Infectious Disease On-Call Team QI
The Missoula City-County Health Department ID On-Call team members reported little or no job satisfaction, and the supervisor was fielding frequent and varied complaints. Staff no longer wanted to be on the team. New team members could not be recruited because they perceived team membership as undesirable. The very low staff satisfaction rate was viewed as a potentially destabilizing influence on the overall health of the team. The supervisor was reluctant to move to an involuntary system of recruitment and decided to attempt to resolve the issues using the QI process.
The team used the Plan, Do, Check, Act (PDCA) QI model. Five issues were identified as having the greatest impact on staff satisfaction. Each issue was a multifaceted problem to be solved, requiring brainstorming, developing an improvement theory, and testing the impact of the improvements on the issue.
The QI initiative was successful, resulting in new recruits to the team and an improvement in staff satisfaction from 14.29% to 90%.
VanDomelen, A. Public Health Quality Improvement Exchange. Missoula City-County Health Department Infectious Disease On-Call Team QI. Thu, 11/16/2017 - 13:56. Available at https://www.phqix.org/content/missoula-city-county-health-department-infectious-disease-call-team-qi. Accessed July 12, 2020.
Background and Aim
Planning and Execution Details
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