Brainstorming

DCHS Public Health
In Progress
Impact Statement:
Three counties in central Oregon, Crook, Deschutes, and Jefferson, were faced with rates of only 60%–70% of 2-year-old children having received all recommended vaccinations. The counties used QI methods; elected to implement an evidence-based process, AFIX (Assessment, Feedback, Incentives,...
MCHD
Completed
Impact Statement:
Using a QI process, the Mercer County Health Department significantly increased the number of survey responses from its customers. This feedback is used to help identify areas for improvement and thus is an important part of the health department's strategy to apply QI to its operations.
CGCDPH
Completed
Impact Statement:
The number of flu vaccines provided by Cerro Gordo County Department of Public Health (CGCDPH) has risen greatly, with many flu vaccination sites around the rural county. As the number of vaccines rose, the ability to enter the vaccines into the state immunization registry fell, and 57% of flu...
CGCDPH
Completed
Impact Statement:
The Cerro Gordo County Department of Public Health (CGCDPH) used PDSA to improve its process for applying for grants and involving all staff in understanding the process.
TCHD
Completed
Impact Statement:
Tazewell County Health Department (TCHD) followed a Kaizen QI process to decrease the time for completing the deposit and receipt process for fee revenue. The number of days from receipt to post decreased from 30 to 5, an 83% reduction. Additional improved outcomes resulted from the Kaizen process.
DCHS
Completed
Impact Statement:
Deschutes County Health Services (DCHS) in Oregon improved its process to increase clinic show rates and caseload for clients of the WIC program. This improvement optimized staff time and ensures access to care and benefits for these needed services in the community.
DOH-Manatee
Completed
Impact Statement:
Implementing an improved process to collect customer feedback resulted in a staggering increase in customer satisfaction survey responses, from an average of 12 per month to more than 1,000 per month. The feedback will greatly enhance Manatee County Health Department’s (DOH-Manatee’s) performance...
Philadelphia Department of Public Health
Completed
Impact Statement:
Using a PDCA approach, the Philadelphia Department of Public Health (PDPH) achieved a more efficient process for onboarding new employees. The amount of paper used went from 136 pages to 16 pages, an 88% reduction. The mean monthly staff time dedicated to the onboarding process dropped from 653...
SCHD
Completed
Impact Statement:
Charting errors increased in Scott County Health Department's (SCHD's) STD clinic when a new electronic database was introduced. Anticipating the transition to the new database, the STD team implemented a QI effort to identify and correct problems with the charting process before they...
Connecticut DPH
Completed
Impact Statement:
The Connecticut Department of Public Health (DPH) significantly reduced the number of steps needed to place student interns. By improving access to job descriptions and applications for preceptors and prospective interns, staff could more easily increase capacity to meet the community's health...
TCPH
Completed
Impact Statement:
Tarrant County Public Health’s (TCPH’s) North Texas Regional Laboratory (NTRL) decreased the cost of a specific HIV test by 40% by testing and adopting an alternative control test method. NTRL has received level funding for a few years while laboratory expenses have continued to grow. Achieving...
BCPHD
Completed
Impact Statement:
Butte County Public Health Department (BCPHD) in California used QI to expedite the annual medical review (AMR) process for eligibility into the California Children's Services (CCS) program. More children and their families now have improved access to these specialty health care services.
Completed
Impact Statement:
Kendall County Health Department implemented successive PDSA cycles to better protect their population from West Nile Virus. The QI activities eventually led to a nearly 200% increase in the number of mosquito tests performed. Moreover, the implementation of a GIS management system has led to...
KCHD
Completed
Impact Statement:
Kane County Health Department (KCHD) in Illinois increased staff knowledge of the Emergency Operations Plan (EOP), which improved timely response to emergencies and protection of county residents.
DCHS
Completed
Impact Statement:
Deschutes County Health Services (DCHS) streamlined the referral process for its Nurse Family Support Services(NFSS) and Oregon MothersCare (OMC) programs. Staff satisfaction with the process has improved and program clients are now more efficiently being served.
Washington County
Completed
Impact Statement:
Washington County Department of Public Health and Environment led a multi-sector quality improvement project and increased the recycling rate at a county park. Expansion of this model to all county parks will further protect the environment and contribute to Minnesota's statewide goal of a 75...
Completed
Impact Statement:
Through a series of PDSA cycles, a division of the Boston Public Health Commission increased staff knowledge of ongoing program updates from 69% to 86% (a 25% increase).
Boston Public Health Commission
Completed
Impact Statement:
By improving the perceived value of staff meetings, the Boston Public Health Commission can be more effective in its role to advance population health.
DCHS
Completed
Impact Statement:
Customer satisfaction is key to any health department, and ensuring new employees’ satisfaction is no exception to this tenet. Deschutes County Health Services (DCHS) achieved tremendous success in orienting and onboarding these important “internal” customers through a comprehensive process that is...
CCHD
Completed
Impact Statement:
Cecil County Health Department (CCHD) redesigned the onboarding process for new staff. As a result, most new staff reported that they understand their role at CCHD and found the onboarding process to be informative and useful. Onboarding education can improve staff members’ ability to meet...
Missoula City-County Health Department
Completed
Impact Statement:
Missoula City-County Health Department in Montana drastically increased its reach to clients who are eligible for its Health Services programs by improving program referral processes for existing clients. As a result, the health department can much better serve eligible women, infants, and children.
OCHD
Completed
Impact Statement:
Oneida County Health Department’s (OCHD’s) QI team increased QI project submissions from staff, thus strengthening ongoing performance improvement in the agency.
KHI
Completed
Impact Statement:
Kansas Health Institute (KHI) strengthened their ability to share information with clients by increasing the efficiency of its publication process and reducing staff stress associated with it.
DOH-Seminole
Completed
Impact Statement:
The Florida Department of Health in Seminole County (DOH-Seminole) improved the timeliness of filing Client Service Records (CSRs), positively affecting customer service and access to care.
CG Health
Completed
Impact Statement:
Cerro Gordo Health Department decreased fear levels of bed bug exposure among field staff. The implementation of a risk reduction plan minimized staff discomfort and facilitated a more effective intervention to bed bug exposure in the community.
CHA
In Progress
Impact Statement:
By using Kaizen, Cabarrus Health Alliance (CHA) in North Carolina reduced food establishment violations by 22% and further protected residents from foodborne illness.
DCHS
Completed
Impact Statement:
Staff at Deschutes County Health Services (DCHS) recognized that they had so many different programs in operation that it was difficult for staff to make all the appropriate referrals for clients. They did a QI project, and their improvement hypothesis targeted three areas: knowledge, workflow, and...
KCHD
Completed
Impact Statement:
Developing effective public health communications via social media is very much a work in progress. One critical success factor is the ability to converse with a broader audience and to create messages that allow interaction between the messenger and the audience. During the test phase of Kane...
FCHD
Completed
Impact Statement:
Franklin County Health Department (FCHD), a small local health department (LHD) in Kentucky, needed to improve the completion and timeliness of restaurant inspections to meet regulatory requirements. By using the Kaizen process and involving leaders from the LHD, the QI project team identified root...
Houston Health Department
In Progress
Impact Statement:
Mobile food units (MFUs) in Houston, Texas, now experience a faster, more efficient inspection process thanks to a Kaizen event held by Houston Health Department. The average time to complete the physical inspection and administrative paperwork has decreased from 3 hours to 30 minutes. Moreover,...
MDH
Completed
Impact Statement:
For health department services that have a major impact on citizens, ensuring high client satisfaction is important to the public’s understanding and support for these services. Three state health departments teamed together to improve the timeliness of death data, using the Kaizen method for...
Missoula City-County Health Department
Completed
Impact Statement:
Missoula City-County Health Department used quality improvement to improve the functionality and satisfaction of its infectious disease after hours response team members, thus ensuring that emerging infectious disease issues in the community would be managed appropriately.
Oneida County Public Health Department
Completed
Impact Statement:
Budget literacy of health department staff is a key attribute necessary before decentralizing financial management and program oversight. After an assessment that determined that staff had knowledge gaps, an educational intervention was initiated to increase their financial management competency....
Clackamas County Public Health Division
Completed
Impact Statement:
Clackamas County Public Health Division has improved its onboarding processes to ensure that occupational health requirements are met within 30 days after hiring new employees and annually thereafter to ensure that risk is low and that employees and clients are safe and healthy.
City of St. Louis Department of Health
Completed
Impact Statement:
In becoming ready for PHAB accreditation, the City of St. Louis Department of Health’s performance management team used quality planning to create, test, and install a performance management system. The process included a fishbone diagram of the barriers to a culture of quality, an affinity diagram...
SCDPH
Completed
Impact Statement:
Saginaw County Department of Public Health (SCDPH) conducts strategic planning every 2 years. After noting that not all staff were engaged, the four previous strategic planning groups conducted a PDSA cycle on the strategic planning process. As a result, staff are now more committed to setting and...
Minnesota Department of Health
Completed
Impact Statement:
The Minnesota Department of Health Birth Defects Monitoring and Analysis Program used a Kaizen event to streamline the process for identifying children with birth defects, decrease the median time from 49 to 37 days, and decrease the maximum time by 53%. Families may now be linked faster to...
MDH
Completed
Impact Statement:
The Kaizen event approach was selected to involve the Minnesota Department of Health (MDH) Public Health Laboratory (PHL) team in reducing the percentage of influenza tests taking longer than 6 days to verify and eliminate testing errors. Within 4 months, errors were eliminated and test time length...
Gallatin City-County Health Department
Completed
Impact Statement:
Communicable disease (CD) follow-up: Staff let their fingers do the walking using social media to significantly improve the timeliness and effectiveness of client contact and case completion procedures for CD clients.
Henry County Health Department
Completed
Impact Statement:
Henry County Health Department’s (HCHD’s) strategic plan included addressing employee turnover and job dissatisfaction. Employee turnover and job satisfaction are related to how confident an employee feels when starting a new position, which links back to the effectiveness of the orientation...
Completed
Impact Statement:
Rapid response to new Salmonella cases is critical to decreasing the spread of disease and reducing the likelihood of an outbreak. The Santa Clara County Public Health Department in California used the Define, Measure, Analyze, Improve, Control (DMAIC)/Six Sigma approach to identify the root causes...
Vermont Department of Health
Completed
Impact Statement:
The health department improved the process for tracking data requests from internal and external partners. The interventions made the staff more aware of the tracking process and offered education on the use of the Access database. The results included greater use and an increased number of staff...
OCHD
Completed
Impact Statement:
Taking the bite out of labor intensive reporting and delays though community collaboration and use of QI tools and methods to increase the number of animal bite reports submitted to the health department in a timely fashion.
Marion County Health Department
Completed
Impact Statement:
When a rabies susceptible animal has bitten a human, it is imperative that health departments responsible for the investigation and quarantine of these animals respond a timely manner. A local health department in Oregon used a PDSA approach to reduce the time to process rabies bites reports by 29...
Missoula City-County Health Department
Completed
Impact Statement:
The number of breastfeeding women who have access to a certified lactation counselor soared when Missoula City-County Health Department staff used QI to improve their internal processes.
Florida Department of Health in Seminole County
Completed
Impact Statement:
Client complaints and staff dissatisfaction with prenatal clinic wait times led the Seminole County DOH to use QI to decrease their client visit times. Focusing on modifying the prenatal scheduling matrix, eliminating duplicate charts, and decreasing the physical distance traveled between check-...
KCHD
Completed
Impact Statement:
Knox County Health Dept. demonstrates how use of partner developed communication standards can improve communication satisfaction among groups participating in a coalition.
KCHD
Completed
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.
WCHD
In Progress
Impact Statement:
The Whatcom County Health department found that language and cultural barriers were contributing to higher numbers of critical Food Code violations for the almost 18% of non-English and ESL food service operators in Level 3 establishments in the County. The department considered the food service...
NC DPH
In Progress
Impact Statement:
Review of timely and accurate evaluation data is crucial for health departments to provide effective interventions to improve the health of their communities. The Women’s Health branch of a state health department used several QI methods and tools—including a Kaizen event, multiple PDSA cycles and...

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