Advancing Quality Improvement in Public Health Departments Through a Statewide Training Program

Mary V. Davis, Amanda Cornett, Elizabeth Mahanna, Claire See, Greg Randolph

Research output: Contribution to journalArticle

  • 3 Citations

Abstract

Objectives: To examine the effectiveness of an ongoing statewide public health quality improvement training program (PH QI 101) among 4 cohorts of training participants. Design: We conducted a mixed-method evaluation of the PH QI 101 training program that included measures of participants' satisfaction, learning, behavior change, and participants' translation and spread to their organizations what was learned. Data analysis included descriptive quantitative statistics and qualitative reviews. The Mann-Whitney U test was used to examine changes in participants' confidence to conduct a QI project from pre-to posttraining and 6 months posttraining. Participants: Two hundred two staff members from 37 North Carolina local health departments. Intervention: An 8-month experiential learning process in which participants learn to use QI methods by applying them to a specific project. Results: More than 90% of participants reported satisfaction with the program. Median scores on perceived self-confidence to conduct a QI project significantly increased for all training waves. At least 85% of participants reported spreading QI tools to coworkers posttraining. Two-thirds of participants in 3 waves reported that the QI project conducted during the training was at the sustaining results stage. Most participants in 3 of the training waves reported initiating new QI projects at their health department following training. Facilitators to implementation included interest and support from managers and leaders. Lack of interest and competing priorities among other staff were key barriers to implementation. Conclusions: This program successfully trained 4 waves of public health professionals in QI tools and methods. Leader training and involvement was a key addition to the adapted model. This statewide approach may serve as a model to other states as they seek to achieve national accreditation standards.

LanguageEnglish (US)
PagesE21-E27
JournalJournal of Public Health Management and Practice
Volume22
Issue number2
DOIs
StatePublished - 2016
Externally publishedYes

Fingerprint

Quality Improvement
Public Health
Education
Problem-Based Learning
Accreditation
Health
Nonparametric Statistics
Learning
Organizations

Keywords

  • Accreditation
  • Quality improvement
  • Training

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

Advancing Quality Improvement in Public Health Departments Through a Statewide Training Program. / Davis, Mary V.; Cornett, Amanda; Mahanna, Elizabeth; See, Claire; Randolph, Greg.

In: Journal of Public Health Management and Practice, Vol. 22, No. 2, 2016, p. E21-E27.

Research output: Contribution to journalArticle

Davis, Mary V. ; Cornett, Amanda ; Mahanna, Elizabeth ; See, Claire ; Randolph, Greg. / Advancing Quality Improvement in Public Health Departments Through a Statewide Training Program. In: Journal of Public Health Management and Practice. 2016 ; Vol. 22, No. 2. pp. E21-E27
@article{bfae85a19aef4289868c8741ba03a99a,
title = "Advancing Quality Improvement in Public Health Departments Through a Statewide Training Program",
abstract = "Objectives: To examine the effectiveness of an ongoing statewide public health quality improvement training program (PH QI 101) among 4 cohorts of training participants. Design: We conducted a mixed-method evaluation of the PH QI 101 training program that included measures of participants' satisfaction, learning, behavior change, and participants' translation and spread to their organizations what was learned. Data analysis included descriptive quantitative statistics and qualitative reviews. The Mann-Whitney U test was used to examine changes in participants' confidence to conduct a QI project from pre-to posttraining and 6 months posttraining. Participants: Two hundred two staff members from 37 North Carolina local health departments. Intervention: An 8-month experiential learning process in which participants learn to use QI methods by applying them to a specific project. Results: More than 90{\%} of participants reported satisfaction with the program. Median scores on perceived self-confidence to conduct a QI project significantly increased for all training waves. At least 85{\%} of participants reported spreading QI tools to coworkers posttraining. Two-thirds of participants in 3 waves reported that the QI project conducted during the training was at the sustaining results stage. Most participants in 3 of the training waves reported initiating new QI projects at their health department following training. Facilitators to implementation included interest and support from managers and leaders. Lack of interest and competing priorities among other staff were key barriers to implementation. Conclusions: This program successfully trained 4 waves of public health professionals in QI tools and methods. Leader training and involvement was a key addition to the adapted model. This statewide approach may serve as a model to other states as they seek to achieve national accreditation standards.",
keywords = "Accreditation, Quality improvement, Training",
author = "Davis, {Mary V.} and Amanda Cornett and Elizabeth Mahanna and Claire See and Greg Randolph",
year = "2016",
doi = "10.1097/PHH.0000000000000165",
language = "English (US)",
volume = "22",
pages = "E21--E27",
journal = "Journal of Public Health Management and Practice",
issn = "1078-4659",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Advancing Quality Improvement in Public Health Departments Through a Statewide Training Program

AU - Davis,Mary V.

AU - Cornett,Amanda

AU - Mahanna,Elizabeth

AU - See,Claire

AU - Randolph,Greg

PY - 2016

Y1 - 2016

N2 - Objectives: To examine the effectiveness of an ongoing statewide public health quality improvement training program (PH QI 101) among 4 cohorts of training participants. Design: We conducted a mixed-method evaluation of the PH QI 101 training program that included measures of participants' satisfaction, learning, behavior change, and participants' translation and spread to their organizations what was learned. Data analysis included descriptive quantitative statistics and qualitative reviews. The Mann-Whitney U test was used to examine changes in participants' confidence to conduct a QI project from pre-to posttraining and 6 months posttraining. Participants: Two hundred two staff members from 37 North Carolina local health departments. Intervention: An 8-month experiential learning process in which participants learn to use QI methods by applying them to a specific project. Results: More than 90% of participants reported satisfaction with the program. Median scores on perceived self-confidence to conduct a QI project significantly increased for all training waves. At least 85% of participants reported spreading QI tools to coworkers posttraining. Two-thirds of participants in 3 waves reported that the QI project conducted during the training was at the sustaining results stage. Most participants in 3 of the training waves reported initiating new QI projects at their health department following training. Facilitators to implementation included interest and support from managers and leaders. Lack of interest and competing priorities among other staff were key barriers to implementation. Conclusions: This program successfully trained 4 waves of public health professionals in QI tools and methods. Leader training and involvement was a key addition to the adapted model. This statewide approach may serve as a model to other states as they seek to achieve national accreditation standards.

AB - Objectives: To examine the effectiveness of an ongoing statewide public health quality improvement training program (PH QI 101) among 4 cohorts of training participants. Design: We conducted a mixed-method evaluation of the PH QI 101 training program that included measures of participants' satisfaction, learning, behavior change, and participants' translation and spread to their organizations what was learned. Data analysis included descriptive quantitative statistics and qualitative reviews. The Mann-Whitney U test was used to examine changes in participants' confidence to conduct a QI project from pre-to posttraining and 6 months posttraining. Participants: Two hundred two staff members from 37 North Carolina local health departments. Intervention: An 8-month experiential learning process in which participants learn to use QI methods by applying them to a specific project. Results: More than 90% of participants reported satisfaction with the program. Median scores on perceived self-confidence to conduct a QI project significantly increased for all training waves. At least 85% of participants reported spreading QI tools to coworkers posttraining. Two-thirds of participants in 3 waves reported that the QI project conducted during the training was at the sustaining results stage. Most participants in 3 of the training waves reported initiating new QI projects at their health department following training. Facilitators to implementation included interest and support from managers and leaders. Lack of interest and competing priorities among other staff were key barriers to implementation. Conclusions: This program successfully trained 4 waves of public health professionals in QI tools and methods. Leader training and involvement was a key addition to the adapted model. This statewide approach may serve as a model to other states as they seek to achieve national accreditation standards.

KW - Accreditation

KW - Quality improvement

KW - Training

UR - http://www.scopus.com/inward/record.url?scp=84916896524&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84916896524&partnerID=8YFLogxK

U2 - 10.1097/PHH.0000000000000165

DO - 10.1097/PHH.0000000000000165

M3 - Article

VL - 22

SP - E21-E27

JO - Journal of Public Health Management and Practice

T2 - Journal of Public Health Management and Practice

JF - Journal of Public Health Management and Practice

SN - 1078-4659

IS - 2

ER -