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Working Together – Federal, State, and Local

Quality Improvement (QI) Forum – Cross-Jurisdictional* Improvement Program

*A cross jurisdictional improvement project is defined as an improvement activity that involves participation from more than one level of governmental public health (state, local, tribal, territorial, and or federal) or from more than one health department of the same level (e.g., multiple local health departments) and follows an improvement cycle based on data driven problem solving and application of QI techniques.

Gap

The projects are focused on achieving measureable improvement results, to benefit impacted stakeholders at all program levels, while increasing the knowledge and enthusiasm for continual quality improvement.

 Approach / Methods

  • Assisted in program development
  • Evaluation and selection of four projects
  • Provided project leader and project team member improvement education
  • Led three on-site Kaizen events and project working sessions
  • Provided distance coaching of Kaizen events; coaching and development of project team members and leaders

Results 

The 4 projects engaged 60 individual participants and 20 individual agencies.

  1. The Data Utilization team completed a Death Registration and Data Filing Process Kaizen with the North Carolina state Vital Records and Vital Statistics team.

Results

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  1. The Spread of QI team, completed an in-depth root cause analysis on the barriers and accelerators of cross jurisdictional quality improvement projects. The team implemented these improvements.forum-ss-3
  2. The Grant Reporting team, worked to reduce staff time spent writing/reporting on grant applications while increasing quality of applications and reports and sharing of information between MCHB and Chronic grants.forum-ss-4
  1. Death Data Delivery project replicated the learnings from the NC Death Registration and Data Filing Process Kaizen in order to decrease the time to provide death data to families, local health departments, and other data users. Additional results:  exponential explosion of team energy and effort.forum-ss-5forum-ss-6forum-ss-7

 

 

 

 

 

 

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Feedback

Improvement starts with one champion—Be that person, that team, that manager.  Molly

The involvement of the different partners in the 3D project helped us think ‘outside the box’. We would not have come as far as we have as quickly as we have, without the concentrated effort of the Kaizen and different viewpoints expressed by our partners from different jurisdictions.  Kirsti

 The involvement of the different partners in the 3D project helped us think ‘outside the box’. We would not have come as far as we have as quickly as we have, without the concentrated effort of the Kaizen and different viewpoints expressed by our partners from different jurisdictions.   

Improvement starts with one champion—Be that person, that team, that manager.