Creating A Framework For Getting Quality Into The Public Health System

Honoré, Peggy A.; Wright, Don; Berwick, Donald M.; Clancy, Carolyn M.; Lee, Peter; Nowinski, Juleigh M.; Koh, Howard K.

doi:10.1377/hlthaff.2011.0129

Cited by 49 publications

(28 citation statements)

References 20 publications

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“…Escalating healthcare costs have placed greater emphasis on prevention and encouraging patient activation regarding healthful lifestyle choices and decisions (Honore et al, 2011; Koh and Sebelius, 2010). Given that most patients seen in the primary care setting have more than one behavioral risk factor (Pronk et al, 2004), this setting is an important venue in which to promote behavior change.…”

Section: Introductionmentioning

confidence: 99%

Electronic reminders for cancer prevention: Factors associated with preference for automated voice reminders or text messages

Greaney

Puleo

Sprunck-Harrild

et al. 2012

Preventive Medicine

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Objective Prompting may promote engagement with behavior change interventions. Prompts can be delivered inexpensively via automated voice response (AVR) reminders or short message service (SMS) text messages. We examined the association between participants’ characteristics and preferred reminder modality. Methods Healthy Directions 2 is a cluster randomized controlled trial implemented in Boston, Massachusetts to promote change in multiple behavioral cancer risk factors. At baseline (2009), participants completed a survey assessing socio-demographics, health status, height/weight, and factors associated with technology. One-third of participants randomized to receive the intervention (n=598) were randomized to receive automated reminders, with participants selecting modality. Results 27.9% (167/598) of participants selected SMS reminders. Controlling for clustering by primary care provider, younger participants (OR=0.97, 95% CI=(0.95, 0.99) p<.01), those most comfortable with computers (very uncomfortable OR= 0.54, 95% CI=(0.29, 1.01), p≤0.05: referent group=very comfortable), and those who frequently sent/received text messages (never OR=0.09 CI=(0.04, 0.16) p<.01; 1-3 times/month OR=0.38, CI=(0.15, 0.93) p= 0.04: referent group= 1-5 times/wk) were more likely to choose SMS. Conclusions Interventions should make both modalities available to ensure that more participants can benefit from prompting. Studies examining the effect of automated reminders may have reduced effectiveness or generalizability if they employ only one modality.

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Section: Introductionmentioning

confidence: 99%

Electronic reminders for cancer prevention: Factors associated with preference for automated voice reminders or text messages

Greaney

Puleo

Sprunck-Harrild

et al. 2012

Preventive Medicine

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“…9 More recently, the Department of Health and Human Services issued a landmark Consensus Statement defining public health quality as the extent to which policies, programs, services, and research impact the health of a population. 10 In short, there is a growing realization that QI techniques may be one of the most important approaches to help achieve the aims of the Consensus Statement for public health quality. However, as the adoption of QI projects in public health departments increases, an important question arises: How do we know that QI is making a difference?…”

Section: • Overviewmentioning

confidence: 99%

Developing a Taxonomy for the Science of Improvement in Public Health

Riley

Lownik

Halverson

et al. 2012

Journal of Public Health Management and Practice

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“…1–6 The Public Health Accreditation Board was established in 2007 to manage and promote a national voluntary accreditation program for state, tribal, local, and territorial public health departments, a central tenet of which is continuous QI. 7 National organizations have developed materials and initiatives to promote QI, such as the Association of State and Territorial Health Officials’ (ASTHO’s) accreditation and performance improvement guide for state health agencies.…”

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confidence: 99%

“…8 In recent years, QI and accreditation have become part of a national focus to advance the quality and performance of public health and improve population health. 6,9,10 …”

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confidence: 99%

Factors Driving the Adoption of Quality Improvement Initiatives in Local Health Departments

Luo

Sotnikov

McLees

et al. 2015

Journal of Public Health Management and Practice

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Background Over the past decade, quality improvement (QI) has become a major focus in advancing the goal of improving performance of local health departments (LHDs). However, limited empirical data exists on the current implementation of QI initiatives in LHDs and factors associated with adoption of QI initiatives. Objectives (1) To examine the current implementation of QI implementation initiatives by LHDs and (2) to identify factors contributing to LHDs’ decision to implement QI initiatives. Methods In this study, a novel theoretical framework based on analysis of QI in medicine was applied to analyze QI by LHDs. LHDs’ QI adoption was assessed by the number of formal QI projects reported by LHDs that responded to module 1 of the 2010 National Profile of Local Health Department Study (Profile Study) conducted by the National Association of County & City Health Officials. The Profile Study data were merged with data from the Health Resources and Services Administration’s Area Resource Files and the Association of State and Territorial Health Officials’ 2010 Survey. Logistic regression analyses were conducted using Stata 11 SVY procedure to account for the complex sampling design. Results The Profile Study data indicated that about 73% of the LHDs reported implementing 1 or more QI projects. LHDs with large jurisdiction population (>50 000), higher per capita public health expenditure, a designated QI staff member, or prior participation in performance improvement programs were more likely to have undertaken QI initiatives. Conclusion According to the Profile Study, more than a quarter of LHDs surveyed did not report implementing any formal QI projects. Greater investments in QI programs and designation of QI staff can be effective strategies to promote QI adoption. The validity of the definition of a formal QI project needs to be established. More research to identify the barriers to successful QI implementation at LHDs is also needed.

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Creating A Framework For Getting Quality Into The Public Health System

Cited by 49 publications

References 20 publications

Electronic reminders for cancer prevention: Factors associated with preference for automated voice reminders or text messages

Electronic reminders for cancer prevention: Factors associated with preference for automated voice reminders or text messages

Developing a Taxonomy for the Science of Improvement in Public Health

Factors Driving the Adoption of Quality Improvement Initiatives in Local Health Departments

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