title: Introducing quality improvement methods into local public health departments: structured evaluation of a statewide pilot project.
abstract: OBJECTIVE
  To test the feasibility and assess the preliminary impact of a unique statewide quality improvement (QI) training program designed for public health departments.
  
  
  METHODS
  One hundred and ninety-five public health employees/managers from 38 local health departments throughout Minnesota were selected to participate in a newly developed QI training program and 65 of those engaged in and completed eight expert-supported QI projects over a period of 10 months from June 2007 through March 2008.
  
  
  METHODS
  As part of the Minnesota Quality Improvement Initiative, a structured distance education QI training program was designed and deployed in a first large-scale pilot. To evaluate the preliminary impact of the program, a mixed-method evaluation design was used based on four dimensions: learner reaction, knowledge, intention to apply, and preliminary outcomes.
  
  
  METHODS
  Subjective ratings of three dimensions of training quality were collected from participants after each of the scheduled learning sessions. Pre- and post-QI project surveys were administered to collect participant reactions, knowledge, future intention to apply learning, and perceived outcomes. Monthly and final QI project reports were collected to further inform success and preliminary outcomes of the projects.
  
  
  RESULTS
  The participants reported (1) high levels of satisfaction with the training sessions, (2) increased perception of the relevance of the QI techniques, (3) increased perceived knowledge of all specific QI methods and techniques, (4) increased confidence in applying QI techniques on future projects, (5) increased intention to apply techniques on future QI projects, and (6) high perceived success of, and satisfaction with, the projects. Finally, preliminary outcomes data show moderate to large improvements in quality and/or efficiency for six out of eight projects.
  
  
  CONCLUSIONS
  QI methods and techniques can be successfully implemented in local public health agencies on a statewide basis using the collaborative model through distance training and expert facilitation. This unique training can improve both core and support processes and lead to favorable staff reactions, increased knowledge, and improved health outcomes. The program can be further improved and deployed and holds great promise to facilitate the successful dissemination of proven QI methods throughout local public health departments.
authors.affiliation: University of Minnesota, School of Public Health, Minneapolis, MN 55455, USA. Riley001@umn.edu
authors.forename: William
authors.initials: W
authors.lastname: Riley
authors.forename: Helen
authors.initials: H
authors.lastname: Parsons
authors.forename: Kim
authors.initials: K
authors.lastname: McCoy
authors.forename: Debra
authors.initials: D
authors.lastname: Burns
authors.forename: Donna
authors.initials: D
authors.lastname: Anderson
authors.forename: Suhna
authors.initials: S
authors.lastname: Lee
authors.forename: François
authors.initials: F
authors.lastname: Sainfort
mesh_terms: D020375:Education, Distance; D005240:Feasibility Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D008910:Minnesota; D010865:Pilot Projects; D011635:Public Health Administration; D015980:Public Health Practice; D017749:Total Quality Management
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