From Community-Based Pilot Testing to Region-Wide Systems Change
Lessons from a Local Quality Improvement Collaborative
Published in: Progress in Community Health Partnerships, v. 4, no. 2, Summer 2010, p. 105-114
Posted on RAND.org on July 01, 2010
Read MoreAccess further information on this document at Progress in Community Health Partnerships
This article was published outside of RAND. The full text of the article can be found at the link above.
BACKGROUND: A community-based collaborative conducted a 2-year pilot study to inform efforts for improving maternal and child health care practice and policy in Allegheny County, Pennsylvania. OBJECTIVES: (1) To test whether three small-scale versions of an evidence-based, systems improvement approach would be workable in local community settings and (2) to identify specific policy/infrastructure reforms for sustaining improvements. METHODS: A mixed methods approach was used, including quantitative performance measurement supplemented with qualitative data about factors related to outcomes of interest, as well as key stakeholder interviews and a literature review/Internet search. RESULTS: Quantitative performance results varied; qualitative data revealed critical factors for the success and failure of the practices tested. Policy/infrastructure recommendations were developed to address specific practice barriers. This information was important for designing a region-wide quality improvement initiative focused on maternal depression. CONCLUSION: The processes and outcomes provide valuable insights for other communities interested in conducting similar quality improvement initiatives.