Enhancing Public Health Preparedness: Exercises, Exemplary Practices, and Lessons Learned, Phase III

Task B2: Final Report: Promoting Emergency Preparedness and Readiness for Pandemic Influenza (PREPARE for PI): Pilot Quality Improvement Learning Collaborative

by Debra Lotstein, Karen A. Ricci, Stefanie Howard, Jennifer J. Li, Lisa V. Rubenstein, Nicole Lurie

Download eBook for Free

FormatFile SizeNotes
PDF file 0.7 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Quality improvement (QI) techniques, though based on proven business and management practices, have not been widely available to public health departments. Recently, there have been nascent efforts to promote QI in public health, although there is little QI activity in the area of public health emergency preparedness (PHEP). Promoting Emergency Preparedness and Readiness for Pandemic Influenza (PREPARE for PI), sponsored by the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) and organized by RAND, was a pilot learning collaborative designed to work with public health organizations to apply QI methods to public health, specifically in the context of preparing for an influenza pandemic. Two state and three local health departments participated in the collaborative, which focused strongly on innovation from each participating team. The experience of the PREPARE for PI pilot collaborative adds significantly to the early experiences of others in public health, demonstrating that practitioners at the state and local level can use QI methods to improve performance. But the expectation for continuous improvement needs to be both a top-down and bottom-up endeavor.

The research described in this report was prepared for Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response and performed under the auspices of RAND Health.

This report is part of the RAND Corporation Working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.