Training Local Public Health Departments in Quality Improvement: The Michigan Experience

1. Training Local Public Health Departments in Quality Improvement: The Michigan Experience MLC-3 Winter 2010 Grantee Meeting

2. Presenters • Debra Tews, MA Michigan Department of Community Health Local Public Health Services • Julia Heany, PhD Michigan Public Health Institute

3. History • MLC-2 • What We Did • 2 day learning session • Provided an abundance of context on the MLC and beyond • Provided high-level QI content • Generated enthusiasm & excitement • What We Learned from Our First Attempt • Content should be considerably more focused & practical • Material should be specifically linked to what they know & ‘scaffolding ‘is critical • Approach should be public health-centric • Just-in-time training & ongoing support is needed

4. History They left pumped up, ready to go, and clueless!

5. A Framework

6. Act Act Plan Plan Study Study Do Do Continuous Improvement Our Current Philosophy • Learning is cyclical and it occurs through action & reflection LEARNING

7. Our Current Philosophy • Training should be targeted to the zone of proximal development and individualized • Training should align with the assumptions and reality of local public health

8. Structure • Initial Learning Meeting • 2 days, in-person, on-site • All team members present • Core project team & mentors present & engaged in delivering the material • Alternate between lecture & learning activities • Designed to provide a springboard for projects & concrete next steps • Follow-up Learning Activities • Mini-collaborative meetings supported by mentors • Webinars • Site visits

9. Current Approach to the Initial Learning Meeting • Brief Introductions & Orientation to the MLC • Quality Assurance, Accreditation, & Quality Improvement • PDSA Overview & Use of Michigan’s QI Guidebook • Plan • Learning activities • Writing an aim statement • Process mapping • Identifying the root cause – 5 whys, & fishbone diagrams • Working with data – check sheets, Pareto charts, & run charts • Do, Check, & Act • Working as a Mini-Collaborative & Next Steps

10. Lessons Learned • Public health professionals need a QI method and material that is practical, hands on, accessible, and relevant. • The curriculum should align with the needs of adult learners and the public health context.

11. More Lessons • Tools, tools, tools & data, data, data – training time cannot be over allocated in these areas!

12. Thank You!