quality improvement sphls/l-sip post-assessment presented by jill power, qa manager, nh public...

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Quality Improvement SPHLS/L-SIP Post- Assessment Presented by Jill Power, QA Manager, NH Public Health Laboratories 6/23/09

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Quality Improvement

SPHLS/L-SIP Post-Assessment

Presented by

Jill Power, QA Manager,

NH Public Health Laboratories

6/23/09

State Assessment TimelineTX = Winter 2007 

MT = Spring 2008

NH = Spring 2007 

NM = Spring 2008

ME = Winter 2007 

RI = Spring 2008

MA = Spring 2008 

DE = Winter 2008

SC = Spring 2007 

WA = Winter 2007

CA = Winter 2007 

UT = Winter 2007

MO = Winter 2007 

TN = Spring 2008

IA = Winter 2007 

NE = Spring 2008

Essential Public Health Services1. Monitor health status to identify community health

problems 2. Diagnose and investigate health problems and health

hazards in the community 3. Inform, educate, and empower people about health

issues 4. Mobilize community partnerships to

identify and solve health problems 5. Develop policies and plans that support individual and

community health efforts 6. Enforce laws and regulations that protect health and

ensure safety 7. Link people to needed personal health services and

assure the provision of health care when otherwise unavailable

8. Assure a competent public health and personal health care workforce

9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services

10.Research for new insights and innovative solutions to health problems

Key Points in ES#4

Partners in the SPHLS develop and maintain positive relationships with each other and with other key organizations

The SPHLS communication plan is fully integrated with partners’ and collaborators’ communication plans

ES#4 (cont.)

The SPHLS communicates effectively in a regular, timely, and accurate way to support collaboration

The SPHLS works together to share existing resources and /or to identify new resources (e.g. funding, personnel, tools) to assist in identifying and solving health issues

Quality Improvement Deliverables

Activities

Processes

Tools

Activities% R e s p o n s e

I n c r e a s e c o m m u n i c a t i o n s p r o c e s s e s 1 0 0

I n c r e a s e s t a k e h o l d e r s k n o w l e d g e & s y s t e m r e l a t i o n s h i p 1 0 0

I m p r o v e a n d u p d a t e l a b o r a t o r y w e b s i t e 6 2 . 5

I n c o r p o r a t e n e w t e c h n o l o g y 6 2 . 5

S h a r e r e s o u r c e s w i t h p a r t n e r s 6 2 . 5

P e r f o r m c u s t o m e r s a t i s f a c t i o n s u r v e y s 5 0

I n i t i a t e o r r e v i v e a n e w s l e t t e r 3 7 . 5

L a u n c h c o n s o r t i u m s a n d c o l l a b o r a t i o n s 3 7 . 5

I n c r e a s e H e a l t h S u r v e i l l a n c e 3 7 . 5

P a r t i c i p a t e i n r e g u l a r l y r e g i o n a l q u a l i t y i m p r o v e m e n t m e e t i n g s 3 7 . 5

C o n d u c t m o n t h l y t e l e c o n f e r e n c e c a l l s w i t h r e g i o n a l a n d l o c a l p a r t n e r s 3 7 . 5

C r e a t e a C o n t i n u i t y o f O p e r a t i o n s P l a n ( C O O P ) 2 5

G i v e l a b o r a t o r y t o u r s 2 5

C o n d u c t f a c e t o f a c e s i t e v i s i t s a t p r o v i d e r l o c a t i o n s 2 5

P a r t i c i p a t e i n r e g u l a r l y s c h e d u l e d l o c a l a n d r e g i o n a l l a b d i r e c t o r m e e t i n g s 2 5

I m p r o v e c o m m u n i c a t i o n s p l a n i n t e r n a l l y 2 5

P a r t i c i p a t e i n p r o f e s s i o n a l o r g a n i z a t i o n s a n d m e e t i n g s 2 5

H o l d m o n t h l y w o r k g r o u p c o n f e r e n c e c a l l s 1 2 . 5

H o l d a n o p e n h o u s e 1 2 . 5

“ O f f ” h o u r s a v a i l a b l e a n d c o m m u n i c a t i o n s t e s t e d 1 2 . 5

C e l e b r a t e N a t i o n a l M e d i c a l L a b o r a t o r y W e e k 1 2 . 5

Q u a l i t y Im p r o v e m e n t A C T IV IT IE S

Q I A c t i v i t i e s

0

1 0

2 0

3 0

4 0

5 0

6 0

7 0

8 0

9 0

1 0 0

Incr

ease

com

mun

icat

ions

pro

cess

es

Impr

ove

and

upda

te la

bora

tory

web

site

Sha

re r

esou

rces

with

par

tner

s

Initi

ate

or r

eviv

e a

new

slet

ter

Incr

ease

Hea

lth S

urve

illanc

e

Con

duct

mon

thly

tele

conf

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ce c

alls

with

regi

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and

loca

l par

tner

s

Giv

e la

bora

tory

tour

s

Par

ticip

ate

in r

egul

arly

sch

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ed lo

cal a

ndre

gion

al la

b di

rect

or m

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gs

Par

ticip

ate

in p

rofe

ssio

nal o

rgan

izat

ions

and

mee

tings H

old

an o

pen

hous

e

Cel

ebra

te N

atio

nal M

edic

al L

abor

ator

y W

eek

T y p e s

% F

req

uen

cy o

f U

se

Processes%

R e s p o n s e

E d u c a t i o n a l t r a i n i n g s 7 5

O n g o i n g m e e t i n g s 6 2 . 5

S h a r i n g o f p r o f i c i e n c y t e s t i n g 5 0

N e t w o r k i n g 5 0

S e e k i n g i n p u t a n d p r o f e s s i o n a l a d v i c e 3 7 . 5

Q I / Q A C o m m i t t e e s ( i n t e r n a l ) 3 7 . 5

E l e c t r o n i c a n d p a p e r c u s t o m e r s a t i s f a c t i o n s u r v e y s 2 5

N e w s b u l l e t s 2 5

S i t e v i s i t s 2 5

U p d a t i n g s p e c i m e n c o l l e c t i o n i n s t r u c t i o n s 2 5

R e c o g n i z e “ E m p l o y e e o f t h e M o n t h ” f r o m e x t e r n a l i n p u t 1 2 . 5

I n t e r n a l a u d i t s 1 2 . 5

U p d a t i n g l a b m a n u a l s 1 2 . 5

U s e l a b s p e c i f i c q u a l i t y i m p r o v e m e n t t o o l s 1 2 . 5

I n v i t a t i o n s t o l a b o r a t o r y f u n c t i o n s 1 2 . 5

Q u a l i t y Im p r o v e m e n t P R O C E S S E S

Q I P r o c e s s e s

01 02 03 04 05 06 07 08 09 0

1 0 0E

du

ca

tio

na

l

tra

inin

gs

On

go

ing

me

eti

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s

Sh

ari

ng

of

pro

fic

ien

cy

Ne

two

rkin

g

Se

ek

ing

in

pu

t

an

d

QI/

QA

Co

mm

itte

es

Ele

ctr

on

ic

an

d p

ap

er

Ne

ws

bu

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Sit

e v

isit

s

Up

da

tin

g

sp

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Re

co

gn

ize

“Em

plo

ye

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f

Inte

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l

au

dit

s

Up

da

tin

g l

ab

ma

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Us

e l

ab

sp

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ific

Inv

ita

tio

ns

to

lab

ora

tory

T y p e s

% F

req

ue

nc

y o

f U

se

Tools%

R e s p o n s e

A b ilit y t o r e c e iv e f e e d b a c k f r o m s t a k e h o ld e r s 6 2 . 5M o n it o r in g q u a lit y a s s u r a n c e p r o c e d u r e s ( e . g . t u r n - a r o u n d - t im e s ) 5 0U t iliz e t h e A P H L u s e r g u id e f o r g u id a n c e 2 5B r a in s t o r m in g w it h s t a k e h o ld e r s f o r p r o b le m s o lv in g 1 2 . 5I m p le m e n t t h e P la n - D o - S t u d y - A c t ( P D S A ) t o o l 1 2 . 5I m p r o v e c o r r e c t iv e a c t io n f o r m s 1 2 . 5I m p r o v e c o m p la in t r e s o lu t io n p r o c e s s e s 1 2 . 5U t iliz in g t h e A P H L w e b s it e , in c lu d in g t h e O n lin e R e s o u r c e C e n t e r 1 2 . 5

Q u a l i t y Im p r o v e m e n t T O O L S

Q I T o o l s

0

1 0

2 0

3 0

4 0

5 0

6 0

7 0

8 0

9 0

1 0 0A

bilit

y to

rec

eive

feed

back

from

stak

ehol

ders

Mon

itorin

g qu

ality

assu

ranc

epr

oced

ures

(e.

g.tu

rn-a

roun

d-tim

es)

Util

ize

the

AP

HL

user

gui

de fo

rgu

idan

ce

Bra

inst

orm

ing

with

stak

ehol

ders

for

prob

lem

sol

ving

Impl

emen

t the

Pla

n-D

o-S

tudy

-Act

(PD

SA

) to

ol

Impr

ove

corr

ectiv

eac

tion

form

s

Impr

ove

com

plai

ntre

solu

tion

proc

esse

s

Util

izin

g th

e A

PH

Lw

ebsi

te, i

nclu

ding

the

Onl

ine

Res

ourc

e C

ente

r

T y p e s

% U

sa

ge

Conclusion

There is definitely more work to be done 9 more ES’s if anyone wants to!

Continuous Improvement ≠ Perfection Perfection is ever changing

Questions?