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Leading Continuous Quality Improvement in Public Health

Your responses should be organized into separate sections for each question, in the same order as asked herein. Please copy and/or rephrase the question in your answers. The paper should be submitted in Word format, any professional font, size 12. The exam should be no more than 8 pages (double-spaced) and responses should reflect a scholarly understanding of the question. Please reference relevant course readings or content from the asynchronous lectures. At the end of your work, please include your reference list (APA or Vancouver Style) on a separate page.

Read and reflect on the following case: Higginbotham K, Davis Crutcher T, Karp SM. Screening for Social Determinants of Health at Well-Child Appointments: A Quality Improvement Project. Nurs Clin North Am. 2019 Mar;54(1):141–8.

This case study illustrates a number of CQI principles described in lessons from the course thus far.  Please answer the questions below about the case using content from the lectures and assigned readings, as appropriate.  Support your points with a variety of references from the class materials and articles.

1.     Identify at least three “Public Health System Quality Aims” (as articulated by Honore and colleagues) addressed by this CQI project. Describe how this project addresses each one. (3 Points) 

2.     Please write an aim statement for this CQI project. Refer to Module Four (“Setting Improvement Goals in Complex Systems”) for a list of the elements of a proper aim statement.  (3 Points) 

3.     Stakeholders’ engagement is core to Continuous Quality Improvement. (3 Points)

A.   Identify the internal and external stakeholders identified in the article.

B.    If you were on the CQI team, what internal and external stakeholders would you include?

C.    What actions would you take to engage stakeholders to ensure equity and inclusion?

4.   The article provides some basic details about team composition. (4 Points)

A.   What factors would you consider to ensure that the CQI team includes the right people to reach project aims?

B.    Describe the actions you would take to establish a solid team foundation designed to start strong and navigate dysfunction effectively?

5.     Using the Donabedian Model, describe the structural elements, processes and outcomes that would be involved in this case. (3 Points)

6.     Mental models can play a critical role in all CQI, but perhaps especially in work that aims to disrupt inequity. (4 Points)

A.   Describe your approach to identifying mental models among the people involved in testing the SDOH screening tool.

B.    What problematic mental models might you expect to see? How could you address them?

C.    Describe how leadership could help create a culture of excellence in the described Case. Consider Deming’s 14 points for quality management in your answer.