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PHI-16.2 Data Details

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PHI-16.2 Increase the proportion of State public health agencies that have implemented an agency-wide quality improvement process

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
ASTHO Profile of State Public Health
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
27 (2012)
Target: 
30
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of State public health agencies that responded that the agency had a formal agency-wide quality improvement program implemented

Denominator: 

Number of State public health agencies that responded to this item in the ASTHO Profile survey

Comparable Healthy People 2010 Objective: 
Not applicable
Questions Used to Obtain the National Baseline Data: 

    From the 2012 State and Territorial Public Health Survey:

    [NUMERATOR:]

    Which of the following statements best characterizes your state/territorial health agency’s current quality improvement activities?

    1. State/territorial health agency has implemented a formal quality improvement program agency-wide
    2. Formal quality improvement activities are being implemented in specific programmatic or functional areas of the state/territorial health agency, but not on an agency-wide basis
    3. State/territorial health agency’s quality improvement activities are informal or ad hoc in nature
    4. State/territorial health agency is not currently involved in quality improvement activities
Data Collection Frequency: 
Periodic
Methodology Notes: 

    “Quality improvement” refers to a formal, systematic approach (such as plan-do-check-act) applied to the processes underlying public health programs and services in order to achieve measurable improvements.

    The ASTHO Profile Survey is the only comprehensive source of information about State public health agency activities, structure, and resources. ASTHO sends a link to the web-based survey to senior deputies at State health agencies in the 50 states and the District of Columbia. The approximately 120-question instrument covers the following topic areas: 1. Structure, governance, and priorities; 2. Workforce; 3. State health agency activities; 4. Planning and quality improvement; 5. Health information management; 6. Finance.

    Along with general instructions, senior deputies received recommendations on the most appropriate staff/departments to fill out each section of the survey. Surveys could be filled out by multiple personnel in multiple sittings. The Profile Survey response rate was 96 percent among the 50 states and DC in 2012. Extensive follow-up was conducted with the states throughout 2013 to verify responses. When response errors were identified, ASTHO’s Survey Research team worked with the state to correct these responses. In instances where the state did not respond to multiple follow-up attempts, the Survey Research team used their expertise to determine whether or not to retain the data.

    State and District of Columbia health agencies that responded "State/territorial health agency has implemented a formal quality improvement program agency-wide" to the survey question "Which of the following statements best characterizes your state/territorial health agency’s current quality improvement activities?" were counted in the numerator.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
This objective was added in 2015. The objective statement is "Increase the proportion of State public health agencies that have implemented an agency-wide quality improvement process." The baseline statement is "27 percent of State public health agencies have implemented an agency-wide quality improvement process in 2012." The target is 30 percent (10 percent improvement target-setting method). The data source is the ASTHO Profile Survey.