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PHI-16.3 Data Details

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PHI-16.3 Increase the proportion of local 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: 
National Profile of Local Health Departments
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
23 (2013)
Target: 
25
Target-Setting Method: 
10 percent improvement
Numerator: 

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

Denominator: 

Number of local public health agencies that responded to this item in the NACCHO Profile survey

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

    From the 2013 National Profile of Local Health Departments (LHD):

    [NUMERATOR:]

    Which of the following statements best characterizes your LHD’s current quality improvement activities? (Select only one)

    1. LHD 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 LHD, but not on an agency-wide basis
    3. LHD’s quality improvement activities are informal or ad hoc in nature
    4. LHD 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 National Profile of Local Health Departments study (Profile) is the most comprehensive source of information on the infrastructure and programs of local health departments in the U.S. All local health departments in the U.S. are surveyed about their organization, responsibilities, workforce, funding, and other topics. The Profile study has been periodically collecting data from local health departments (LHDs) since 1989 and recently completed its seventh wave in 2013.

    The Profile defines a local health department (LHD) as an administrative or service unit of local or state government concerned with health and carrying out some responsibility for the health of a jurisdiction smaller than the state. The 2013 Profile survey was fielded through an email sent to the top agency executive of every eligible LHD. The email included a link to a web-based questionnaire, preloaded with information specific to the LHD. Paper questionnaires were available upon request for a subset of small LHDs. A core set of questions was sent to all LHDs.

    Local health agencies that responded "LHD has implemented a formal quality improvement program agency-wide" to the survey question "Which of the following statements best characterizes your LHD’s current quality improvement activities? (Select only one)" 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 local public health agencies that have implemented an agency-wide quality improvement process." The baseline statement is "23 percent of local public health agencies have implemented an agency-wide quality improvement process in 2013." The target is 25 percent (10 percent improvement target-setting method). The data source is the NACCHO Profile Survey.