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Sunee N. Mickle, Esq.
Senior Policy Analyst
Kansas Health Institute
October 12, 2007
Quality Improvement and Public Health in Kansas
Quality Improvement and Public Health in Kansas
The Multi-State Learning Collaborative II
Kansas Population OverviewKansas Population Overview
Frontier
Rural
Densely Settled
Semi-urbanUrban
Kansas Public Health SystemKansas Public Health System
Kansas has a decentralized public health system
In 2001, 103 of the 105 counties voluntarily organized themselves into 15 public health regions
Kansas Public Health RegionsKansas Public Health Regions
Introducing QI to KansasIntroducing QI to Kansas
March 2007 QI training workshop conducted by Stacy Baker of the PHF
2 day workshop
2 participants from each of the 15 public health regions
Representatives from KS Department of Health and Environment
Kansas MLC-2 Pilot ProjectsKansas MLC-2 Pilot Projects
West Central Public Health Initiative
West Central Public Health Initiative
Pilot project addresses two NACCHO performance standards related to the vaccination of children ages 6 months through 59 months
Monitor health status and understand issues facing the community through the use of local data
Protect people from health problems and health hazards
West Central Public Health Initiative
West Central Public Health Initiative
Counties 2005 2006Gove County 28.77% 7.53%
Logan County 27.02% 22.30%
Ness County 14.14% 8.49%
Sheridan County 38.64% 34.85%
Trego County 6.02% 22.75%
BASELINE INFLUENZA VACCINATION RATES 6 MONTHS – 59 MONTHS
West Central Public Health Initiative QI Findings
West Central Public Health Initiative QI Findings
There is a need for increased education and awareness about the influenza vaccine for the 6 month to 59 month age group
There is a need for better advertisements and communication with parents
Wildcat Public Health RegionWildcat Public Health Region
The MCH Oral Health Screening Project seeks to increase the number of children’s preventive dental screenings performed by health department practitioners in the region
The project also expects to increase oral health education provided to families during dental screenings
Wildcat Public Health Region QI Findings
Wildcat Public Health Region QI Findings
Lack of client dental education materials
Need for staff training on oral health assessments
Lack of staff time to complete assessments
LHD electronic data systems need revisions to capture data
East Central KS Public Health Coalition
East Central KS Public Health Coalition
Pilot project addresses Public Health Essential Service #1: Monitoring community health status
The region narrowed the scope of the project by focusing on Maternal and Child Health issues and conducted a QI training workshop to frame the pilot project topic
East Central KS Public Health Coalition QI Findings
East Central KS Public Health Coalition QI Findings
Sexually Transmitted Infection (STI) testing and treatment procedures are not provided uniformly throughout the region
STI testing and treatment protocols are different for each local health department in the region
Kansas MLC-2 Project IssuesKansas MLC-2 Project Issues
All three KS public health regions face data issues
Not all local health departments use the same data system
Solutions that work best for an entire public health region may not be the best solution for an individual county local health department
Tackling the IssuesTackling the Issues
Review and discussion of data systems by state and local health departments
Understanding that projects like MLC-2 help test the ability of public health regions to handle every day public health issues
Plans for the FuturePlans for the Future
Multi-faceted Approach• Structural Reformation---Political Support• Service Reformation---Support for Common
Vision• Cultural Reformation---Workforce
Development Support IT Systems Support
Incorporate QI Training into on-going public health training programs
The FutureThe Future
Continue positioning ourselves for accreditation. . .
Kansas Health InstituteKansas Health Institute
Information for policy makers. Health for Kansans.