Accountability & Performance Management

This report on Culture of QI Case Study Resources summarizes key frameworks, resources, and case studies found through a thorough literature review conducted by the NC Center for Health and Wellness (NCCHW)’s Culture of Results team.

NACCHO's Foundational Elements of a QI Culture, part of the QI Roadmap, outlines 6 elements that "lay the foundation for a comprehensive approach to transformational change that considers both the processes and people involved," recognizing that it takes time to transition from discrete QI efforts to a large-scale QI culture.

A huddle is a short, stand-up meeting — 10 minutes or less — that is typically used once at the start of each workday in a clinical setting and gives teams a way to actively manage quality and safety. Often, standard work will be the output of previous quality improvement projects, and huddles provide a venue to ensure process improvements stick. Huddles enable teams to look back to review performance and to look ahead to flag concerns proactively.

A QI framework tailored to hospital systems. The framework includes 5 main steps in a QI timeline, describing definitions, importance, and tools for each, integrating various QI models.

The MCH Needs Assessment Toolkit organizes a variety of QI tools and resources based on the 9 steps of the MCH Needs Assessment: 1) Engage Partners, 2) Assess Needs, 3) Examine Strengths and Capacity, 4) Select Priorities, 5) Set Performance Objectives, 6) Develop Actino Plan, 7) Seek and Allocate Resources, 8) Monitor Progress for Impact on Outcomes, 9) Report Back to Partners.

NACCHO's Phases of a Culture of Quality, part of the QI Roadmap, outline 6 phases spanning from 1) No Knowledge of QI to 6) QI Culture, with resources to assess your agency against each phases's characteristics and transition strategies to support agencies' growth.

The QI Action Planning Worksheet is a resource for individuals or teams to reflect on what their organization is doing well and what best next steps they can take to grow a culture of Quality Improvement.

This guide helps health departments develop quality improvement (QI) plans aligned with PHAB standards. It provides templates, instructions, and examples to guide planning, implementation, and evaluation of QI initiatives, supporting continuous improvement and organizational capacity building.

Use these eLearning modules, tools, and templates to learn about and apply improvement concepts to your work. The self-guided, virtual learning resources teach improvement basics and provide tools and templates as well as case studies to help you learn and apply improvement concepts to your work.

This guidebook is designed to support teams through the successful completion of a structured Quality Improvement (QI) project using a structured, step-by-step approach. Rooted in the Plan–Do–Study–Act (PDSA) cycle, this guide will help you organize your work, select and apply the right tools, and clearly communicate progress and results. At the center of this approach is the QI Project Storyboard—a one-page summary that captures each phase of the QI project. This guidebook also comes with a PowerPoint template to give you the space to show your work that does not fit on the QI Project Storyboard.

ASTHO's Quality Improvement Plan Guide supports health agencies in the states, territories, and freely associated states as they work to create Quality Improvement (QI) plans, aligned with Public Health Accreditation Board standards and measures.

NACCHO's Quality Improvement Resources, part of the QI Roadmap, provides QI resources organized by the six foundational elements of a QI culture.

This toolkit, developed by the Public Health Foundation (PHF), includes tools organized into the following categories: Communication and Presentation, Decision Making, Leadership Development, Problem Solving, Project Management, Strategy and Strategic Planning, Team Management, and Time Management.

This guide describes the key components of a performance management system, including what these components could look like in a local or tribal health department. It includes a variety of templates and resources that are intended to be adapted as needed in order to best meet the needs of your health department. This guide also shares ‘insights from the field’ in an effort to encourage peer learning and collaboration.

The Scrum framework is a better way of team collaboration for solving complex problems. The Scrum framework defines a Scrum Team with specific roles, events, and artifacts that are produced. Scrum is an empirical process, where decisions are based on observation, experience and experimentation. Scrum has three pillars: transparency, inspection and adaptation.