The Quality Improvement Peer Learning Network (QIPLN) contributed to MCHB’s overarching goal to Increase Accountability through Quality Improvement, Performance Monitoring, and Evaluation. The QIPLN is designed to increase knowledge, attitudes, skills, and practices around Quality Improvement (QI) to support HS programs in meeting the HS benchmark to Increase the proportion of HS grantees who establish a quality improvement and performance monitoring process. Through the QIPLN HS programs developed a deeper understanding of QI, learned about tools that can assist with implementing quality improvement methods, developed a QI project plan, and most important, engaged in peer sharing and exchange on QI successes and challenges in the HS context.
Contact Suz Friedrich for more information.
The QIPLN Session Sequence and Process
The EPIC Center will established 6-7 QIPLNs depending on interest. Following each QIPLN session, participants put the activity discussed in the session into motion at their agencies. At the next session, participants report on successes and challenges and strategize on future actions. While the groups have completed their process, the steps can be used by any program as a model for process improvement.
Key Topics at a glance
QIPLN Kickoff Webinar: Orients interested HS Programs to the QIPLN Initiative; provides guidance on choosing a HS benchmark and identifying QI Team Lead(s) to participate in the QIPLN; and instructs attendees on the signup process.
#1 QIPLN Welcome/Establish QI Charter and QI Team: Introduces participants to one another; introduces the QI charter; orients participants to strategies for identifying and recruiting potential QI Team members; and provides tools to support assembling a QITeam and developing a QI Charter.
#2 Understand the Benchmark and Establish a Baseline: Defines the benchmark including numerator, denominator and definition of terms; describes the importance of an accurate baseline; reviews national comparison statistics; and provides a tool for assessing the accuracy of the data collection process.
#3 Identify Potential Root Causes and Select Problem to Address: Describes the process of conducting root cause analysis; and provides tools for conduct root cause analyses and prioritizing problems to be addressed in the QI process.
#4 Identify a Solution and Develop an AIM Statement: Describes the process for developing an AIM Statement to address the QIPLN’s benchmark; describes the purpose and use of a Change Package; and provides tools for identifying and selecting evidence-based interventions and drafting an AIM statement.
#5 Develop a QI Plan: Introduces the QI Project Plan and provides a process for developing a small test of change.
#6 Implement QI Project Plan – DO: Continues the development of the QI Project Plan to implement the QI project by initiating a small test of change.
#7 Implement QI Project Plan – STUDY: Continues the development of the QI Project Plan to implement the QI project by studying the findings of the small test of change.
#8 Implement QI Project – ACT: Assesses the impact of the small test of change and makes decision about whether to adapt, adopt or abandon the change.
#9 QIPLN Wrap-up: Engages all participants in sharing their lessons learned and thoughts on how their HS program will continue QI efforts in the future.
Healthy Start Benchmarks
The following is a list of benchmarks HS programs are addressing through the QIPLN. The corresponding change packages contain select resources & evidence-based practices for implementation at the program, individual/family, and community level.
- Increase the proportion of HS participants with health insurance to 90%. | Change Package
- Increase the proportion of HS participants who have a documented reproductive life plan to 90%. | Change Package
- Increase proportion of HS participants who receive a postpartum visit to 80%. | Change Package
- Increase proportion of Healthy Start women and child participants who have a usual source of medical care 80%. | Change Package
- Increase proportion of well woman visits among HS participants to 80%. | Change Package
- Increase proportion of HS participants who engage in safe sleep behaviors to 80%. | Change Package
- Increase proportion of HS infants who are ever breastfed to 82%. | Change Package
- Increase proportion of HS infants who are exclusively breastfed at 6 months to 61%. | Change Package
- Increase abstinence from cigarette smoking among HS pregnant women to 90%. | Change Package
- Reduce proportion of HS pregnancies conceived within 18 months of a previous birth to 30%. | Change Package
- Increase proportion of well child visits (including immunization) for HS participants’ children between ages 0-24 months to 90%. | Change Package
- Reduce proportion of HS participants with elective delivery before 39 weeks to 10%.
- Increase proportion of HS participants who receive perinatal depression screening and referral to 100%. | Change Package
- Increase proportion of HS participants who receive follow up services for perinatal depression to 90%.
- Increase the proportion of HS participants who receive intimate partner violence screening to 100%. | Change Package
- Increase the proportion of HS grantees that demonstrate father and/or partner involvement (e.g., attend appointments, classes, infant/child care) during pregnancy to 90%.
- Increase proportion of HS grantees that demonstrate father and/or partner involvement (e.g., attend appointments, classes, infant/child care) with child 0-24 months to 80%.
- Increase the proportion of HS participants that read daily to a HS child between the ages of 0-24 months to 50%. | Change Package