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Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e3181c2c7e0
The Future of Quality Improvement

Realizing Transformational Change Through Quality Improvement in Public Health

Riley, William J. PhD; Parsons, Helen M. MPH; Duffy, Grace L. MBA, BADS, LSSMBB, CQA, CMQ-OE, CQIA; Moran, John W. PhD, MBA, CQIA, CQM, CMC; Henry, Brenda PhD, MPH

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Abstract

Objective: This article discusses the specific components necessary to achieve transformational change within public health departments as a means for creating sustained performance improvement and better outcomes in the health of the community.

Design: This article provides a review of transformation change concepts and application to public health departments.

Results: Transformational change for public health departments must be intentionally designed to achieve high performance. While all improvement requires change, not all change results in improvement.

Conclusion: The successful transformational change effort always occurs from the top-down, while the process improvement occurs from the bottom-up. Transformational change is possible in public health departments when small incremental improvements are linked with large-scale management changes to continually improve public health performance resulting in better population outcomes.

© 2010 Lippincott Williams & Wilkins, Inc.

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