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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

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

In Brief

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.

Author Information

William J. Riley, PhD, is Associate Dean, School of Public Health, University of Minnesota, Minneapolis.

Helen M. Parsons, MPH, is Research Assistant and PhD Student, Department of Health Policy and Management, University of Minnesota, Minneapolis.

Grace L. Duffy, MBA, BADS, LSSMBB, CQA, CMQ-OE, CQIA, is President, Management and Performance Systems, Tavares, Florida.

John W. Moran, PhD, MBA, CQIA, CQM, CMC, is Senior Quality Advisor, Public Health Foundation, Washington, District of Columbia.

Brenda Henry, PhD, MPH, is Program Officer, Robert Wood Johnson Foundation, Princeton, New Jersey.

Corresponding Author: William J. Riley, PhD, School of Public Health, University of Minnesota, D-383 Mayo, MMC 197, 420 Delaware St SE, Minneapolis, MN 55455 (riley001@umn.edu).

Disclaimer: The authors disclose no funding support.

© 2010 Lippincott Williams & Wilkins, Inc.