ArticleThe Role of Quality Improvement in Disease Management A Statewide Tuberculosis Control Success StoryFos, Peter J. PhD, MPH; Lee, Jae Eun DrPH; Sung, Jung Hye ScD; Zuniga, Miguel A. MD, DrPH; Amy, Brian W. MD, MHA, MPHAuthor Information Professor and Dean, College of Health, University of Southern Mississippi, Hattiesburg. (Fos) Senior Analyst at Mississippi State Department of Health, Jackson. (Lee) Research Statistician at Mississippi State Department of Health, Jackson. (Sung) Associate Professor at Medical College of Georgia, Augusta. (Zuniga) State Health Officer at Mississippi State Department of Health. (Amy) Corresponding author: Peter J. Fos, PhD, MPH, College of Health, University of Southern Mississippi, 10075, 118 College Drive, Hattiesburg, MS 39406-0001 (e-mail: [email protected]). Journal of Public Health Management and Practice: May 2005 - Volume 11 - Issue 3 - p 222-227 Buy AbstractIn Brief This study describes Mississippi's statewide latent tuberculosis infection (LTBI) control management efforts to improve treatment outcomes using scientific quality improvement tools. LTBI medication completion rates were observed by month and by nine administrative health districts for a 12-month period. Analysis of variance (ANOVA) was conducted to see if there was any significant change between preintervention and postintervention in medication completion rates. Regression analysis was performed to test the linearity of change across the monthly rates. A change from a rate of 79.7 percent to 90.5 percent completion of the LTBI medication regimen was observed after the quality improvement intervention was instituted. During the quality improvement intervention, the mean reached 96.5 percent completion, followed by a slight decline at the end of the intervention to 90.5 percent. The analysis revealed that the mean LTBI medication completion rate across the nine administrative health districts was significantly increased and variability was decreased across all administrative health districts, with minor exceptions. A quality improvement team approach was shown to be effective in disease management by increasing LTBI medication completion. New baseline expectations can be established when quality improvement initiatives are implemented. This success can be linked, in part, to the use of scientific methods, precise and valid data, persuasive and clear goal setting, appropriate feedback, and ongoing monitoring. This article describes a study of Mississippi's statewide latent tuberculosis infection control management efforts to improve treatment outcomes using scientific quality improvement tools. The success of this program has been linked to the use of scientific methods, precise and valid data, persuasive and clear goal setting, appropriate feedback, and ongoing monitoring. © 2005 Lippincott Williams & Wilkins, Inc.