Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama (Drs Fifolt and Preskitt and Mss Johnson and Johns); and Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (Dr Arbour).
J Public Health Manag Pract. 2022;28(1):E33-E36. doi: 10.1097/PHH.0000000000001080.
Continuous Quality Improvement (CQI) is the use of a deliberate and defined improvement process to advance organizational systems. Quality improvement in public health is increasingly widespread, but there are still limited examples of success or descriptions of developmental trajectories for building CQI capacity. The goal of this article is to add to the extant knowledge on the topic by describing one state's implementation of evidence-based CQI in the Maternal, Infant, and Early Childhood Home Visiting program between 2014 and 2019. On the basis of a systematic review of Annual Yearly Progress reports and semistructured key informant interviews, analysis yielded 3 themes that facilitated successful implementation of CQI in Alabama: starting small and building capacity; engaging in continuous and supported learning; and establishing and maintaining a culture of quality. This project demonstrates that CQI can help public health practitioners refine processes and grow capacity to best serve clients' diverse needs.
持续质量改进（CQI）是利用精心设计和明确的改进过程来推进组织系统。公共卫生领域的质量改进越来越普遍，但成功的例子仍然有限，也很少有关于建立 CQI 能力的发展轨迹的描述。本文的目的是通过描述一个州在 2014 年至 2019 年期间在母婴和幼儿家访计划中实施基于证据的 CQI，来增加该主题的现有知识。在对年度进展报告和半结构化关键知情者访谈进行系统审查的基础上，分析得出了促进阿拉巴马州 CQI 成功实施的 3 个主题：从小处着手并建立能力；持续学习并得到支持；以及建立和维护质量文化。该项目表明，CQI 可以帮助公共卫生从业者改进流程并增强能力，以更好地满足客户的多样化需求。
