Multistate Learning Collaborative: Lead States in Public Health Quality Improvement (MLC-3)

Dates: 2010-2011

State: New Hampshire

Client(s): National Network of Public Health Institutes, Robert Wood Johnson Foundation (RWJF)

Service: Health Care & Public Health Planning

Technical Expertise: Population Health, State and Local Public Health


The Robert Wood Johnson Foundation has made significant investments to advance public health system assessment and quality improvement (QI), through the The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement (MLC) initiative. During the MLC's six years, QI teams in each of the 16 participant states prepared for public health accreditation and applied QI practices to achieve specific and measurable goals related to public health capacity or process and health outcomes, such as increasing immunization rates or increasing the number of adults exercising in a community. New Hampshire was one of 10 states selected to participate in the second phase (MLC-2), and one of 16 states selected to participate in the third phase of the initiative (MLC-3). JSI’s Community Health Institute and the New Hampshire Division of Public Health Services co-led the New Hampshire team.

At the national level, MLC-3 brought state and local public health networks together with other stakeholders to prepare public health departments for national accreditation, contribute to the development of national voluntary accreditation, and improve public health services and community health by implementing QI practices. To support NH's advancement toward accreditation readiness, MLC-3 supported a 3-part statewide Public Health Regionalization Initiative assessment that included capacity, governance and financial components. A final report incorporating public feedback and including recommendations is in the process of publication.

MLC-3 also supported the development of a web-based performance measurement application for NH DPHS, a component of a broader performance management system currently under development by NH DPHS which will collect community and program level indicators of health and risk and monitor the performance of DPHS contractors. Supporting the use of QI practices in the community, MLC-3 convened 2 consecutive cohorts of 3 QI learning teams. The first cohort included stakeholders from community organizations to apply systems level solutions to reduce childhood obesity. The second cohort applied QI techniques to public health systems engaged in supporting tobacco cessation among pregnant women in NH.

Read this story about NH MLC-3 work: New Hampshire: Success brings Success