States: Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming
Client(s): DHHS Office of Population Affairs
Service: Health Services Research and Evaluation
Technical Expertise: Reproductive & Women's Health, State and Local Public Health
Within the health care reform environment, quality improvement is considered a means of reducing health care costs by improving efficiencies, as well as health outcomes. Increasingly, sexual and reproductive health programs are making quality of care a top priority. Programs and providers are finding more and better ways to satisfy clients' needs and raise the quality of services while using resources more efficiently.
With an emphasis on client-oriented services, the core focus of JSI's Regional Quality Improvement Project (RQIP) was to build capacity to assess and improve quality of care. The JSI team collected performance measurement and quality improvement data via three audit instruments designed to measure specific quality indicators related to service delivery. Its innovation lies in the system's ability to address both Quality Improvement (process indicators and outcomes) and Quality Assurance (documentation of non-outcome chart information). All aspects of RQIP reflected the principles of Continuous Quality Improvement. The sampling and data collection methods, tools, and reports were assessed and improved regularly to better assist clinics in assessing their performance.
RQIP was based on a pilot project conducted in 2003. JSI/Denver, the Title X Family Planning Regional Office, and the Grant Directors recognized the importance of standardizing a set of quality improvement tools and using them throughout the Region to share quality outcomes for the purpose of performance improvement at all Title X Family Planning clinics throughout Region VIII.