Achieving Quality Improvement in Community Health Promotion Planning
community health action planning
plan quality index
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document Projects
Nature of the problem: Injuries are the most significant public health problem facing the U.S. Army. Injuries result in over 2 million medical encounters affecting over 300,000 personnel and are the leading cause of deaths, disability, and hospitalizations within the military. While the U.S. Army has directed implementation of injury prevention action plans at the community level, these plans are often poorly developed and not fully implemented. Literature Review: The relevant literature indicates that high-quality action plans are more likely to lead to positive outcomes. The Plan Quality Index (PQI) has been utilized in the civilian sector to review and improve obesity prevention plans, injury and violence prevention plans, cancer prevention plans, and others. This project implements the PQI to systematically assess U.S. Army injury prevention action plans in order to address gaps in their community health action planning process. Project Implementation: Implementation of the PQI led to the assessment of 17 injury prevention action plans. U.S. Army assets provided training on use of the PQI to leadership members of 6 commands that are responsible for the 17 installations. These leadership members utilized the PQI tool to assess relevant action plans according to the tool’s established criteria for high-quality plans. Assessment results were transferred onto scorecards to communicate—in a systematic manner—the improvements that the installations need to make in their action planning. Evaluation and Outcomes: The results identified a variation in the strengths of injury prevention action plans across the Army. The usability of the PQI was found to be very high, and results from the Injury Prevention Team (IPT) Lead Survey indicate that the PQI was a valuable tool and that quality improvement changes are in the process of being implemented. Results are also helping to inform additional opportunities within the Army to support injury prevention efforts at the community level. Recommendation: Establish the use of the PQI as a standard quality improvement tool for community health improvement planning consultation. Provide routine consultation to community health working groups such as IPTs to ensure they are able to implement high-quality plans and achieve high-quality outcomes. Provide recommendations for organizational and policy changes to support sustainability of IPTs across the Army. Implement a strategic approach to injury prevention across multiple installations, thereby improving the quality of community health action planning across the U.S. Army.
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