Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units
Abstract Background Implementation of quality improvement (QI) practices varies considerably among public health units (PHUs) in Ontario. With the emphasis on continuous quality improvement (CQI) in the revised Ontario Public Health Standards (OPHS), there is a need to understand the level of QI mat...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-10-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-021-00703-3 |
| _version_ | 1818575110194331648 |
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| author | Madelyn P. Law Alex Berry Nicole Clarke Graham Hay Caitlin Muhl Kelly Pilato Danielle Hunter Anna Larson |
| author_facet | Madelyn P. Law Alex Berry Nicole Clarke Graham Hay Caitlin Muhl Kelly Pilato Danielle Hunter Anna Larson |
| author_sort | Madelyn P. Law |
| collection | DOAJ |
| description | Abstract Background Implementation of quality improvement (QI) practices varies considerably among public health units (PHUs) in Ontario. With the emphasis on continuous quality improvement (CQI) in the revised Ontario Public Health Standards (OPHS), there is a need to understand the level of QI maturity in Ontario’s PHUs. The objective of this research was to establish a baseline understanding of QI maturity in Ontario’s PHUs. Methods The QI Maturity Tool - Modified Ontario Version was used to assess the state of QI maturity in 34 PHUs across Ontario. QI maturity was assessed through 23 questions across three dimensions: QI Organizational Culture; QI Capacity and Competency; and QI Perceived Value. QI maturity scores were classified into five stages: Beginning; Emerging; Progressing; Achieving; and Excelling. QI maturity scores were calculated for each of the 34 participating PHUs to determine their stage of QI maturity. Each PHU’s score was then used to determine the provincial average for QI maturity. Participants were also asked to answer three questions related to core CQI organizational structures. Results Across the 34 PHUs, 3503 staff participated in the survey. A review of individual PHU scores indicates that Ontario’s PHUs are at varying stages of QI maturity. The average QI maturity score of 4.94 for the 34 participating PHUs places the provincial average in the “Emerging” stage of QI maturity. By QI dimensions, the participating PHUs scored in the “Emerging” stage for QI Organizational Culture (5.09), the “Beginning” stage for QI Competency and Capacity (4.58), and the “Achieving” stage for QI Perceived Value (6.00). Conclusion There is an urgent need for Ontario’s PHUs to progress to higher stages of QI maturity. Participants place a high value on QI, but collectively are at less “mature” stages of QI in relation to QI organizational culture and the competency and capacity to engage in QI activities. PHUs should leverage the value that staff place on QI to foster the development of a culture of QI and provide staff with relevant knowledge and skills to engage in QI activities. |
| first_indexed | 2024-12-15T00:35:54Z |
| format | Article |
| id | doaj.art-7ad7bd3c7f1741048292b686a621213a |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-12-15T00:35:54Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-7ad7bd3c7f1741048292b686a621213a2022-12-21T22:41:48ZengBMCArchives of Public Health2049-32582021-10-017911810.1186/s13690-021-00703-3Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health unitsMadelyn P. Law0Alex Berry1Nicole Clarke2Graham Hay3Caitlin Muhl4Kelly Pilato5Danielle Hunter6Anna Larson7Faculty of Applied Health Sciences, Brock UniversityNorthwestern Health UnitNiagara Region Public HealthFaculty of Applied Health Sciences, Brock UniversityFaculty of Applied Health Sciences, Brock UniversityFaculty of Applied Health Sciences, Brock UniversityNorth Bay Parry Sound District Health UnitHalton Region Health DepartmentAbstract Background Implementation of quality improvement (QI) practices varies considerably among public health units (PHUs) in Ontario. With the emphasis on continuous quality improvement (CQI) in the revised Ontario Public Health Standards (OPHS), there is a need to understand the level of QI maturity in Ontario’s PHUs. The objective of this research was to establish a baseline understanding of QI maturity in Ontario’s PHUs. Methods The QI Maturity Tool - Modified Ontario Version was used to assess the state of QI maturity in 34 PHUs across Ontario. QI maturity was assessed through 23 questions across three dimensions: QI Organizational Culture; QI Capacity and Competency; and QI Perceived Value. QI maturity scores were classified into five stages: Beginning; Emerging; Progressing; Achieving; and Excelling. QI maturity scores were calculated for each of the 34 participating PHUs to determine their stage of QI maturity. Each PHU’s score was then used to determine the provincial average for QI maturity. Participants were also asked to answer three questions related to core CQI organizational structures. Results Across the 34 PHUs, 3503 staff participated in the survey. A review of individual PHU scores indicates that Ontario’s PHUs are at varying stages of QI maturity. The average QI maturity score of 4.94 for the 34 participating PHUs places the provincial average in the “Emerging” stage of QI maturity. By QI dimensions, the participating PHUs scored in the “Emerging” stage for QI Organizational Culture (5.09), the “Beginning” stage for QI Competency and Capacity (4.58), and the “Achieving” stage for QI Perceived Value (6.00). Conclusion There is an urgent need for Ontario’s PHUs to progress to higher stages of QI maturity. Participants place a high value on QI, but collectively are at less “mature” stages of QI in relation to QI organizational culture and the competency and capacity to engage in QI activities. PHUs should leverage the value that staff place on QI to foster the development of a culture of QI and provide staff with relevant knowledge and skills to engage in QI activities.https://doi.org/10.1186/s13690-021-00703-3Public healthQuality improvementQI maturity tool |
| spellingShingle | Madelyn P. Law Alex Berry Nicole Clarke Graham Hay Caitlin Muhl Kelly Pilato Danielle Hunter Anna Larson Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units Archives of Public Health Public health Quality improvement QI maturity tool |
| title | Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units |
| title_full | Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units |
| title_fullStr | Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units |
| title_full_unstemmed | Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units |
| title_short | Using the QI Maturity Tool – Modified Ontario Version to assess the state of QI maturity in Ontario’s public health units |
| title_sort | using the qi maturity tool modified ontario version to assess the state of qi maturity in ontario s public health units |
| topic | Public health Quality improvement QI maturity tool |
| url | https://doi.org/10.1186/s13690-021-00703-3 |
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