Author: Price, Alex; Schwartz, Robert; Cohen, Joanna; Manson, Heather; Scott, Fran
Title: Assessing Continuous Quality Improvement in Public Health: Adapting Lessons from Healthcare Document date: 2017_2_23
ID: 4ujw0mn1_30
Snippet: Implementer inclusion in decision-making was mixed. Although many public health unit informants cited participation in committees and working groups related to the CQI initiative, their influence over final decisions varied. In some cases, such as human papillomavirus (HPV) vaccination, public health agents were able to negotiate "more realistic" performance targets. 1 In other instances, local informants noted that the Ministry took a hard line .....
Document: Implementer inclusion in decision-making was mixed. Although many public health unit informants cited participation in committees and working groups related to the CQI initiative, their influence over final decisions varied. In some cases, such as human papillomavirus (HPV) vaccination, public health agents were able to negotiate "more realistic" performance targets. 1 In other instances, local informants noted that the Ministry took a hard line in making decisions despite concerns voiced by the field. For example, when a prescriptive OPHS protocol for tuberculosis follow-up was challenged because of evidence of alternative best-practice, requests to change the protocol were denied by provincial decision-makers. One Ministry informant corroborated this dynamic by stating their interest in the input provided by the field, but the decisions ultimately rested with those holding authority over legislation:
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