Measuring the Costs of Implementing QI Initiatives and Examining the Variation in Costs of QI Implementation among LHDs in Nebraska

Year: 2013
Funding: Delivery and Cost Studies (DACS)
Status: Completed

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The growth in quality improvement (QI) initiatives in local health departments (LHDs) brings with it a need for better understanding the implementation costs associated with QI activities. Led by the University of Nebraska Medical Center, the Nebraska Public Health Practice-Based Research Network is attempting to meet that need through a project that is measuring and estimating these implementation costs while also examining cost variation across LHD settings. Using both key informant interviews and surveys, investigators are collecting cost information on four specific LHD QI projects, following the procedures of economic evaluation to conduct the cost estimation and analysis. The resulting cost estimates and related tools will be valuable for LHDs that are considering similar QI activities, ultimately supporting better allocation of limited resources toward suitable initiatives. This study also will provide insights into the examination of scale economies for QI implementation, which will benefit LHDs nationwide.



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David Palm, Ph.D.  

Li Wu Chen, Ph.D.