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 Using Quality Improvement Tools to Uncover the Root Causes of Health System Issues

​This presentation from the 2015 AMCHP conference focuses on the use of QI tools, such as a fishbone diagram, impact matrix and Plan-Do-Study-Act (PDSA) cycles, to identify and address root causes of health system issues.  It also demonstrates how QI tools for root cause analysis have been used by state Title V programs in the National MCH Workforce Development Center.

Presentation Content

9:40-16:15: An Overview on QI

18:22-37:25​: Impact Matrix Tool with state example from Mississippi

47:54-63:03: Implementing Changes & PDSA Cycles​



The National MCH Workforce Development Center is funded by a cooperative agreement (#UE7MC26282) with the Health Resources and Services Administration Maternal and Child Health Bureau.