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QI Example: Central Michigan District Health Department


This is an excellent resource for those LHDs with more advanced-level experience with quality improvement (QI) that are ready to infuse a culture of QI within the agency. The Central Michigan District Health Department (CMDHD) used QI techniques, such as a Fishbone Diagram, in order to spur several new initiatives. In addition to implementing an agency-wide QI plan, CMDHD developed: a process to accurately account for family planning supplies that are received in clinics and dispensed to clients; a process to increase the adherence of taking prescribed HIV medications by HIV+ individuals enrolled in CMDHD's HIV Continuum of Care Program; and a process to annually review critical food violation rates and how they can be reduced.

Primary Toolkit:

Quality Improvement Toolkit

Keyword Area:

Quality Improvement


Institutional Author:

Central Michigan District Health Department (MI)





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.