Agile Project Charter Template
Project Name:ISDH Essential Service Continuous Quality Improvement Training Program
Project Manager:Kathy Weaver
Agency/Division:Office of Public Health and Medicine Partnerships
Document Author:Sue Hancock
15-10-09Original program charter
Agency Strategic Objective
The mission of Indiana State Department of Health is to support “Indiana's economic prosperity and quality
of life by promoting, protecting and providing for the health of Hoosiers in their communities.” Voluntary National
Accreditation for state and local health departments is scheduled to start in 2011. In order to actively pursue the ISDH
mission, to prepare to apply for its own accreditation, and to support local health departments in voluntarily preparing
for their accreditation, ISDH needs to expand the number of people with public health qualtiy improvement expertise
in the state and engage its programs and local health department partners in a process to promote continuous quality
The ISDH Essential Service Continuous Quality Improvement Training Program (CQI-T) aims to foster a culture
of quality improvement (QI) in the state and local health departments by developing a workforce that:
Values and supports continuous learning and program improvement
Disseminates and reinforces QI practices at minimal cost
Demonstrates knowledge and skills in QI techniques
Implements program improvement projects
Tracks project implementation; documents and reports improved service performance
Celebrates successful program improvement efforts
CQI-T has two strategic objectives: 1) to further disseminate, reinforce and build upon improvement experiences
(education and projects) initiated by Purdue Healthcare TAP through the Public Health System Quality Improvement
Program (PHSQIP), and 2) enable ISDH programs and local health departments to use data obtained through the
Continuous Quality Improvement Assessment and the National Public Health Performance Standards Local
Assessment (respectively) to improve their programs and prepare for accreditation.
Key Project Stakeholders
Dr Judy MonroeState Health CommissionerISDHChampion
Executive LeadershipDeputy Director, AC’sISDHSponsors
Kathy WeaverOffice Director, MLC-3 PIOPHMPProject oversight
Sue HancockESQI CoordinatorOPHMPProject implementation
MLC-3, State, Local
ISDH, IPHA, LHD’s,
ISDH, LHD WorkforceCustomersISDH
Participate in QI training,
State and Local PH
system QI initiatives
Project Purpose/Critical Success Factors
The purpose CQI-T is to build a program structure that provides ongoing, project-specific, public
health-focused education in quality improvement techniques to state and local health department
personnel. The education sessions this program will provide can be a subsequent step for ISDH
programs who have particpated in the ISDH CQI Assessment and for LHD’s who have conducted the
National Public Health Performance Standards local assessment, They can also be used as refresher
courses or “boosters” for counties who received QI training through PHSQIP.
The CQI-T Program will enable state and local personnel to increase knowledge and competency in quality
improvement techniques, launch improvement projects, and integrate improvement support mechanisms into their
work culture. Adopting a culture of continuous qualtiy improvement can potentially:
1.Decrease public health costs
2.Improve service efficiency and effectiveness
3.Improve employee morale
4.Help prepare for voluntary national accreditation (operational in 2011)
5.Increase local, state, and federal funding for public health services
The CQI-T Program will be considered successful in its first year if, by April 15, 2010:
ISDH brings public health quality improvement experts to Indiana to prepare 20 QI trainers.
One percent (1%) of Indiana’s public health workforce will receive basic education or are
refreshed in QI techniques (approx. 300 people, at a cost of $50/person ).
30 QI projects are initiated.
75% of projects are participating in ongoing educational activities (e.g. learning collaboratives)
that support their project work.
The CQI-T Program will be based on the Quality Improvement model, Plan-Do-Check-Act. The “Plan” phase
has culminated in this Project Charter, in which the “Do” phase is described. The CQI-T Program will be evaluated
(“check” phase) throughout the process with an overall evaluation completed by April 15, 2010 (see C. Evaluation,
below). These first three phases will be conducted with programs at the State Health Department and selected local
health department staff. In the “Act” phase beginning April 2010, ISDH will continue to dissmeminate QI training to
state programs and local health departments throughout the state, and devise a mechanism to replace trainers as
they are lost through attrition.
The CQI-T Program begins with expanding public health quality improvement expertise in the state.
Nationally recognized experts will come to Indiana and prepare a cadre of instructors who can then disseminate QI
techniques in the state and local health departments. The Public Health Foundation (PHF) has been identified as the
best candidate to provide this service. State program teams will also participate in the first two days of this training as
class space permits.
Training content will build upon lessons learned through PHSQIP. The ESQI Coordinator and the MLC-3 PI
will conduct 1-2 conference calls with PHF consultants to tailor their program to fit Indiana’s needs
A. QI Trainers
1.PHF will provide a three-day training session for trainers. The first two days will be a standard QI training
program. Prospective trainers will be formed into teams and assigned a hypothetical project on which to
work. In the first two days, PHF consultants will model how QI training should be conducted and trainers will
experience it from the trainee perspective. The third day will focus on facilitation skills.
2.The ISDH ESQI coordinator will contact trainers one week post-training and convene regularly afterward, as
their schedules permit. Discussions points will be as follows:
a.Potential targets (to host training sessions) will be established and trainers assigned.
b.Recruitment methods will be discussed, and marketing materials scheduled for production.
c.Methods to assess the specific needs of prospective QI trainees will be devised and tools
d.Training session adaptations will be shared among trainers.
e.Reporting mechanisms will be devised. These may include but are not limited to number of people
participating in training, number and type of QI projects identified, specific project metrics.
f.Evaluation tools will be discussed and generated.
3.The ESQI Coordinator and QI Trainers will execute marketing and recruitment plans, with the goal of
initiating 10 additional training sessions before April 15, 2010.
B. State and Local Program Staff
PHF will provide a two-day training session for state program staff on the use program improvement tools.
Staff will pre-select a project, based on CQI-A results, performance management goals, strategic plans or other
program requirements. Program staff and trainers will participate together in the first two days of PHF training.
The ESQI Coordinator will facilitate the following steps with ISDH staff post training:
1.Formation of collaborative groups that will engage in a shared learning experience (as encouraged by
MLC-3) by meeting regularly to share information and for continuing education.
2.A Share-point site will be established for projects to exchange QI project information online.
3.The ISDH Essential Service Quality Improvement Coordinator will collect data generated by projects,
monitor progress and constraints, and enter all on a master database.
4.Programs will prepare story boards on their projects to report progress to agency leadership and staff by
April 15, 2010.
As additional training sessions are provided, a similar process will be followed to organize collaborative
learning groups at the state and local levels.
The ESQI Coordinator will oversee evaluation of the CQI Training Program as follows under direction of the
1.An evaluation and pre and post-test will be conducted before and after the national expert training.
2.Evaluations will be conducted after each additional training and collaborative meeting. Pre and post tests will
be administered at the onset and completion of training sessions.
3.An overall evaluation of the CQI Training Program will be administered to trainers and collaborative
participants who have finished their projects by April 15, 2010. This evaluation will be repeated once per
year for trainers and at project completion for training/collaborative participants.
Data collected through these activities will focus on information learned and participant satisfaction, and will
be used to improve training processes. Program/service improvement data collected from QI project teams will serve
as impact data (see section B, #3).
Broader adoption of the continuous quality improvement ethic and practices will improve public health
service delivery and help state and local health departments to achieve accreditation.
Preparing Indiana QI trainers will expedite dissemination of QI practices at minimal cost. The initial training
investment will be spread across local/state training sessions over multiple years.
Public health QI experts are best suited to initially prepare state QI trainers because they can help trainers
learn to translate QI to the public health context.
QI training will be most effective if teams generate project ideas to work on during training sessions, and are
instructed in a small group environment with experiential learning activities.
State programs and LHDs will be receptive to participating in QI education.
Funding will be available for a staff person to manage the Train-the-Trainer program (market training
sessions, provide support to trainers, collect pertinent data, evaluate the program and institute changes as
required to improve the progam).
Personnel time: Public health workers may have difficulty justifying time away from their jobs to participate in
QI education activiites.
Lack of support from ISDH supervisors, county officials.
Lack of familiarity with the benefits of QI
Lack of interest in seeking voluntary national accreditation
Preliminary Budget Estimate
Basis of Estimate:
Expert trainers (PHF):$25,000
Total Project cost:$25,000
UIC Contribution: ($10,000)
Preliminary Milestone Schedule
Project EventEstimated Due Date
Project Charter approved5-31-09
Train-the-Trainer, initial ISDH training conducted6-15-09
Marketing plan for QI training developed8-15-09
ISDH collaboratives organized8-15-09
End-of-year progress update – Storyboards, initial ISDH group4-15-10
10 additional QI training programs in process or completed4-15-10
Learning collaboratives from additional trainings formed 4-15-10
Project evaluated 4-15-09
Project Sponsor (required)
Dr. Judy Monroe
Other Stakeholders (as needed)
Dr. Lou Rowitz, Univ of IL at Chicago