Public Health Dissemination and Implementation Research to Improve Value (DIRECTIVE) Studies: Leveraging Practice Based Research Networks to Understand the Value of Public Health Delivery

This project seeks to examine and compare the interactions and differences in local health department (LHD) measures of Accreditation Readiness (AR) and Quality Improvement (QI) in three states (Colorado, Nebraska, and Kansas), based on varying system-level D&I support initiatives and the resulting social/professional network of LHDs and state-level partners. In addition, the project will examine differences in financial investment in the system-level D&I initiatives and the cost of discrete QI projects at the local level using methods from DACS projects. Finally, the project will examine the connection between LHD’s QI project topics, QI maturity and AR with related (and unrelated) service measures and health outcomes from a set of the measures developed in the MPROVE project. The purpose of this project is to understand the links between system-level D&I initiatives and investments and QI and accreditation activities at the LHD level.  The PARTNER team will partner to understand the overall relationship and also explore one important aspect of the casual pathway, network connections among LHDs and between LHDs, to understand how state-level partners can modify the relationship between system-level D&I investments/initiatives and LHD QI maturity and AR.


Funded By
Robert Wood Johnson Foundation

Research/Evaluation Area
Public Health Systems

Project Partners
Rachel Hogg, UK; Lisa VR, CALPHO