Angela H. Peden

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CONTEXT Local health departments are increasingly challenged to meet emerging health problems at the same time that they are being challenged with dwindling resources and the demands of accreditation. OBJECTIVE To assess the capacity of Multicounty health districts to serve as "Quality Improvement Collaboratives" and support local health departments to(More)
BACKGROUND Public health agencies in the USA are increasingly challenged to adopt Quality Improvement (QI) strategies to enhance performance. Many of the functional and structural barriers to effective use of QI can be found in the organizational culture of public health agencies. The purpose of this study was to assess the impact of public health practice(More)
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