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Quality Improvement

The Lexington-Fayette County Health Department values continuous quality improvement, and as a result maintains a Quality Improvement (QI) Steering Committee, made up of staff representing various program areas within the department. This group of staff meets monthly and searches for new projects that will encourage the department to strive to find ways to improve efforts on-going within the department and to services delivered to the community.

Here are some highlights from some projects that committee has helped initiate so far:

    The Policy Management QI Project Team determined that an opportunity existed to improve the Lexington-Fayette County Health Department (LFCHD) policy development, review and revision processes beginning with the collection and organization of all LFCHD policies into one centralized electronic file system and ending with a clearly defined policy development, review and revision process. The team gathered policies from four different locations, determined which ones were no longer applicable to the current structure, and which ones needed to be updated. The team decided the best way to organize all policies was to place them in a Microsoft Access database, then make them available to all employees via the department's Intranet page.

    The team determined that allowing patients to schedule appointments up to 12 weeks in advance led to a DNKA rate of 42.6%. The goal was to decrease this rate to 10% by July 2012.

    The goal was reached once the Clinic moved toward same-day scheduling. This resulted in a better use of resources and improved clinic efficiency. As a result, three local health departments are adopting the same-day scheduling process and are reporting similar success.

    The committee determined there was an internal lack of knowledge among employees about various programs and services offered by different areas of the department due to a number of factors. The committee distributed an unannounced quiz to employees covering some of the most important facts about each department. Following the pre-quiz, the Communications Office rolled out a series of posts on the internal employee newsletter that covered each of these topics. Following the distribution of a post-quiz to employees, results showed improved knowledge and awareness across all program areas. Other items associated with this project included: the creation of a generic business card that can be used by any employee as a way to point the community to convenient point of contacts for information about the department and its services; policies asking the IT to make sure all listservs are up-to-date to make all employees have the same opportunity to view communications, and to HR requesting that a set desk/computer time be built into job duties; and more.


Other resources:


Helpful links: LexingtonKy.gov | Be ready, Lexington | CDC | Healthcare 411 | Healthfinder | KY Dept. for Public Health | KY Cabinet for Health & Family Services | KY Dept. for Medicaid Services
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Change in services: Effective May 20, 2014, we are able to provide childhood vaccinations (must live in Fayette County, be 18 years or younger and be uninsured or underinsured). Limited appointments are available daily Monday-Friday, and appointments can be made up to a week in advance by calling the Public Health Clinic at (859) 288-2483.

Our Public Health Clinic at 650 Newtown Pike is no longer able to see patients for the following programs: adult immunizations/physicals and breast/cervical cancer.

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