The Diamond Project Case Study

Decent Essays
The Diamond Project is a statewide, cross-jurisdictional quality improvement project to improve how state and local public health agencies support the seven Vaccines for Children (VFC) tasks. These VFC tasks meet federal immunization grant requirements. DOH pays LHJs for their work on VFC tasks through the immunization part of the consolidated contract. The task processes are variable and unable to meet the current business needs of either DOH or LHJs. By streamlining and improving future service delivery models, project sponsors hope to achieve cost efficiencies, which could then be used to fund new evidenced-based strategies for increasing immunization rates.
What are the draft recommendations?
In the fall of 2016, the project team developed draft recommendations for service delivery models for the seven tasks. They also identified priorities for evidence-based strategies to improve
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* EMpower each region to identify their regional lead LHJ but facilitate selection through an application process for regions not able to reach consensus.
The team held a Kaizen event in march where The Centers for Excellence staff facilitated structured brainstorming sessions in small groups. Each of the 5 groups independently developed what they believed to be a feasible shared services scenario. Each scenario was analyzed for pros and cons by the full group and assessed for similiarities and differences. The team landed on the proposal above using modified consensus, and in consideration of the following rationale:
Achieve efficiencies and standardized work through a reduction of the number of LHJs doing the work
Potential to leverage opportunities with the ACHs
By empowering regions to select lead LHJs will encourage honest dialogue, foster trust and

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