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Quality Improvement


Oregon Guidance for the Provision of High-Quality Contraception Services: A Clinic Self-Assessment Tool

The self-assessment tool and strategy resource guide were created by members of the Oregon Preventive Reproductive Health Advisory Council, or OPRHAC, a collaborative of state, local, private and public health professionals. The tool is based primarily on the CDC MMWR Providing Quality Family Planning Services: Recommendations of the CDC and the U.S. Office of Population Affairs, an evidence based national guideline for quality contraception care.


The Strategy and Resource Guide that accompanies the tool is intended to help clinic staff understand and meet the measures included in the tool. The guide offers definitions, strategies, resources and additional citations all related to the provision of high-quality contraception services.

The purpose of this section is twofold:

  1. To enhance our collective Title X Family Planning Program efforts to address the Office of Population Affairs Program Priorities and Key Issues, specifically:
    • OPA Priority #1: Assuring the delivery of quality family planning and related preventive health services, where evidence exists that those services should lead to improvement in the overall health of individuals;
    • OPA Key Issue #1: Efficiency and effectiveness in program management and operations;
    • OPA Key Issue #3: Management and decision-making through performance measures and accountability for outcomes; and
    • OPA Key Issue #7: Data collection, such as the Family Planning Annual Report (FPAR), for use in monitoring performance and improving family planning services.
  2. To facilitate learning and sharing among local RH programs by highlighting QI success stories from the field.

In the spirit of continuous quality improvement, this site will be regularly updated to better meet local RH program needs. Please contact Lesli Leone Uebel, QI Coordinator, at with questions, requests for technical assistance and/or additional information, or contributions to this site.

Click here or here for a basic orientation to quality improvement for reproductive health programs.


RH Specific Tools

General QI Tools

Marion County

Marion County's Reproductive Health Coordinator, Jeanne Antonucci, gets kudos for leading the development and implementation of a logic model to change their sexually transmitted infections (STI) delivery model to incorporate Title X RH services for STI clients.  The changes have led to an increase in the number of Title X clients seen at the clinic, a corresponding increase in Title X grant funding, and more efficient use of clinic resources. Download the logic model here (pdf).

To share your story, contact Lesli Leone Uebel at .


The Public Health Quality Improvement Exchange (PHQIX) is a centralized communication hub dedicated to supporting quality improvement efforts in public health practices throughout the United States. Submit your own quality improvement initiative or search for interventions that might be relevant to your community.

The Turning Point Performance Management Refresh is a refresh of the Turning Point Performance Management Framework, the Performance Management Self-Assessment Tool, and From Silos to Systems: Using Performance Management to Improve the Public’s Health, by the Public Health Foundation. It addresses current challenges, including innovative practices, improves usability, and links the materials to current public health priorities, including public health accreditation.

Public Health Foundation offers training, information, tools and resources for strengthening the quality and performance of public health practice.

Oregon Public Health Division offers resources to assist state, local, and Tribal public health professionals in learning about quality improvement and accreditation.

Public Health Accreditation and Quality Improvement

The Public Health Accreditation Board (PHAB) is a nonprofit organization dedicated to improving and protecting the health of the public by advancing the quality and performance of Tribal, state, local, and territorial public health departments.

Continuous quality improvement: An ongoing effort to improve the efficiency, effectiveness, quality, or performance of services, processes, capacities, outcomes. These efforts can seek “incremental” improvement over time or “breakthrough” improvement all at once. Among the most widely used tools for continuous improvement is a four-step quality model, the Plan-Do-Check-Act (PDCA) cycle. ~ (National Public Health Performance Standards Program, Acronyms, Glossary and Reference Terms, CDC, 2007)

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