Continuous quality improvement is an important way to improve care for patients and ensure high quality care.  HRSA-funded health centers are expected to have ongoing quality improvement/assessment programs that include clinical services and quality management. CPCA is committed to supporting members in developing, implementing, and maintaining quality improvement programs and plans.

CPCA Training Opportunities

Quality Care Conference   Designed to disseminate best practices and share innovative projects that directly support quality improvement and practice transformation efforts.  This event will feature educational sessions on compliance, quality improvement, and health information technology. General keynote speakers will address important topics such as patient engagement, quality assurance/improvement, data collection and analytics, and the strategic use of technology to support the overall practice of effectiveness.
Integrated Care Summit
Focuses specifically on the integration of behavioral health & oral health. This interactive summit is designed to provide CHC leadership with opportunities, ideas, and resources to improve the integration of these critical components of patient care. This unique training opportunity will provide participants with an entire day of learning through engaging workshops and in-service trainings.

CPCA’s On-Demand Training Library
Offers health centers a collection of recorded trainings on a variety of topics relevant to quality improvement.  These webinars can be viewed by an unlimited number of staff people at a convenient time for all attendees. 

Patient Centered Health Home Initiative  
A training and technical assistance program that supports practice transformation across health center operations.  Through intensive coaching, access to recorded and live content, this program offers clinics a wide variety of training opportunities to meet their exact needs. The purpose of the initiative is to create an integrated strategy to support community clinics and health centers to achieve patient centered health home, improve health outcomes, and position CCHCs for ongoing participation in primary care delivery under health reform.

The Statewide Quality Improvement Committee  
Comprised of quality representatives from community health centers and regional consortiums. Their purpose is to map out and guide a statewide quality improvement vision and provide the infrastructure that is needed for a statewide quality framework.

Agencies that Support Quality

Accreditation Association for Ambulatory Health Care
Agency for Healthcare Research 
American Society for Quality 
Bureau of Primary Health Care, Health Center Quality Improvement 
California Quality Collaborative
Center for Care Innovations 
Institute for Healthcare Improvement 
QUALIS Health 
National Committee for Quality Assurance 
The Joint Commission 

Topic Specific Toolkits & Resources


NACHC - The Quality Management Plan: A Practical, Patient-Centered Template (
CPCA – Sample of Compliance Toolkit  
NCQA - HEDIS & Performance Measurement 
HRSA – Developing & Implementing a QI Plan  


Benchmarking – Benchmarking evaluates or checks something by comparison with a standard
Truven Health Analytics  
Benchmarks Plus 
Agency for Healthcare Research and Quality: Module 7. Measuring and Benchmarking Clinical Performance 
Healthcare Benchmarking in Hospitals: More Than a Scorecard 
Healthcare Financial Management Association: Benchmarking Tools for Reducing Costs of Care 
Benchmarking: A Method for Continuous Quality Improvement in Health 
Benchmarks and Threshold Used for Accreditation Scoring 

Cause and Effect Diagram (aka Fishbone or Ishikawa) - The fishbone diagram identifies many possible causes for an effect or problem. It can be used to structure a brainstorming session. It immediately sorts ideas into useful categories.   
Center for Medicare & Medicaid Services The Engine Room of Continuous Improvement 
Fishbone/Cause and Effect Diagram 
Building Your Cause and Effect Diagram 
Fishbone Diagram-Analysis Tool 

Continuous Quality Improvement (CQI) – CQI is a process of creating an environment in which management and workers strive to create constantly improving quality.
National Learning Consortium  
FRIENDS-National Resource Center for Community-Based Child Abuse Prevention 
The Science of Continuous Quality Improvement-Tools for Continuous Quality Improvement  
ASQ- Continuous Improvement 
Introduction to Continuous Quality Improvement Techniques for Healthcare Process Improvement
American College of Surgeons-Continuous Quality Improvement 

Failure Modes and Effects Analysis (FMEA) - A systematic, proactive method for evaluating a process to identify where and how it might fail and to assess the relative impact of different failures, in order to identify the parts of the process that are most in need of change.
Quality-One International 
FMEA Info Centre 
Gemba Academy-10 Steps to Creating FMEA 
Workflow Diagnostics-Failure Mode and Effects Analysis Training for Healthcare 
The Basics of Healthcare Failure Mode and Effect Analysis-Videoconference Course Presented by VA National Center for Patient Safety

Flow Charts – A diagram or the sequence of movements or actions of people or things involved in a complex system or activity
IHI-Flowchart Tools  
KLA Healthcare-Visual Flow Chart 
ACA Coverage Flowchart 

Force Field Analysis – A method for listing, discussing, and evaluating the various forces for and against a proposed change. 
NHS Institute for Innovation and Improvement
Driving/Restraining Forces & Equilibrium 
ASQ-Quality in Healthcare 
AHRQ Force Field Analysis 
Force Field Analysis Examples and Templates 

Lean Six Sigma – Six Sigma is a method that provides organizations tools to improve the capability of their business processes.  Six Sigma quality is a term generally used to indicate a process that is well controlled. 
Going Lean in Health Care 
Robust Process Improvement-Joint Commission Center for Transforming Healthcare 
Lean Healthcare Exchange 
Lean Healthcare West 
CA Healthcare Foundation-Getting Lean: A Journey Toward Better Health 
CareThe Use of Six Sigma in Healthcare 
Six Sigma Quality Resources for Healthcare 

Model for Improvement – A framework to guide improvement work. 
Improvement-Institute for Healthcare Improvement  
Web-Based Training  
Plan-Do-Study-Act: IHI Model for Improvement 
Quality Improvement Resources  
Health Care Quality Improvement: There’s an App for That  

Plan-Do-Study-Act (PDSA) - A method for conducting short, rapid tests of change.  
PDSA Summary
Testing for Improvement- HRSA 
PDSA Cycle Template 
PDSA Worksheet & Examples  

Root Cause Analysis – A method of problem solving used for identifying the root causes of faults or problems. 
Root Cause Analysis Summary-World Health Organization  
Framework for Conducting a Root Cause Analysis and Action Plan 
Six Sigma, Determine the Root Cause: 5 Whys 
Techniques for Root Cause Analysis: Source: Proc (Bayl Univ Med Cent). 2001 April; 14(2): 154–157. 
VA National Center for Patient Safety-Root Cause Analysis 

Uniform Data System - A yearly report of performance provided by health centers to the federal government. 
HRSA Health Center Data and Reporting

CPCA Staff Contact

If you have any questions, or need more information regarding quality planning please contact:

Allie Budenz, Associate Director of Quality Improvement
(916) 440-8170