About the CDQii

In June 2013, the Mississippi State Department of Health (MSDH) Office of Preventive Health, Chronic Disease Bureau (CDB) was awarded funding through Centers for Disease Control and Prevention to prevent and control Diabetes, Heart Disease, Obesity and associated risk factors in Mississippi. The MSDH Heart Disease and Stroke Prevention Program (HDSPP) initiated a quality improvement initiative to assist with the challenges that arise in clinical practices that health care systems alone cannot control. Some of these challenges include promotion of broad reaching systems changes, the implementation of evidence-based practices and guidelines, health information technology (HIT) and team-based care. The goals of MSQII-2 are to:

  • Increase implementation of quality improvement processes in health systems.

  • Increase use of team-based care in health systems (Nurses, Pharmacists, Nutritionist, Physical Therapists, Patient Navigators, and Community Health Workers).

  • Increase use of lifestyle intervention programs such as Diabetes and Chronic Disease Self-Management programs.

  • Increase the use of health-care extenders in the community in support of self-management of high blood pressure and diabetes.

CDQII helps participating organizations improve patient outcomes in Hypertension, Diabetes and Coronary Artery Disease. 

The HDSPP convened subject matter experts (SME) and created the Mississippi Quality Improvement Initiative II (MSQII-2) Leadership Team. Through this invaluable collaboration, the MSQII-2 curriculum and a Funding Opportunity Announcement was developed in June 2014 to identify five (5) primary care organizations with multiple clinics: Three (3) Federally Qualified Health Centers (FQHCs), (1) Rural Health Clinic (RHC), and (1) Private practice clinic were awarded to participate in Cohort 1. Since the inception of the MSQII-2, the MSDH Office of Preventive Health, Chronic Disease Bureau (CDB) was awarded supplemental funding in 2015 to expand the initiative. Six (6) additional organizations with multiple clinics were awarded to establish Cohort 2: Four (4) FQHCs, one (1) RHCs, and one (1) Rural Hospital with multiple sites.

MSQII-2 is a systematic approach to healthcare quality improvement in which organizations and providers test and measure practice innovations, then share their experiences in an effort to accelerate learning and widespread implementation of successful change concepts and ideas.

The structure of MSQII-2 is based on the Institute for Healthcare Improvement (IHI) Breakthrough Series (BTS) Learning Collaborative model, which uses Associates for Process Improvement’s (API) Model for Improvement methods for organizational quality improvement. The Learning Collaborative model organizes multiple groups with varying needs into a process of group learning, where all teams use the model for improvement and learn from each other. The main components of the program model are the following:

  • Organize a team to improve care.

  • Attend Learning Sessions where experts share information and approached to improvement changes.

  • Implement and test changes following each learning session.

  • Share the teams’ results and lessons learned of the collaborative.

  • Widespread implementation of successful change concepts and ideas.


Since then, the program has been funded by CDC under a new Cooperative Agreement 1815 and been renamed to the Chronic Disease Quality Improvement Initiative (CDQii).  This name change is in response to the increase of co-morbidities impacting many Mississippians.  As a continuation of the successes garnered by the MSQII-2 the Mississippi State Department of Health’s, Heart Disease and Stroke Prevention team wanted to allow for the incorporation of other chronic condition into the program. Also, as a support of clinics to increase patient outcomes, the program has increased the use of Community Health Workers into the programs goals and activities. 

Funding for this internet site was made possible by the Centers for Disease Control and Prevention and activities are lead by the Mississippi State Department of Health, Heart Diseases and Stroke Prevention Program. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

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