id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-024830-cql4t0r5	McMillin, Stephen Edward	Quality Improvement Innovation in a Maternal and Child Health Network: Negotiating Course Corrections in Mid-Implementation	2020-05-08		.txt	text/plain	6417	241	37	Following Mosley's (2013) recommendation, this paper examines in detail how a heavily advocated quality improvement pilot program for a maternal and child health network working in a large Midwestern metropolitan area attempted to make mid-implementation course corrections for a universal screening and referral program for perinatal mood and anxiety disorders conducted by its member agencies. By the middle of the program year, network meeting participants explicitly recognized that mid-course corrections were needed in the implementation of the new quality improvement and data-sharing program for universal screening and referral of perinatal mood and anxiety disorders. Regarding the second research question, concerning how advocacy targets needed to change based on the identification of the problem, participants agreed that the previous plan to reinforce the importance of the screening program to senior executives in current and potential partner agencies (McMillin 2017) needed to be updated to reflect a much tighter focus on the line staff actually doing the work (or alternatively not doing the work in the ways expected) in the months remaining in the funded program year.	./cache/cord-024830-cql4t0r5.txt	./txt/cord-024830-cql4t0r5.txt