WIC QUALITY IMPROVEMENT PROJECT CAUSE & EFFECT DIAGRAM 1/16/13 CLIENT MOTIVATION Client doesn’t feel they need program though income-eligible CLIENT SKILLS Client’s preferred foods not covered Uncomfortable using public service CONSEQUENCES Client lacks time management skills Easy to reschedule an appointment Poor organization leads to forgetting appointments Vouchers difficult to use Lack of motivation Other: child illness, household emergency, competing demands Parent working: difficult to bring child to appointment efficiently Schedule conflict: other children to care for and transport CLIENT BARRIERS 10/23/12 Inclement weather: heavy rain, snow, ice, etc. No penalty for missing an appointment High-risk clients are often not reliable Work schedule conflict WEATHER No bus fare No private vehicle Client lives in county and travel involves time-consuming or complicated bus routes TRANSPORTATION No texting system Unable to leave a reminder message Only clients with voice mail get reminders Appointment scheduled too far out APPOINTMENT SYSTEM WIC APPOINTMENT “NO SHOWS”
