WIC QUALITY IMPROVEMENT PROJECT

CAUSE & EFFECT DIAGRAM

1/16/13

CLIENT MOTIVATION
CLIENT SKILLS
Client doesn’t feel they need program though income-eligible CONSEQUENCES
Client lacks time management skills
Client’s preferred foods not covered WEATHER
Easy to reschedule an appointment
Uncomfortable using public service
Poor organization leads to forgetting appointments

Inclement weather: heavy rain, snow, ice, etc.

Vouchers difficult to use No penalty for missing an appointment
High-risk clients are often not reliable
Lack of motivation
WIC APPOINTMENT “NO SHOWS

Work schedule conflict No bus fare No texting system

Other: child illness, household emergency, competing demands Unable to leave a reminder message
No private vehicle

Client lives inefficiently

Parent working: difficult to bring child to appointment county and travel involves time-consuming or complicated bus routes
Only clients with voice mail get reminders

Schedule conflict: other children to care for and transport

Appointment scheduled too far out
TRANSPORTATION

CLIENT BARRIERS
APPOINTMENT SYSTEM

10/23/12