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”