Document Type

Capstone Experience

Graduation Date


Degree Name

Master of Public Health


Health Services Research & Administration

First Committee Member

Nizar K. Wehbi

Second Committee Member

Kathleen Brandert

Third Committee Member

Jungyoon Kim


State and local health agencies play a critical role in the assessment and assurance of public health in the United States. Their authority to shape the structure and delivery of health services makes organizational culture change imperative for the improvement of government services and ultimately, the health of the public. A systematic literature review using SCOPUS, PsycINFO, Business Source, and Academic Search Premier was conducted to 1) analyze organizational culture change efforts in United States federal, state, and local government settings and 2) make recommendations on how to implement organizational culture change initiatives in state and local health agencies. Of 742 articles in the initial literature search, 17 articles were reviewed. Key findings show that state and local health departments may 1) utilize the NACCHO Roadmap for Quality Improvement, 2) improve horizontal integration through increased employee participation, 3) enact comprehensive approaches which thoroughly address all elements of organizational culture and 4) align and promote the new culture throughout the organization.