The Nature of CQI

It is a Culture

And

A Plan

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Muriel Wong

CQI Consultant

February 24, 2015

How a CQI

System is built…. Vision

Goals

CQI Plan

People

Quality Improvement System

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How a CQI

System is built…. Vision

Goals: Efficient Processes and

Good Outcomes for Children

CQI Plan

People: LEADERS-Trustworthy, Trusting of others, Approachable and Inspiring

STAFF: Trustworthy, Trusting of others, Collaborative and Committed

Quality Improvement System: Trained Staff, Teamwork, Recognition, Data Analysis, Client /Customer Focus, Empowered Staff, Problem

Solving, Quality Processes, Measurement Systems

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CQI Organizational Culture

• Organizations and/or system are proactive

and support continuous learning.

• Continuous quality improvement is firmly

grounded in the overall mission, vision, and

values of the agency/system.

• it is dependent upon the active inclusion

and participation of staff at all levels of the

agency/system, children, families,

agencies, staff and stakeholders throughout

the process

CQI Culture Considerations

Regularly look at the outcomes being measured and the

tools used to measure the outcomes to see if they need

revision.

As system matures with added new services, supports or

policy changes, and/or new knowledge, it is incumbent

on a continuous quality improvement system to adjust

the benchmarks and outcomes it seeks to learn about.

Continuous quality improvement program

goals/measures are aligned, so you can show how the

continuous quality improvement program contributes to

the larger goals of a program, sector, region, state.

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CQI… System thoughts

Leaders must look at the big picture and

interpret of events from a system view

Leaders need to communicate change that is

clear to the people who are impacted by the

change

Issues, quality problems result from the fault of

the system – agency staff are the key to

improvement efforts

CQI system is a jigsaw puzzle…many parts that,

together represent the system

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CQI is what you do everyday….

• Provide the best possible environments and

meaningful learning experiences for the

children and families

• Go beyond meeting the basics.

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Which means……

Children

are the

outcomes

and the

focus of our

work

together.

9 Standards/outcomes are the

foundation of TQRIS

program work. They serve as

the guideposts leading

efforts within the context

and consideration of the

people they touch - first and

foremost -children, families,

staff, directors/providers,

sectors, regions and state.

Change,

Continuous

learning and

development is

embraced

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Commitment to evolving

growth and change in

ourselves, our sectors, cross

sectors,

in and with providers

and

the TQRIS system

Knowing thyself, your

audience is essential

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It is WE,

NOT Us

and Them

12 Strength based

approach to building

and sustaining

respectful, collaborative

relationships and

interactions with and

among providers,

children, families,

colleagues,

sectors, regions, and the

state .

The Experts: Program Staff 13

About their programs

About the children and

families in their programs

About what they do

everyday

About their work

environment

Acting Locally

Quality Efforts

Importance of using CQI in

our quality work with

programs.

Keeps us all focused on

what matters in a

program… how to best

meet the needs of young

children, their families.

The Culture of CQI…

A CQI environment is one in which data is

collected and used to makes positive

changes—even when things are going well—

rather than waiting for something to go wrong

and then fixing it.

CQI is an ongoing process that involves the Plan,

Do, Study, Act cycle.

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Define what you truly

want to aspire to.

Include staff in

developing a shared

picture of the future.

Fosters commitment

rather than compliance.

Develop a

Shared

Vision

Set a Vision

A. Plan

B. Do

C. Study

D. Act

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Define what you truly

want to achieve.

Include staff in

developing a shared

picture of the future.

Fosters commitment

rather than

compliance.

Develop a

Shared

Vision

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Plan

What is working well for

children and families?

Can these be improved?

What is the problem or

challenge?

What do we want to

change?

What is the current process?

What needs improvement?

Define and analyze current

processes using data to help guide….

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Do

Ask:

What do we want to have happen?

What changes need to be made?

What do we need to know and be able to do?

Who will make it happen?

How will we know if our plan was successful?

Develop Continuous

Quality Improvement

Plan

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Study

Ask:

How is the process

working?

Was our plan successful?

What still needs

improvement?

Celebrate successes!!!

Implement the

CQI Plan and

study the results.

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Act

Incorporate changes,

improvements and adjustments

into the CQI process for the next

round

Write/revise policies and

procedures that support the

changes

Develop strategies to embed

the improvements into

operations

and

Begin again......

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•As a team, share and review data

•Identify what is working, needs more improvement

•Celebrate successes

•Integrate successful practices

•Determine what more needs to be learned and do

•Revise, modify and add to plan and begin again..

•Put the plan into action

•Build staff knowledge and capacity

•As a team, meet often to reflect on how things are going and document progress

•Gather Information

•Determine goals, action plan and assign tasks

•Decide on how success will be measured

PLAN DO

STUDYACT

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CQI efforts are driven by

data

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PLAN -Collect data and establish a

baseline – what is the process now What do we need to focus on?

DO – Make changes designed to better support children, families,

staff and the program based on

standards and document efforts

and progress.STUDY – Study the effect of these on

children, families, and programs . Collect data on the new

process and compare to the baseline.

ACT – If the results are successful, standardize the

changes – as part of the daily routines. Plan to work on

further improvements, and what needs to be

learned next

Goodness

of Fit:

Data and CQI

process

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Our translating needs

to focus on

How the results impact the

development, learning, and teaching of

young children and their families.

How this influences professional

development and learning opportunities

for continuous improvement and

professional growth

Why is CQI

Important?28

Those closest to the work are the “true experts.”

All staff are actively engaged in assessing the

program and making improvements based on

those assessments.

Does not seek to blame but to improve the way

things are done

Most effective when it becomes a natural part

of the way everyday work is done.

CQI

is…

29Not a destination, but a journey

A shift from product to process

Believing program staff are the

experts of their programs

Families are the child experts

Plans are based on objective

data and other information

Grounded in the mission, vision of

a program

Everyone is responsible and is part

of the CQI Process

Without continual growth and progress,

such works as improvement, achievement,

and success have no meaning.

Benjamin Franklin

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