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.
5
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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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
10
Commitment to evolving
growth and change in
ourselves, our sectors, cross
sectors,
in and with providers
and
the TQRIS system
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
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.
16
17
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
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
21
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.
22
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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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
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