1. Continuous Quality Improvement: Our Desired State The Vision for Continuous Quality Improvement (CQI)

2. CQI – What it isn’t and what it is CQI is not a time limited project or initiative. It is the ongoing process by which an agency makes decisions and evaluates its progress. “A framework for implementation” Casey Family Programs & NRCOI

3. 6 Key Components to Sustaining CQI – Using Continuous Quality Improvement to Improve Child Welfare Practice: A Framework for Implementation (Casey Family Programs & NRCOI)  Organizational culture supports and actively promotes CQI.  The agency adopts specific outcomes, indicators, and practice standards that are grounded in the agency’s values and principles.  Agency leaders, staff, children, youth, families, and stakeholders receive training in the specific skills and abilities needed to participate actively in CQI.

4. 6 Key Components to Sustaining CQI – Using Continuous Quality Improvement to Improve Child Welfare Practice: A Framework for Implementation (Casey Family Programs & NRCOI) (continued)  Agencies collect qualitative and quantitative data and information from and about children, youth, families, and staff.  Staff, children, youth, families, and stakeholders review, analyze, and interpret qualitative and quantitative data to inform agency practices, policies, and programs.  Agencies use CQI results to improve policies, practices, and programs.

5. Mission and Vision Increase Safety Reduce Reliance on Out-of-Home Care Improve Permanency Increase Well-Being of Children, Youth and Families

6. A Framework for Leading and Sustaining Change Who’s driving change in a County- Administered, State-Supervised Child Welfare system? A locally-driven improvement process A state system designed to support and enhance an agency’s (private or public) ability to improve child and family outcomes

7. A Framework for Leading and Sustaining Change (continued) Shared process Focus on outcomes Shifting from compliance to quality Making connections

8. Phases of CQI

9. A Closer Look at Monitoring: Quality Service Reviews History and background Differences from round one QSR County experience

10. CQI Implementation: Next Steps Revisions to PA QSR tool, training, and process Jan – Sept 2010 Phased implementation of CQI across the Commonwealth beginning October 2010 (approximately 6-8 counties per phase) Phase One includes: Allegheny, Butler, Lackawanna, Philadelphia, Venango, and York counties. Upon completion of phase, each county will internally drive all 4 phases of CQI, including an internally lead QSR each year