1. Plan for Continuous Quality Improvement, FY 13-14 Templates for Local Health Jurisdictions The following pages contain the templates that Local Health Jurisdictions may complete for their CQI Plan. Sites may contact the CHVP Quality Assurance Teams or CA-MCAH-HomeVisiting@cdph.ca.gov for assistance completing these plans. The chart-based format is intended to minimize the work necessary to develop a CQI Plan by reducing the actual writing and narration. The CQI plan demonstrates that the CQI process is site-driven and CHVP supported, and provides an opportunity for the CHVP QA Teams and sites to initiate a strength-based CQI process explicitly based on site needs and interests. Sites that wish to submit an alternate plan format should review the document “Required Components of a CQI Plan,” also available on the CHVP website and from the sources listed above. CA-MCAH-HomeVisiting@cdph.ca.gov

2. CQI Team CHVP QA Team, South Chris Borges (program), Erica Wilhelmsen (evaluation), Arlene Silva (nurse) NFP Local Liaison to CAB Fields marked with will be completed by sites Plan for Continuous Quality Improvement (CQI): Communication Chart, Staff

3. Narrative of CQI Process CHVP QA Team Tasks Primary CQI contact for the site Set up and facilitate CQI calls Facilitate development of CQI plan and team selection Facilitate ongoing, iterative discussions for identifying CQI topics, benchmark constructs, and/or program goals of interest Review CQI data on topics of interest and CHVP-identified areas of interest, format CQI Data Communication handout Use CQI data to inform discussions with sites Provide technical assistance on other CQI issues as needed (data completion, CAB activities, evaluation coordination, etc.) NFP CQI Tasks Primary National model contact for the site Conduct model- led CQI activities Fidelity to the model CAB Liaison Tasks CQI Team Tasks Develop CQI plan (completing this document) Identify program areas or benchmark constructs for initial CQI discussions Ensure data quality Generate, review, and discuss local CQI data from the ETO system, as needed Participate in ongoing CQI calls with QA team Produce automated CQI reports in the ETO system for semi-annual report Fields marked with will be completed by sites Plan for Continuous Quality Improvement (CQI): Tasks

4. Fields marked with will be completed by sites Community Advisory Board Overview Priority Areas Plan for Continuous Quality Improvement (CQI): CAB and Priority Areas