the evolution of continuous quality improvement efforts in ...€¦ · the evolution of continuous...

Lisa A Ferretti New York State Quality & Technical Assistance Center

https://ceacw.org/qtac

The Evolution of Continuous Quality Improvement Efforts in New York State

September 2013

In the beginning…

There was

program fidelity…

Then quality assurance and improvement…

Then the RE-AIM framework…

AND THEN…the birth of Continuous

Quality Improvement in New York State

Building a bridge while you’re walking across it!

Bringing Order to Chaos

Plan Framework

Are we serving our

target population?

Are the programs having the

desired effect?

Are the programs

embedded within quality

structures?

Is delivery consistent

and faithful?

Are resources sufficient to

support ongoing effective delivery?

Reach Efficacy Adoption Implementation Maintenance

The Role of Multi-tasking

Process Improvement

Plan Design/revise

process components

Do Implement the

plan and measure performance

Check Assess and report

the results to your team

Act Decide what

needs to change to improve the

process

The CQI Cycle

Practical and Unsolicited Advice

Learn from your mistakes (and others)

Be ready to change and apply what you’ve learned

Don’t assume because everyone agrees there won’t be resistance

Don’t hold on too tight to your ideas when others may have better ones

Lessons Learned #1

You can’t know what you don’t know

If you try you will learn what you don’t know

Then you can adjust…and learn some more

Practical and Unsolicited Advice

K I S S – Keep It Super Simple

Use grace not force!

Get a great tracking system

Develop partners to help you meet your goals – share the joy and the pain!

Lessons Learned #2

Too much of a good thing isn’t necessarily a good thing

Too little doesn’t help either

Balance is key – identify common goals and indicators (multi-tasking CQI)

It’s all about balance

Positive Impact

Sustainability

Delivery Workforce

Marketing/ Referral Partners

Funders Consumers

Implementation Sites

High Quality Programs

System Delivery Partners

Program Fidelity

It’s all ab

ou

t balan

ce!

Lessons learned…

You can reach us by email at QTAC@albany.edu

or toll free at 877-496-2780