Quality Improvement Planning. Cyndi McAleer, M.Ed. Preschool Program Specialist, PA Key. Continuous Quality Improvement. What is it? Process of identifying, describing and analyzing strengths and areas for growth
Quality Improvement Planning Cyndi McAleer, M.Ed. Preschool Program Specialist, PA Key
Continuous Quality Improvement • What is it? • Process of identifying, describing and analyzing strengths and areas for growth • Developing a plan that includes benchmarks, timelines, assigned tasks and measurable goals for improvement • Testing and implementing solutions • Evaluating the results and revising the plan • Ongoing process by which to make decisions and evaluate progress
Continuous Quality Improvement • The philosophy of CQI • Grounded in the overall mission, vision and values of the program • Dependent on the active involvement of staff, families, children and other stakeholders at all levels • All programs can be improved • Plans and decisions based on objective data • Can be implemented at all levels of the organization
Continuous Quality Improvement • Living the CQI • Use the continuous quality improvement model to meet higher levels of quality by making small, incremental changes • Is most effective when it becomes a natural part of the way work is done on a daily basis “Change that lasts is slow and gradual” Kaizen
Continuous Quality Improvement • An effective plan • Should incorporate both a program’s plans for the future and • Identifies needed efforts to meet program compliance • Has identified areas and strategies for improvement • Incorporates new outcomes based on program hopes and vision • These should be joined together to • Create a CQI plan that is meaningful, achievable and ongoing
Continuous Quality Improvement • A continuous quality improvement plan is required for PA Pre K Counts & Keystone Stars • Should be a working document • Revised annually • Can, and should, be customized to work for the individual program • PKC CQI can be a sub-set of an existing strategic or quality improvement plan • Must be completed by each lead and partner • Is part of the review/monitoring process
Continuous Quality Improvement Plan Process • Before you begin - Set the Vision • Define what you truly want to achieve • A shared “picture” of the future creates ownership and commitment rather than forced compliance • Determine how it fits into your overall mission • What are the expectations of • Outcomes for children? • For professional practice and staff development? • How we strategically use program resources? • How we support quality and effective leadership?
The process Act Plan Do Study
PLAN • Define and analyze the current process • Ask these questions: • What is working well? Can it be improved? • What are the problems or challenges? • What are the sources of evidence? • What do we want to change? • What is the current process? • How do we know if our plan is successful?
PLAN • 4 components MUST be included • Sources of evidence • Variety of sources needed • Goals, Objectives and Strategies • What do you want to accomplish? • Clearly defined and measurable • Outline action steps • Timeline/Person Responsible • check in dates and dates for completion • Identify resources and supports needed • Follow-up/Ongoing Review • establish a procedure for ongoing review – at least annually • STARS – also requires alignment with a quality standard
The Plan • Sources of Evidence • Typical assessments that provide information about the quality of services in the facility • Feedback from ERS and monitoring visits, Self-assessments, PRI • Safety reviews • Program assessments – surveys, etc. • Strategic plan • Staff & Family input • Note: STAR 3 facility – 4 sources, STAR 4 - 5
Continuous Quality Improvement Plan Process • DO • Implement the Plan • Ask these questions: • Are the timelines working? • Is our follow up and implementation disciplined (are we “working the plan”)? • How do we embed follow-up throughout the year? • Are we executing the plan?
Continuous Quality Improvement Plan Process • STUDY • Evaluate, track and reflect on how the process for improvement is working and the results of the implementation efforts • Ask these questions: • How is the process working? • Was our plan successful? • What still needs improvement? • Are there mid-course adjustments needed?
Continuous Quality Improvement Plan Process • 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 • Celebrate successes and • Begin again….
The Plan • Format • There is no required format – use what works for you • Child care should follow the requirements in the STARS system • Plan Elements • Background Information • Facility information • Overall time frame for the plan (usually 1 year) • Facility size and projected grant requests (if applicable)
The Plan • Format - Goal Planning section • Setting goals is more than just deciding what you want to do- it’s figuring out what you need to do to get where you want to go – and how long it will take to get there! • Clearly written goals – one type per page • Identify if it’s short term or long term • Align with a standard or criterion • S.M.A.R.T.
The Plan • S.M.A.R.T. • Specific - who, what, where, when, which, why • Measurable – concrete criteria • Attainable – how will you go about reaching it? • Realistic - something which you are both willing and able to work towards • Timely – grounded within a time frame
summary • CQI • C – continuous. The process should be ongoing and be used periodically to review progress toward goals • Q – quality. The goal is to strive for higher and higher quality. • I – improvement – There’s always room to grow!