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TRANSCRIPT
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…
