Continuous Quality Improvement


Continuous Quality Improvement (CQI) serves as an integral element reflecting the commitment of WVHVP to continuously improve the quality of home visiting within the state. WVHVP will continuously strive to ensure high quality services provided to families in a safe, effective, family-centered, strength based and equitable fashion. Although the focus of CQI efforts may change based upon data driven decision making, the following will always be adhered to:

  • Evidence-based effective practices;

  • Appropriate services unique to community needs;

  • Innovative practices to meet identified challenges;

  • Model fidelity monitored on an ongoing basis; and

  • Home visitors and program staff empowered to seek information through ongoing feedback processes.

The key to success of the CQI process is leadership. A CQI State Leadership Team has been established. The CQI State Leadership Team provides ongoing operational leadership of CQI activities. The intent of the CQI State Leadership Team is to be the guiding force for facilitating program level CQI efforts. Using a voting process, the stakeholders determine which area to focus on for the current CQI session.

The local level CQI teams are charged with creating solutions to address areas where improvement is needed, as determined by the CQI State Leadership Team. The local level teams determine possible solutions based on their community, program structure, model and caseload. Local teams are responsible for planning, testing and reviewing possible solutions.

The CQI State Leadership Team meets quarterly or more frequently as needed. In addition, each local CQI team meets on a quarterly basis to review information provided. Local CQI teams have monthly “check-in” meetings (either face-to-face or via conference call) to discuss progress on current Plan, Do, Study, Act (PDSA) cycles. The responsibilities of the CQI State Leadership Team is to:

  • Establish measurable objectives using federally mandated benchmarks;

  • Update the CQI plan as needed;

  • Identify indicators of quality on a priority basis (starting small, focused on individual topics); and

  • Review data snapshots and share with local CQI teams, which summarize performance on the key indicators associated with processes and outcomes.

Roles of the local CQI team is to, at a minimum:

  • Oversee the CQI team and facilitate meetings and events;

  • Scribe to capture documentation and communicate to state/local teams, CQI steps, activities and/or outcomes using the CQI Progress Report; and

  • Technical experts to provide expertise on identified subject matter (domestic violence advocate, mental health consultants, etc).


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