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{"id":11141,"date":"2019-01-22T10:43:24","date_gmt":"2019-01-22T16:43:24","guid":{"rendered":"https:\/\/www.strivetogether.org\/?p=11141"},"modified":"2019-01-22T15:16:11","modified_gmt":"2019-01-22T21:16:11","slug":"creating-ripple-effects-building-a-culture-of-continuous-quality-improvement-in-arizona","status":"publish","type":"post","link":"https:\/\/readytango.com\/clients\/strive-together\/library\/creating-ripple-effects-building-a-culture-of-continuous-quality-improvement-in-arizona\/","title":{"rendered":"Creating ripple effects: Building a culture of continuous quality improvement in Arizona"},"content":{"rendered":"

Guest blog post by StriveTogether Cradle to Career Network member Cradle to Career Partnership<\/em><\/p>\n

In Pima County, Arizona, the number of 3- and 4-year-olds enrolled in high-quality early education rose from 16.4 percent to 21.5 percent over two years. But nearly 15,000 kids still don\u2019t have access to these programs.<\/p>\n

We need community leaders to act today before another generation of children enters school without the tools to succeed. Research shows that high-quality preschool levels the playing field and ensures children living in poverty enter school ready to learn.<\/p>\n

That\u2019s why Cradle to Career Partnership is part of the StriveTogether Prenatal to Age 3 Impact and Improvement Network. Through this initiative, six communities from across the country are connected and supported to develop quality continuous improvement practices to get better results for families and children ages 0 to 3. Our team from Tucson (Pima County, Arizona) relishes the intense learning opportunities and support provided by StriveTogether and NICHQ, with funding from the Pritzker Children\u2019s Initiative.<\/p>\n

Our goal is to increase the number of completed home visits with families served by two partner organizations, Casa de los Ni\u00f1os<\/a> and Child & Family Resources<\/a>. Through home visits, these organizations begin working with families early \u2014 sometimes even before a child is born. This early intervention supports child development and builds relationships, ensuring that children are well-positioned to start school and that families understand the resources available to them.<\/p>\n

Strategies to increase home visits include more training for home visitors, regular assessment of relationships between home visitors and families, better messaging and stronger engagement with fathers. We aim to increase visits by 10 percent by June 2019.<\/p>\n

\"\"<\/p>\n

The focus of our work through the Prenatal to Age 3 Impact and Improvement Network is to explore the connection between cancellations of home visits and family retention. Families that are more engaged and present at visits feel more connected and see the long-term benefits of preparing their child for school, leading to higher retention within home visiting programs. Our first strategy to explore the impact and causes of visit cancellations is to test a short feedback survey at the end of home visits.<\/p>\n

We are currently in the middle of participating in the impact and improvement network, an 18-month \u201cboot camp\u201d for continuous improvement, StriveTogether\u2019s unique brand of collaborative learning. We have finished several rapid-cycle improvement tests to see which strategies are most effective, and we\u2019ll do several more tests before taking what we learn to staff at our partner organizations.<\/p>\n

In addition to collaborative improvement tools and practices, we\u2019ve learned other lessons, including those described below.<\/p>\n