This paper is a starting point for collaboration with the Children’s Bureau to ensure that states receive the support they need to develop rigorous, sustainable National Continuous Quality Improvement (CQI) systems. The recommendations summarize what state and local agencies will need to build CQI capacity, both in terms of human capital and implementation. These include developing training curricula and needs assessment tools, data management support, and integrating CQI principles into planning, reporting, and funding documents.
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