Quality Improvement
It is critical that states create and support strategies that drive continuous improvement in quality of early childhood services and their delivery.
States are doing this through the creation of Quality Rating and Improvement Systems (QRIS) for early care and education settings and engagement in continuous quality improvement (CQI) processes. When engaging it quality improvement efforts, it is critical that attention is paid to the unique needs of infants, toddlers, and their families.

Illinois Targets Developmental Screening as a Model for Coordinating Services
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Louisiana Provides Home Visiting Professionals with Infant-Early Childhood Mental Health Supports
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Michigan Infant Mortality Reduction Plan
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Maryland’s Extended Individualized Family Service Plan Option
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North Carolina Pregnancy Medical Homes
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Nebraska Creates New Tax Credits to Support High Quality Early Care and Education
In 2016 Nebraska passed the School Readiness Tax Credit Act, creating two new tax credits designed to increase access to high quality early care and education (ECE) programs.
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Minnesota Builds an Early Childhood Mental Health System of Care
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Rhode Island Paid Family Leave
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Wisconsin Home Visiting Programs Address Adverse Early Childhood Experiences
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Ohio’s Early Childhood Mental Health Competencies and Credential
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Hawaii Is at the Forefront of Developmentally Appropriate Practice in Child Welfare
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New Jersey Implements Central Intake System to Coordinate Home Visiting Services
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Tennessee’s Gold Sneaker Initiative
Tennessee is enlisting child care providers in the fight against obesity with the Gold Sneaker initiative.
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Supporting Babies Through QRIS: A Self-Assessment Tool for U.S. States and Other Jurisdictions
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Putting the Pieces Together for Infants and Toddlers: Comprehensive, Coordinated Systems
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Help us continue the fight.
We need support from all areas of the country to achieve our goals for infants and toddlers.