Smiling boy wearing lime colored shirt

Family Support Services: Cultivating a Culture of Quality

Start Early Washington’s Quality Improvement and Innovation Manager Camille Carlson, shares her approach to identifying changes that result in significant improvements for the home visiting field, families and children. She also shares personal experience that fuels her desire to improve systems of support.

August 14, 2023
  • Family Engagement
  • Innovation
  • Professional Development
  • Blog

Whether it is preparing an older sibling for the arrival of a new baby or potty training a toddler, Camille Carlson recognizes that everyone – whether they are aware of it or not – uses Continuous Quality Improvement (CQI) to improve everyday life. CQI is an invaluable reminder of the strength found in taking small, intentional steps. Therefore, it is important to break up the process into achievable goals – and celebrate the milestones along the way!

As Start Early Washington’s Quality Improvement and Innovation Manager, Camille Carlson’s approach to Continuous Quality Improvement (CQI) is instrumental in supporting home visiting services statewide. Through individual and group coaching, Camille guides professionals in the field toward providing the best possible services for children and families using tools to identify and test changes on a small scale. Together with CQI teams and Washington home visiting programs, Camille works to identify changes that result in significant improvements for the home visiting field, families and children, all part of Start Early Washington’s mission to create strong foundations necessary for more fulfilling work that continuously improves supports and resources available to families statewide.

A Beautiful Reminder

Camille uses her expertise to help home visiting programs deliver services relevant to the unique needs of the children and families they support. Her firsthand experience as a parent fuels her desire to improve systems of support for children, their families, and the teams of staff that serve them. Camille’s motivation for this work grew when she was pregnant with her second child. “During my pregnancy, I had the support of home visitors and supervisors at my fingertips. As I listened to home visiting professionals across the state discuss parent coaching and family observations, I started applying their valuable insight to navigate the changing dynamics of my life with two children. This process helped me gain confidence in my parenting skills, and it was a beautiful reminder that family is central to our work. I was overwhelmed by the support that was given to me and the confidence that it brought, which emphasized the importance of sharing such a positive experience with others.”

It's easy to get lost in big goals. If you focus on small steps, you feel like you are progressing toward your goal and more likely to sustain your gains while addressing other things.

— Camille
corner square square circle corner pie circle square

Connecting Data to Practice

Quality improvement is essential to providing successful home visiting services where staff collaboratively establish goals, reflect and create actionable steps for improvement. By adhering to a CQI process, home visiting programs can build strong relationships with families, make well-planned decisions and increase positive outcomes to achieve better support for children and families.

The ongoing, collaborative process draws on the expertise and experience of home visitors, supervisors, community partners and families. Although data points are a big part of CQI, Start Early Washington works toward cultivating a culture of continuous quality improvement rather than another set of requirements to check off for reports. “Since I’ve been in my role, we have seen an investment in a CQI culture. Teams have grown significantly, and we are beginning to see a sense of buy-in and excitement around the process.”

Camille shared her immense gratitude for the opportunity to work with and coach organizations that provide home visiting services to families across Washington state with the shared goal of creating positive change for the organizations and families that they serve, utilizing a CQI lens.

CQI tools support home visiting programs through activities and benefits such as:

  • Individual coaching and consultation for home visiting programs that guides problem-level improvement projects and supports data analysis or reporting
  • Group learning offers programs the opportunity to share and reflect on future improvement strategies
  • Facilitation and liaising with national CQI resources and initiatives

Over time, our goal is to develop meaningful partnerships with programs and families to improve systems of support and lifelong outcomes. Meaningful relationships can be fostered throughout the stages of quality engagement, all while building confidence and trust between providers and families as they work toward a common goal.

Explore more about Washington’s home visiting work and strategic tools.