6130. Quality Assurance and Continuous Quality Improvement

Created onMay 08 2015


By: Jennifer Strus, Asst. Secretary

Effective Date: February 15, 1998

Revised Date: May 1, 2014

Sunset Review: June 2018

Purpose Statement

Children's Administration (CA) seeks to continuously improve the quality, efficiency, and effectiveness of culturally competent services provided to children and families. CA accomplishes this through quality assurance and continuous quality improvement efforts that include:

  1. Providing tools, expertise, resources, and training to support the pursuit of innovative improvement initiatives.
  2. Recognizing and respecting diversity.
  3. Focusing on improved client outcomes while fostering innovation.


RCW 43.88.090

Executive Order 97-03

Executive Order 13-04


  1. The HQ Quality Assurance/Quality Improvement (QA/CQI) manager has primary responsibility for quality assurance, including reviews that measure compliance with performance standards and oversight of continuous quality improvement efforts.
  2. Program Managers, Supervisors, Area Administrators, Regional Administrators, the Division of Licensed Resources (DLR) Administrator and the CA Headquarters Management Team use data to inform practice improvements through information driven decision making.
  3. Performance benchmarks are established in the areas of child safety, permanency, and child and family well-being.
  4. Quality Assurance (QA) and Continuous Quality Improvement (CQI) efforts engage staff (internal stakeholders) from all program areas and levels of authority as well as community and tribal advisory groups (external stakeholders).
  5. Training on the use of performance measure data and continuous quality improvement methods is available to all staff.


  1. Gather data to inform practice improvements from multiple sources, including but not limited to:
    1. FamLink
    2. Case reviews (central and targeted case reviews)
    3. External sources (e.g., Office of the Family and Children's Ombuds, federal child welfare reports, Administrative Office of the Courts)
    4. Surveys (staff, caregivers, etc.)
  2. Establish performance benchmarks and report agency performance regarding those benchmarks. Benchmarks support CA and DSHS strategic goals.
  3. Convene
    1. A statewide CQI Advisory Committee to meet regularly to provide oversight and consultation for QA/CQI activities. The  HQ QA/CQI manager will convene and facilitate these meetings.
    2. Local office QA/CQI committees to regularly identify and set goals for areas needing improvement. Goals may support CA and DSHS strategic goals or practice improvements identified by local offices QA/CQI committees. Regional and DLR Administrators will convene the local office QA/CQI committees and assign responsibility for those committees.
  4. CA Headquarters and regional QA/CQI staff will
    1. Provide training on the use of performance measure data and continuous quality improvement methods.
    2. Monitor achievement towards CA goals and strategies through tracking benchmarks, program expectations and performance measures.
    3. Support staff in quality data collection and reporting.
    4. Provide technical assistance for QA/CQI processes.

Forms and Tools

DSHS 10-495 Case Review Feedback Summary

DSHS 10-497 CQI Action Plan


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