Coalition staff participates in statewide home visiting quality improvement initiative

Coalition CQI Coordinator Cyndia Estime was selected to be a lead representative on the Florida Maternal, Infant & Early Childhood Home Visiting (MIECHV) Program State Continuous Quality Improvement (CQI) Team. This new responsibility includes making decisions to improve home visiting programs across Florida.

Florida MIECHV is a federally-funded program that aims to improve health and developmental outcomes for at-risk children through evidence-based home visiting programs. The Coalition implements the NEFL Nurse-Family Partnership program through MIECHV.

CQI is a process that tests each possible solution to a problem, picks what works best and turns it into policy. CQI is beneficial for the processes of home visiting because data-driven reports help staff see where a program is lacking and why.

When Cyndia started in her position, the NEFL Nurse-Family Partnership was one of two FL MIECHV programs represented on the National CQI Team under the Home Visiting Collaborative Improvement and Innovation Network (CoIIN) for three years, along with the Pinellas County Parents as Teachers program.


The CQI team presenting in Tampa in 2017, Cyndia is second from the right.





During that time Cyndia learned about CQI through evaluating data involving:

  • 2015-2016 – Improving breastfeeding rates among clients *The Northeast Florida data that Cyndia reported on was published in national records.
  • 2016-2017 – Improving family engagement and the retention of both clients and services
  • 2017-2018 – Improving child development screening rates, while making sure that clients are getting the extra services needed if their child has a developmental delay

When the three-year term of the National CQI Team finished, FL MIECHV programs’ staff voted on creating a State CQI Team so that improvement can be centered on the region. Cyndia is ready to lead these efforts based on her three years of experience.

Judi Vitucci, FL MIECHV CQI Consultant, mentored Cyndia while she was learning the ropes of CQI.  During CQI trainings across the state, FL MIECHV leadership staff enjoy calling on Cyndia to answer questions and including her pictures and Northeast Florida data in many PowerPoint presentations.

Cyndia is thrilled to take on the role as it includes lots of travel and educational trainings, learning sessions and workshops led by content experts.