From CCBHC Reporting to Continuous Quality Improvement

Collect

Capture the information required for the measure through workflows that staff understand and can perform consistently.

Validate

Confirm that the data are complete enough, internally consistent, and fit for the intended calculation before treating the result as performance.

Measure

Apply the documented specification consistently. Keep numerator, denominator, exclusions, timing, and version history visible.

Interpret

Ask what changed, for whom, where, and why. Compare with targets and prior periods. Separate likely performance issues from data-quality artifacts.

Act

If action is warranted, define the problem narrowly, identify likely causes, select an intervention, assign an owner, and specify what improvement should look like.

Monitor

Review whether the intervention was implemented and whether the measure changed. If not, determine whether the theory was wrong, implementation was weak, or more time or data are needed.

Close the loop

Document the decision and learning. CQI is not a collection of isolated projects. It is the organization's repeatable way of responding to performance information.