our initiatives


Current Initiatives

Cystic Fibrosis (CF) Pilot Learning Network

Shift-Results has been a long-standing partner with Cincinnati Children’s Hospital (CCHMC) on the design and pilot of the CF Learning Network. Over the 18-month idealized design process starting in 2015, Shift-Results collaborated with the Cincinnati Children’s project team, Cystic Fibrosis Foundation, and The Dartmouth Institute to engage diverse stakeholders from the CF community to design the learning network, prioritize key curriculum areas, create a dashboard of measures, and develop network key driver diagrams to illustrate the theory of change. The CF Learning Network launched in 2016 with 14 CF Programs and expanded to an additional 15 teams in 2017. Shift-Results continues to support the CF Learning Network by contributing to design and facilitation of learning events, quality improvement curriculum development and teaching, team coaching, operationalization of reporting, and creation of change packages.

Cincinnati Children’s Hospital Medical Center, Cystic Fibrosis Foundation & Dartmouth University

Caribbean Regional Quality Improvement Collaborative (CaReQIC)

CaReQIC is a multi-country network directed by the International Training & Education Center for Health at the University of Washington. CaReQIC aims to improve outcomes for people living with HIV in four countries. Shift-Results provided technical guidance and support to design and launch the network including supporting stakeholder meetings, developing technical content and learning session agendas. Shift-Results also led the introduction of an approach to engage people living with HIV in quality improvement which has been critical to the project’s success. Over the course of several years, Shift-Results team members built the capacity of local NGO and government staff to lead the project which has become a thriving and enduring learning community.



Building Equitable Learning Environments (BELE) Network

The BELE Network, funded by the Raikes Foundation, is a network of networks that encompasses 10 School Support Organization (SSO) Networks that joined together to advance equity in education. Shift-Results joined BELE in the second year of the initiative as a partner with the Billions Institute to provide expertise in network design and implementation as well as applications of quality improvement. Shift-Results joins the BELE implementation partners by supporting the design and facilitation of learning events, co-creating a network theory of change in a key driver diagram, building quality improvement capacity, and coaching SSOs on network development.


Home Visiting Collaborative Improvement & Innovation Network (HV-CoIIN) 2.0

HV-CoIIN 2.0 is a network directed by the Educational Development Center to scale the improvement of home visiting outcomes to 25 – 30 states or territories and 300 – 350 local implementing agencies. Shift-Results collaborated with HV-CoIIN implementation partners and faculty to build quality improvement curricula, coach teams, and provide Improvement Advisor support in an innovation collaborative. Shift-Results will support HV-CoIIN 2.0 scale efforts as well as a new collaborative to improve supports for families experiencing intimate partner violence. Shift-Results will also partner with HV-CoIIN stakeholders to provide tools and coaching to help state and local teams to strengthen partnerships with families to improve home visiting systems.



Design Options for Home Visiting Evaluation (DOHVE)

Shift-Results collaborates with implementing partners to build improvement capability and structures in home visiting systems. Examples of specific contributions include 1) designing and facilitating a virtual seven-month practicum to coach teams throughout a hands-on project to learn and apply quality improvement methods, 2) providing feedback and support on completing plans for continuous quality improvement in home visiting, and 3) creating a tip sheet and toolkit to partner with families in continuous quality improvement.



Erikson Institute’s Family Child Care Learning Collaborative Pilot

Shift-Results partners with the Erikson Institute to design and implement a pilot collaborative of family child care networks. This initiative invites ten family child care support agencies to form quality improvement teams comprised of agency staff and child care providers to improve care for toddlers in mixed-age group environments. The participating agency teams will test approaches with family child care providers to increase effective planning based on child observation, encourage peer support, and allow for more targeted technical assistance. With this support, providers will identify and test approaches that improve toddler engagement in mixed-age groups.


Examples of Former Initiatives

Zika Initiative

Shift-Results supported the Institute for Healthcare Improvement in the Zika Project funded by the United States  Agency for International Development (USAID) and delivered through the Applying Science to Strengthen and Improve Systems (ASSIST) Project.  Shift-Results partners with a team of improvement and content faculty to support teams in El Salvador with the application of quality improvement methods. Other improvement experts in Central and South America support teams in the Dominican Republic, Guatemala, and Honduras.



Un Bien Comienzo

Un Buen Comienzo (UBC) is a long-standing initiative funded and implemented by Oportunidad Fundación Educacional to improve the quality of early childhood education in Chile, especially for the most vulnerable populations.   Karen Zeribi supported UBC as Faculty for The Institute for Healthcare Improvement (IHI) on this initiative between 2012 – 2016. In this role, Karen helped the implementing partners to adapt and incorporate IHI’s Breakthrough Series collaborative model and quality improvement methods for the context in Chile.  Karen also supported the UBC team to design and execute a strategy to build local, self-sustaining improvement networks in local structures of the education system.