Accelerating social change worldwide.

Our Work

Our improvement experience spans continents and content areas, from improving cystic fibrosis treatment and decreasing maternal mortality rates to advancing equity in education.

“The way we do improvement science allows for innovation, complexity, multiple stakeholders. Tools are only as useful as the people who give input.”

Shay Bluemer-Miroite

Lead Improvement Advisor, Shift

Building Equitable Learning Environments (BELE)

DISMANTLING STRUCTURAL INEQUALITY IN SCHOOLS SO ALL STUDENTS CAN THRIVE

Race and class remain the most reliable predictors of students’ academic achievement, but the BELE Network is working to dismantle structural inequality in schools and create equitable learning environments where all students have the agency, opportunities, and tools they need to thrive.

Scope: 10 education intermediary organizations across the United States

Shift’s involvement: Shift joined the BELE Network team in 2017 to coach school intermediary organizations in using improvement methods across their networks of schools in service of their equity goals.  Shift’s role in the BELE Network grew to leading collaboration across partners, co-creating the BELE Network theory of change, and designing network learning structures to support collaboration and sharing across school intermediaries.

Services: Network Management, Improvement Methods, Network Design, Coaching and Facilitation

Partners: Raikes Foundation (Funder), The National Equity Project, University of Chicago Consortium, PERTS

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

IMPROVING THE HEALTH, WELLBEING, AND SAFETY OF AT-RISK CHILDREN AND FAMILIES NATIONWIDE

Shift partnered with Education Development Center to design and implement the Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN), the first of its kind national quality-improvement collaborative. HV CoIIN 2.0 helps states and home visiting programs to accelerate the adoption of improvements in previously tested topic areas (maternal depression screening, access to treatment, symptom reduction, and early detection of and linkage to services for developmental risk), and developing and scaling improvements in new topic areas, beginning with intimate partner violence.

Scope250 home visiting agencies in 25 states and territories

Shift’s involvement: Shift supported the Education Development Center in HV-CoIIN 1.0 to identify, test, and measure the effectiveness of policies and practices that can make a difference for children and families. We currently support HV-CoIIN 2.0 in the application of improvement methods to their new topic area CoIIN, Intimate Partner Violence, and support the development of parent leadership in this work.

Services: Improvement Methods, Distributed Leadership, Coaching and Facilitation

Partners: Health Resources and Services Administration (HRSA) (Funder), Education Development Center (Lead Organization), Brigham & Women’s Hospital, Institute for Healthcare Institute, The Early Childhood Investment Corporation 

“The Shift team has done a ton of work globally, dealing with varied, challenging environments. This gives them a different perspective that is invaluable.” 

Sarah Myers

Formerly with ImproveCareNow

North Central Accountable Community of Health (NCACH)

TRANSFORMING REGIONAL HEALTHCARE FOR VULNERABLE POPULATIONS

By providing high-quality, cost-effective care that treats the whole person, North Central Accountable Community of Health (NCACH) strives to improve health outcomes, increase primary care access, and address the opioid epidemic across North Central Washington. 

Scope: North Central ACH is one of nine regions in Washington State funded as part of a statewide Medicaid Transformation Project funded by the Centers for Medicare and Medicaid Services, partnering with 17 healthcare organizations in 4 rural counties in eastern Washington.

Shift’s involvement: Beginning in the summer of 2018, Shift provided support for the design and scoping of support structures for the participating healthcare organizations with a main focus on quality improvement and practice facilitation. Shift supported WPCC in identifying the job description for and the hiring of new practice facilitators for the region, training the new facilitators in the Patient-centered Medical Home structures and the role of a practice facilitator in supporting clinic teams, and providing on-going support and observation of the new facilitators. 

Services: Improvement Methods, Coaching and Facilitation

Partners: Medicaid (Funder), North Central Accountable Community of Health

Home Visiting Performance Measurement & Continuous Quality Improvement (HV-PM/CQI)

CONTINUOUSLY IMPROVING HOME VISITING EFFECTIVENESS FOR YOUNG FAMILIES 

Using continuous quality improvement, HV-PM/CQI measures progress in legislatively mandated health benchmarks to bring data-driven strategy to early childhood home visits.

Scope: Home visiting programs in the United States

Shift’s involvement: As part of HV-PM/CQI Technical Assistance Center, Shift served as national subject matter experts in continuous quality improvement, providing technical assistance and coaching to state, tribal, and territory home visiting systems to improve early childhood outcomes.

Services: Improvement Methods, Coaching and Facilitation

Partners: Maternal Child Health Bureau, Health Resources and Services Administration (Funder)Education Development Center

 

Family Child Care Learning Collaborative Pilot

IMPROVING OUTCOMES FOR INFANTS AND TODDLERS IN HOME-BASED CHILD CARE

Home-based child care providers, a historically unrecognized sector of the early childhood field, often lack professional, strategic support. This two-year Learning Collaborative pilot supports 8-10 family child care networks in implementing innovative, expert-supported strategies to support improved outcomes for infants, toddlers, and their families.

Scope: 9 home-based child care networks across the United States

Shift’s involvement: Shift partnered with the Erikson Institute team on the design of the collaborative pilot and the creation of learning systems across the 9 family child care networks.  Shift teaches improvement methods and provides regular coaching to teams.

Services: Network Design, Coaching and Facilitation 

Partners: Pritzker Foundation (Funder), Erikson Institute

Un Buen Comienzo

INCREASING EARLY CHILDHOOD LITERACY 

High quality early childhood education can improve long term academic achievement, health, and employment, especially for families living in poverty. Un Buen Comienzo assists teachers in maximizing classroom instruction time with effective language instruction as well as school, district and community leaders to collaborate to reduce systemic barriers that prevent children and families from fully accessing quality early childhood education.

Scope: 60 under-resourced schools in rural and urban communities of Chile

Shift’s involvement:  Shift supported UBC between 2012-2016 as faculty for The Institute for Healthcare Improvement. Initially, Shift helped the local team to adapt the Breakthrough Series Collaborative model for the Chilean context and incorporate quality improvement methods into classroom coaching. As the improvement network matured, Shift supported the local team to design and execute a strategy to build local, self-sustaining improvement networks in participating school districts.

Services: Improvement Methods, Network Design, Network Management, Distributed Leadership, Coaching and Facilitation

PartnersOportunidad Fundación Educacional, Institute for Healthcare Improvement, Brigham & Women’s Hospital, Harvard University

Design Options for Home Visiting Evaluation (DOHVE)

BUILDING CAPACITY OF STATE AGENCIES TO LEAD IMPROVEMENT INITIATIVES 

Design Options for Home Visiting Evaluation (DOHVE) conducted a rigorous national review of the federally funded Maternal, Infant, and Early Childhood home visiting program to enhance data-driven decision making and bring evidence-based preventative care to families with young children. 

Scope: Nationwide

Shift’s involvement: Shift joined the DOHVE team in 2016 to design and facilitate a virtual practicum to teach improvement methods to leaders in programs in states, tribes, or US territories  that oversee early childhood home visiting programs. Shift facilitated the first two waves of the DOHVE practicum, building capacity in over 15 states. This practicum continues to serve as an important strategy to build improvement leadership among home visiting leaders.

Services: Improvement Methods, Coaching and Facilitation

Partners: James Bell Associates, Education Development Center, Brigham & Women’s Hospital, Administration for Children and Families  (Funder, in collaboration with the Health Resources and Services Administration.)

Caribbean Regional Quality Improvement Collaborative (CaReQIC)

IMPROVING OUTCOMES FOR PEOPLE LIVING WITH HIV ACROSS FOUR COUNTRIES

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.

Scope: Four countries in the Caribbean

Shift’s involvement: Shift provided technical guidance and support to design and launch the network. Shift 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 team members built the capacity of local organizations and government staff to lead the project which has become a thriving and enduring learning community.

Services: Improvement Methods, Network Design, Network Management, Distributed Leadership, Coaching and Facilitation

Partners: International Training & Education Center for Health at the University of Washington, The Patient Advocate Mission

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