our work

We unite caring with discovery to support the creation of equitable and inclusive communities of change. 

Our experience in designing and implementing quality improvement projects includes a broad range of social service areas. 

Building Equitable Learning Environments (BELE) Network

Funded by the Raikes Foundation, the BELE Network is a conglomerate of ten education intermediary organizations that joined together to advance equity in education in schools and districts served by their models. Shift-Results co-leads the network learning arc and event design with The National Equity Project, manages the network and its deliverables, and works to build the expertise of participating intermediary organizations to design and run quality improvement networks with a specific focus on equity in education. 

Erikson Institute’s Family Child Care Learning Collaborative Pilot

Shift-Results partners with the Erikson Institute to design and implement a pilot collaborative of home-based childcare networks. This initiative includes ten home-based childcare support agencies working on quality improvement teams comprised of agency staff and childcare providers focused on improving the engagement and integration of toddlers in mixed-age settings, and agency capability to support family childcare providers with enhanced technical assistance and peer support. 

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

Shift-Results 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 helps states, tribes, and home visiting programs identify, test, and measure the effectiveness of policies and practices that can make a difference for children and families. Shift-Results provides quality improvement curricula, team coaching, and supports the design of the national network infrastructure to improve home visiting outcomes. 


As part of the Home Visiting Performance Measurement & Continuous Quality Improvement (HV-PM/CQI) Technical Assistance Center, Shift-Results serves as national subject matter experts in continuous quality improvement and family leadership, providing technical assistance and coaching to state, tribal and territory home visiting systems to improve early childhood outcomes. In this role, Shift-Results reviews system level quality improvement plans and helps leaders to refine their aims based on baseline results, develop measurement strategies, and engage their local implementing agencies in the change process to test and adapt new ideas to improve home visiting outcomes.

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 designing and facilitating a virtual seven-month practicum to coach teams throughout a hands-on project to learn and apply quality improvement methods, providing feedback and support on completing plans for continuous quality improvement in home visiting, and creating a tip sheet and toolkit to partner with families in continuous quality improvement.

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 aimed at improving 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 as a thriving and enduring learning community.

Un Bien Comienzo

UBC is a long-standing initiative funded and implemented by Oportunidad Fundación Educacional, with support from Harvard University, to improve early childhood education outcomes for the most vulnerable populations in Chile. Shift-Results supported UBC between 2012-2016 as faculty for The Institute for Healthcare Improvement, helping 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-Results supported the local team to design and execute a strategy to build local, self-sustaining improvement networks in participating school districts.

Cystic Fibrosis (CF) Pilot Learning Network

In partnership with Cincinnati Children’s Hospital and the Cystic Fibrosis Foundation, Shift-Results supported the 18-month idealized design process for the Cystic Fibrosis Learning Network (CFLN). By engaging diverse stakeholders from the CF community to design the learning network, prioritize key curriculum, create a dashboard of measures, and develop network key driver diagrams to illustrate the theory of change, we launched the pilot network in 2016 with 14 CF Programs and expanded to 29 teams in 2017 showing improvement in process, care and health outcome measures.