This workbook helps States improve the quality of home- and community-based programs and supports (HCBS) programs. It will help users understand, design, implement, document, and monitor the components of a quality improvement (QI) process for HCBS programs. 

This workbook is arranged into the following chapters:

• Getting started
• Preliminary assessment
• Select a topic for the QI project
• Identify barriers and actions
• Define measures and data sources
• Develop and implement a QI work plan
• Monitor and reassess
• Report QI project results
• Move from the QI project to a QI program
• Appendixes
  • Brainstorming techniques
  • Priority-setting techniques
  • Web-based sources for practice guidelines
  • Published literature on HCBS programs
  • Statistical sampling
  • Report formatting
  • Michigan Core Measurement Set