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Quality improvement system growth

What is the pace of QIS growth over the past 22 years?

1Florida has multiple QIS operating on a county or local level.

As of fall 2021, 41 states plus DC had at least one fully-developed QIS. There are 45 total initiatives with full QIS profiles.

The first QIS began operating in 1997. Relatively few became operational during each subsequent year until a jump between 2006 to 2008. The rise in the number of QIS since can be attributed in part to the federal Race to the Top-Early Learning Challenge grant program, which started in 2011 and includes participation rates as a performance metric. During data collection in 2021, seven additional states (Alabama, Connecticut, Hawaii, Kansas, Missouri, South Dakota, and West Virginia) and four territories (American Samoa, Guam, Puerto Rico, and the Virgin Islands) were in the pilot phase or had not fully implemented their QIS. Two states (Mississippi and Wyoming) did not have a pilot or fully implemented QIS.