Performance Improvement 2013-2014. What is the Importance of Measuring Implementation at Multiple System Levels and What are Proposed Tools for Doing So?


Early childhood interventions are increasingly imbedded in larger, multi-level service delivery systems, such as Quality Rating and Improvement Systems (QRIS) and home visiting initiatives. Within these systems, implementation of program-level interventions occurs and is supported at multiple levels—national, regional, state, community, implementation agency, classroom and home—and involves multiple partners and stakeholders. Researchers examined the importance of assessing implementation at multiple levels and suggests tools for facilitating multi-level assessment of implementation.

To ensure implementation of early childhood interventions with fidelity, implementation strategies must be aligned and coordinated across system levels. Two illustrative examples were developed of early childhood interventions with cascading logic models that identify implementation strategies and desired outcomes at each system level to facilitate alignment and sequencing of implementation activities. Researchers suggested that implementation constructs be measured at each system level and identified examples of measures. Implementation teams were identified as a key strategy for improving and aligning implementation quality across levels, along with examples of how these teams use implementation information collected across levels.

Report Title: Measuring Implementation of Early Childhood Interventions at Multiple System Levels
Agency Sponsor: ACF-OPRE, Office of Planning, Research and Evaluation
Federal Contact: Ivelisse Martinez-Beck, 202-690-7885
Performer: Child Trends
Record ID: 10144 (June 6, 2013)

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"PerformanceImprovement2014.pdf" (pdf, 671.65Kb)

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