Better Decisions for Better Results

How Two Counties Are Improving the Quality and Consistency of Child Protection Investigations

Posted February 5, 2019
By the Annie E. Casey Foundation
Get the Full Report:
Download Report
Better Decisions for Better Results from the Annie E. Casey Foundation


This report, intended for child welfare leaders and staff, tells how two county agencies applied Continuous Quality Improvement processes to improve their decision-making processes and achieve better outcomes for children and families in their care. 

While both agencies — Ohio’s Cuyahoga County Division of Children and Family Services and Colorado’s Jefferson County Department of Human Services — employed a different approach, their paths to progress intersected in key ways. Each agency tracked and analyzed data on how cases are handled and also reviewed current investigations to gather feedback on patterns, anomalies and lessons learned. The agencies then used this information to improve their own policies and practices.  

Benefits of CQI reviews in Jefferson and Cuyahoga counties

Statements & Quotations

Key Takeaway

Better decision making + better frontline practice = better child and family outcomes

The goal? Ensure that frontline casework — particularly at a child welfare system’s point of entry — is consistent and values-driven. The blueprint for change? CQI reviews, an approach that helps agencies incorporate more voices, perspectives, data and rigor into their decision-making processes and then shift policies and practices accordingly to better serve children and families.