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Quality Rating Improvement Systems (QRISs) commonly offer on-site technical assistance (TA) and coaching to help early care and education settings achieve quality improvements and a higher QRIS rating. In surveys of administrators overseeing statewide QRISs, almost all states reported the use of on-site TA and coaching in both center-based and home-based settings. Coaching is also a key component of several pilot and local QRISs. While recently proposed definitions of technical assistance and coaching help distinguish these forms of quality assistance from other types of professional development it will be important to learn more about how on-site assistance is delivered and supported in QRISs. This report presents findings from an interview study with TA providers in 17 states that have statewide QRISs. The aims of the study are: (1) to learn about features of on-site quality assistance so that a key strategy used by QRISs to improve quality is better understood; and (2) to examine approaches used by TA providers in light of current research on early learning and quality improvement in order to consider the potential of on-site assistance, as it is currently being delivered, to improve quality.

Data collected by state and local agencies on young children and the programs serving them have enormous potential value. Families, service providers, policymakers, researchers, advocates and others can use these data to better understand children's needs, improve access to services, strengthen services, enhance the efficiency of services, and understand the short- and long-term impacts of services. In New York, as in most other states, this potential has gone largely unrealized. Early childhood data have typically been maintained in silos by agency and service — and sometimes by region — frustrating efforts to draw comprehensive, point-in-time pictures and comparisons. Usually, too, data have not been available longitudinally, hampering ability to follow children and services over time. All too frequently, data systems are under developed and fail to collect all the data that is needed for research and policy and program decisions. Recently, however, momentum to link early childhood data across agencies and across time is gathering in the states. A few pioneers — including Connecticut, Maryland, and Pennsylvania — have begun to integrate data systems for their state-funded prekindergarten and child care subsidy systems — linking child, program, and personnel databases. These states are also looking to develop linkages with other systems, notably health. Earlier, several states — including Wisconsin, South Carolina — built "data warehouses" to store, link, and provide access to historical data on services to children and adults. Federal actions are stimulating this movement. State Early Childhood Advisory Councils, established under the Head Start Reauthorization Act of 2008, are charged with developing recommendations for "establishing or improving core elements of the State early childhood system, such as a statewide unified data collection system." Statewide Longitudinal Data System grants, begun in 2001, at first focused on elementary and secondary education, but more recent grants, like New York's that began in 2010, include links to preschool data. Further, as a condition of receiving State Fiscal Stabilization Funds through the American Recovery and Reinvestment Act, all state education agencies have committed to build statewide longitudinal data systems to follow individual students from pre-school, through K-12 and postsecondary education, and into the workforce. Also, states successful in the Race to the Top education grant competition, including New York in 2010, had to show "significant progress" toward development of longitudinal P-20 data systems. A consortium of national organizations, the Early Childhood Data Collaborative, has convened to help states build, link, and use early childhood data systems. One of the Collaborative's first efforts has been to articulate a set of key policy questions that a well-crafted early childhood data system can help answer. Their initial questions focus on early care and education data, while anticipating subsequent links to data on other services. This report represents an important first step to help New York answer these questions through a coordinated early childhood data system.

Young children's health is essential to their overall development, well-being, and school readiness. Untreated health problems and a lack of preventive care contribute to higher rates of serious illness, absenteeism in preschool, physical and emotional distress, and even long-term disability. At a historic moment when the passage of federal health care reform promises significant improvements in health care access for many Americans, it is important to take stock of how well states are currently meeting the health needs of young children in low-income families. This brief presents information from NCCP's Improving the Odds for Young Children project about state policy choices in the following areas that affect the health and well-being of children, ages birth to 5: access to health care and continuity of care; maternal health care; and preventive screening and assessment. Relevant components of health care reform legislation are considered in a set of recommendations for meeting the short and long-term health care needs of young, low-income children.

Quality Rating Improvement Systems (QRIS) are now operating state-wide in 18 states. An additional 13 states are implementing QRIS in selected regions or as pilot initiatives. While highly varied in their specific features, these systems all use a set of interrelated strategies that aim to raise the quality of early care and education programs. These strategies include quality standards that programs must meet to obtain ratings at different levels, financial incentives for programs to meet quality standards, and assistance to help center-based programs and homebased providers improve the quality of supports for children's well-being and early learning. As these systems increase in number across the states, ongoing examination of their characteristics and impacts can inform efforts to strengthen them. This report presents findings from an interview study that investigated features of the professional development and on-site assistance available to center-based staff and home-based providers who participate in states' Quality Rating Improvement Systems.