The Improving Children’s Vision: Systems, Stakeholders & Support Collaborative is a project of the National Center for Children’s Vision and Eye Health at Prevent Blindness (NCCVEH) in partnership with the National Institute for Children’s Health Quality (NICHQ), and participating states.  Additionally, this project will draw on the wealth of professional and family advocate expertise found in the volunteer Advisory Committee of the NCCVEH. The Advisory Committee includes nationally recognized leaders in children’s health, vision care, public health, early education and childcare, vision research, and family advocacy. Beginning September 2016 through March 2018 we will test, share, and implement ideas to increase the detection, diagnosis, and treatment of vision problems in children ages 0-5 years old.  This project will employ expert-led QI principles and practices to accomplish the goals. Specifically, the project will use the framework of the Institute for Healthcare Improvement’s Breakthrough Series™ (BTS) learning collaborative model.  This exciting and challenging project will require state teams to engage with energy and skill to try new ways of delivering care that supports healthy vision in young children. Together, we will arrive at and spread ideas that will increase the early identification of vision problems for young children and ensure that every child receives the eye care they need.

It is the aim of this project to increase by 20% over 2011-2012 levels [according to the National Survey of Children’s Health measure] the proportion of children aged 5 years and younger who receive vision screening and diagnosis in up to 5 states by the year 2018.

The Improving Children’s Vision: Systems, Stakeholders, & Support Collaborative project is supported by a three-year grant from the HRSA- Maternal and Child Health Bureau. (HRSA grant number H7MMC24738.)

Public Health System Driver Diagram to Increase Detection and Diagnosis of Vision Impairment in Children Aged 5 Years and Younger

Public Health Systems Diagram

Participating States

States currently participating in the quality improvement collaborative include Arizona, Ohio and Wyoming.  States have convened teams of diverse professional and family stakeholders to implement their quality improvement work.  The Ohio Team is seeking out ways to improve parent follow-up after a referral is made from a child’s vision screening.  The Arizona Team is exploring ways to improve the rates and quality of vision screening and referrals to eye care by primary care providers in four Community Health Centers.  Finally, the team in Wyoming is working to improve the approach and uniformity of vision screenings performed in 14 child development centers located throughout the state.


The goal of this collaborative is to achieve, in 18 months, improvements in the systems supporting children’s vision and eye health in carefully selected states. The result will be comprehensive and coordinated approach to children’s vision and eye health and a reduced incidence of vision problems in hard-to-reach populations of young children. This includes (but is not limited to) percentage of children receiving a vision screening or eye exam, access to eye care, key stakeholder education and engagement, enhanced data coordination, provider communication, and adherence to treatments.

This project will employ expert-led QI principles and practices to accomplish the following goals:

  • Strengthen statewide partnerships and coordination among key stakeholders in children’s vision and eye health
  • Increase access to and utilization of vision health services in hard to reach communities
  • Increase early detection and treatment of vision problems
  • Establish state-level surveillance
  • Implement vision health system measures of accountability