During 2006, High/Scope worked with the Forum to provide training and technical assistance to several state and regional networks which are building quality improvement and accountability systems. In each community, High/Scope staff presented to local decision-makers and provided one- or two-day pilot training workshops for parishioners and program leaders. This report summarizes our initial reflections on how networks around the country are approaching quality assessment and improvement, the range of opportunities and challenges they face and the extent to which the Youth Program Quality Assessment (Youth PQA) has been useful in advancing that work.