A demonstration level quality improvement project (DQI) offers SBHC teams practice and mastery of QI tools to improve fundamental clinical practices, and includes sites visits from Envision New Mexico staff working as part of a “QI Team” plus relevant webinar training sessions. The DQI cycles are intended to focus on QI skills and to prepare SBHCs to move into more advanced QI. The content area choice at this level is Early and Periodic Screening, Diagnosis and Treatment (EPSDT – Annual Exam) completion. This area is considered essential to improving clinical care.