Results. Grantee performance was distributed as follows: exceeds expecta
tions (29.7%), meets expectations (55.0%), and is approaching expectations
(15.3%). Organizational quality improvement (Ql) maturity was strongly posi
tively associated with grantee performance on SHIP. Organizations with high Ql
maturity, effective leadership, efficient decision-making, and successful regional
or cross-jurisdictional partnerships were more likely to be rated as exceeding
expectations.