Children in medical facilities encounter systemic barriers to education despite legal mandates. This study aimed to enhance educational opportunities by addressing inconsistencies through research-based strategies. The study adopted a dual strategy, positing that proactive organizational readiness measures alongside the implementation of an in-house program would cultivate a supportive educational environment. It utilized two PDSA cycles, each concentrating on organizational readiness and program quality, respectively. Using a mixed methods design, improvements in both were revealed. Key themes emerged, including a focus on student health, organizational adaptability, and improved communication. The first cycle addressed readiness, implementing strategies aligned with research a leadership readiness assessment. The attendance data indicated significant improvements following the intervention. The second cycle focused on program quality, utilizing a Quality Indicator Rubric. Results showcased increased quality, with notable progress in assessing student responsiveness and increased scores on the rubric. Overall, the study emphasizes data-driven approaches to enhance educational opportunities for medical facility students, empowering families and school districts to make informed decisions. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]