The Office of Child Care (OCC) requested this report to capture the spirit and themes that emerged from this meeting and participant discussions. Based on information shared at the meeting and further research by the author, emerging topics being discussed by States and communities seeking to build collaborative services include: 1. Aligning quality across programs using the highest standards and putting funding together creatively to minimize complexities for parents, providers, and teachers. 2. Ensuring that eligibility and payment rules allow for creative collaboration that improves quality and continuity. 3. Developing a continuum of comprehensive services taking into account the whole family and linked to where children are. 4. Expanding and building 0-5 expertise and ownership among stakeholders. 5. Working across sectors to continually improve the quality of both the collaboration and the services delivered. By no means are these ideas and examples shared in this report meant to be exhaustive; many other approaches exist in States and communities. The report concludes by describing some additional ideas meeting participants suggested for moving forward in collaboration and next steps in progress at the Federal level. (author abstract)