As a result of Prime Time's work with OST programs in Palm Beach County, programs significantly improve in quality from year to year. Programs that have participated in the QIS for many years demonstrate higher overall quality than programs newer to the system. In the 2013-2014 quality improvement cycle, overall program quality was highest among those that had been in the QIS the longest, while new programs just beginning their work in the QIS scored lowest on quality. Notably, programs showed dramatic improvements on areas of quality that they chose as a focus in 2012 and 2013. Specifically, programs: Encouraged youth by asking more open-ended questions; Fostered more cooperative group interactions; Offered youth more choices; Gave youth more opportunities to reflect; Enabled more youth to experience structured opportunities to lead and facilitate activities. Note: The results presented in this report are based on a quality assessment tool that experienced significant revisions before assessors observed programs during the 2013-2014 quality improvement cycle. Programs achieving the same level of quality in 2012-2013 and 2013-2014 nevertheless received a lower score on the tool in 2013-2014 due to these revisions. (author abstract)