Evidence abounds that implementation of FCC is beneficial to the health and safety of infants and families in neonatal care settings. Nevertheless, the systematic uptake of interventions required for high-quality and sustainable FCC remains challenging and suboptimal. Two FCC models with strong research evidence are FICare and Close Collaboration with parents. Well-established QI methodology can be applied to FCC QI and must include authentic partnership with neonatal families in FCC QI planning and activities. To further optimize NICU care, families should be included as essential and irreplaceable team members in all NICU QI activities, not only FCC QI activities. Greater investment in FCC QI is needed to maximize the promise of FCC and ensure all families have equitable access to the necessary support and partnership with healthcare practitioners, and infants can reach their full health and developmental potential.