Aligning Forces for Quality (AF4Q)

Aligning Forces for Quality (AF4Q)

Aligning Forces for Quality (AF4Q) is the Robert Wood Johnson Foundation’s signature effort to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform.

AF4Q asks the people who get care, give care and pay for care to work together toward common, fundamental objectives to lead to better care. The 16 geographically, demographically, and economically diverse communities participating in AF4Q together cover 12.5 percent of the U.S. population.

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Contact Information

Aligning Forces for Quality National Program Office


Phone: (202) 994-8642

Health Games

AF4Q Games to Generate Data Challenge Winners

RWJF challenged video game developers to leverage data from AF4Q, the County Health Rankings & Roadmaps program, and other databases to create games that engage patients and health providers in generating new quality data.

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More From Aligning Forces for Quality

A woman works with a teenager using a laptop, in an office.

Engaging Consumers in Payment Reform Efforts That Impact Care Delivery Practices

This Aligning Forces for Quality brief outlines the reasons for engaging patients and consumers in the creating of payment reform policy and related care delivery practice discussions.

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A doctor checks out a patient in an examination room.

Developing a Public Report for the CAHPS Clinician & Group Survey

This decision guide details key considerations for implementation of the Consumer Assessment of Healthcare Providers and Systems Clinician & Group Surveys (CG-CAHPS), the national standard for assessing patients’ experiences with ambulatory care.

Read the decision guide
 A doctor reads patient records during a patient examination.

Beyond Widgets: The Pursuit of Payment Reform

This brief explores models for payment reform, national developments and what some communities are doing to pilot payment reform initiatives.

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Asian female doctor talking on telephone while looking at patient records.

Bundled Payment: The Quest for Simplicity

Local initiatives are showing how new methods for paying for health care can improve quality and control costs. This paper offers four steps that organizations considering a bundled payment pilot should follow.

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In a recent webinar, local leaders and national experts explained how different Aligning Forces communities are making fundamental changes to enhance care.

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Quality Field Notes

This collection of approaches can transform local health care and provide models for national reform:


Measuring and publicly reporting on the care doctors and hospitals provide are crucial to improving quality and lowering the cost of health care nationwide. This interactive directory of 208 national, state, and local public reports is intended to help patients find reliable information on the care in their communities.

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Aligning Forces: Six Years Later

Driving Health Care Transformation in Communities Across America 2012

Can bringing together the people who give care, get care, and pay for care improve quality in America? RWJF’s 16 Aligning Forces for Quality (AF4Q) communities are showing that it can.

This program update from AF4Q discusses and provides examples of the transformative partnerships formed and work achieved since the program launched six years ago.

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Affecting Care in Local Communities

Journalists on Quality

This series includes insightful profiles written by prominent health policy journalists on how RWJF's Aligning Forces for Quality initiative has affected care in local communities.

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