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. Visit forces4quality.org to learn more.
Health care spending in the United States now totals $2.5 trillion a year, the most per capita in the world. Yet Americans have shorter life expectancy and higher infant mortality rates than other wealthy countries, suggesting that the amount of money spent is not translating into better care.
To address this problem, the 2010 Affordable Care Act (ACA) requires the secretary of the Department of Health and Human Services (HHS) to establish a National Strategy for Quality Improvement in Health Care, also known as the National Quality Strategy.
The strategy, submitted to Congress on March 21, 2011, is the first policy to set national goals to improve the quality of health care. It sets standards and regulations to measure the quality of health care and its impacts on public health.
The strategy establishes three objectives: (1) to make health care more accessible, safe and patient-centered; (2) to address environmental, social and behavioral influences on health and health care; and (3) to make care more affordable.
The strategy also sets priorities that must be addressed to meet these aims, and proposes ways to identify areas for improvement and measure progress.
This Health Policy Snapshot, published online in January 2012, examines core aspects of the National Quality Strategy and how it defines quality of care.
Read more from RWJF's Health Policy Snapshot series.