At the midpoint of the Aligning Forces for Quality (AF4Q) initiative, the authors report on the learnings and challenges experienced in the initiative thus far.
The Aligning Forces for Quality (AF4Q) initiative arose from insights that health care quality issues are local issues, and that no individual, profession or group can improve a community's health care without others’ support. AF4Q grew from giving grants in 2006 to alliances (community stakeholder partnerships) to study the quality of ambulatory care and to help consumers make informed health care choices, to emphasizing community development goals in 2011.
Key learnings from and challenges of the initiative to date include:
The authors believe that the 2010 Affordable Care Act, and other reforms, may help strengthen the work of AF4Q alliances in the future.