Creating and Sustaining Change
September 1, 2012 | Journal Article
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.
Community-based Care
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Getting the Structure Right for Community-Wide Healthcare Improvement
September 1, 2012 | Journal Article
Multi-stakeholder regional alliances have generally been successful with public reporting, but they have struggled with quality improvement. Regional health information exchanges have generally not used multi-stakeholder governance and have often be ...
Lessons for Reducing Disparities in Regional Quality Improvement Efforts
September 1, 2012 | Journal Article
Regional efforts to improve quality of care face particular challenges when addressing racial and ethnic disparities in health. Diverse populations have different needs and barriers, and the same quality improvement (QI) intervention can affect them ...
The Aligning Forces for Quality Initiative
September 1, 2012 | Journal Article
The Robert Wood Johnson Foundation’s (RWJF’s) Aligning Forces for Quality (AF4Q) initiative is the largest privately funded community-based quality improvement initiative to date, providing funds and technical assistance (TA) to 16 multi-stakeholder ...
Barriers and Strategies to Align Stakeholders in Healthcare Alliances
September 1, 2012 | Journal Article
The objective of this study was to identify barriers to stakeholder alignment and strategies used by 14 multi-stakeholder alliances participating in the Aligning Forces for Quality initiative to overcome these barriers.
Midterm Observations and Recommendations From the Evaluation of the Aligning Forces for Quality Initiative
September 1, 2012 | Journal Article
The formative observations we present in this article, and the associated recommendations, are based on analysis of longitudinal evaluation data to date, including results from multiple surveys, qualitative analysis of key informant interviews, revi ...
Producing Public Reports of Physician Quality at the Community Level
September 1, 2012 | Journal Article
Relatively little has been written about the community-based reporting process and whether resulting reports add significantly to the amount and relevance of physician performance information available to consumers. This article contrasts the approa ...
Community-Level Interventions to Collect Race/Ethnicity and Language Data to Reduce Disparities
September 1, 2012 | Journal Article
This paper examines the experience of 14 Aligning Forces for Quality (AF4Q) alliances (data from additional alliances that joined the AF4Q initiative in 2009-2010 are not included in this analysis). This study’s target population included AF4Q allia ...
Approaches to Improving Healthcare Delivery by Multi-Stakeholder Alliances
September 1, 2012 | Journal Article
Health care providers are increasingly engaging in a variety of quality improvement (QI) efforts, and have been encouraged to do so by the growing number of pay-for-performance programs and QI resources available. Some have suggested that in order t ...
Evaluating a Community-Based Program to Improve Healthcare Quality
September 1, 2012 | Journal Article
This article provides a description of the research design, data, and limitations of the independent evaluation of the Aligning Forces for Quality (AF4Q) initiative.