Aligning Forces for Quality

A collection of key content and lessons learned from the AF4Q national initiative.

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About Aligning Forces for Quality  

Aligning Forces for Quality (AF4Q) was a 16-site, community-based health care quality improvement initiative active from 2007 through 2015. Using multi-stakeholder alliances and regional coalitions to coordinate quality improvement efforts across providers and organizations, AF4Q addressed five main areas:

  1. Measurement and public reporting of health care quality and efficiency for ambulatory physician practices and hospitals;
  2. Efforts to engage consumers as partners in their own care (consumer engagement);
  3. Adoption and spread of effective quality improvement strategies to improve care;
  4. Ensuring the equitable receipt of healthcare; and
  5. Integration of alliance activities with payment reform initiatives.

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Resource Repository

Visit AF4Q's archived site to access lessons learned and other resources from this project.

Featured Resources

 A doctor at a meeting of health professionals.

Multi-Stakeholder Healthcare Alliances: Do They Have a Sustainable Future

An article in an American Journal of Managed Care (AJMC) supplement provides a detailed description of the specific components and development of the AF4Q program.

Read the AJMC article
Aligning Forces for Quality: A Tremendous Journey, square format

AF4Q: A Tremendous Journey

August 14, 2015

Aligning Forces demonstrated—with the right leader and a diverse group of participants—it’s possible to overcome long-established silos and historical mistrust to achieve better care in a region.

Read the final report
Building a Culture of (High Value) Health

Building a Culture of (High Value) Health

Aligning Forces for Quality sparked a transformation in how communities across the country improved care for local residents.

Watch the video on YouTube
Doctor uses stethoscope on patient.

Journalists Reflect on Health Care in American Communities

January 10, 2018

A collection of articles insightful profiles written by prominent health policy journalists illustrating how Aligning Forces for Quality has improved health care in local communities.

Read the articles
A doctor speaks to a woman sitting on an examination table, holding her infant daughter.

Quality Field Notes

January 5, 2017

This collection features key lessons learned by regional alliances of clinicians, patients, and payers in Aligning Forces for Quality communities as they work to transform local health care and provide models for national reform.

Read the briefs


Infographic: Results from Aligning Forces for Quality