Getting the Structure Right for Community-Wide Healthcare Improvement

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 been poorly connected with public reporting and quality improvement in their regions.

The three-part structure described here promises to advance quality improvement by putting hospitals and physicians in control of this activity. 

Creating and Sustaining Change

  1. 1. Getting the Structure Right for Community-Wide Healthcare Improvement
  2. 2. Lessons for Reducing Disparities in Regional Quality Improvement Efforts
  3. 3. The Imperative to Promote Collaborative Consumer Engagement
  4. 4. That Was Then, This Is Now
  5. 5. The Aligning Forces for Quality Initiative
  6. 6. Barriers and Strategies to Align Stakeholders in Healthcare Alliances
  7. 7. Midterm Observations and Recommendations From the Evaluation of the Aligning Forces for Quality Initiative
  8. 8. Producing Public Reports of Physician Quality at the Community Level
  9. 9. Community-Level Interventions to Collect Race/Ethnicity and Language Data to Reduce Disparities
  10. 10. Approaches to Improving Healthcare Delivery by Multi-Stakeholder Alliances
  11. 11. Evaluating a Community-Based Program to Improve Healthcare Quality
  12. 12. Using Websites to Engage Consumers in Managing Their Health and Healthcare

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