Midterm observations and recommendations from the evaluation of the AF4Q initiative.

Jeffrey A. Alexander, Dennis Patrick Scanlon, Megan C. McHugh, Jon B. Christianson, Jessica N. Mittler, Romana Hasnain-Wynia, Jeff Beich

Research output: Contribution to journalArticle

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Abstract

To offer midterm observations and recommendations based on how Aligning Forces for Quality (AF4Q) alliances are faring in their journey toward improving healthcare quality at the community level. This study used a mixed method design. Longitudinal evaluation data to date were analyzed, including results from multiple surveys, qualitative analysis of key informant interviews, review of secondary documents and analysis of secondary data, and ongoing tracking of the activities of the 16 participating alliances. The observations and recommendations are based on consensus achieved by the AF4Q evaluation team investigators after in-depth iterative discussions. Six formative observations are identified and discussed: (1) stakeholder support and participation has been maintained despite changes in economic and political environments; (2) progress on program goals has been slow; (3) the "alignment" in the AF4Q initiative has been slow to materialize; (4) the AF4Q initiative has established a productive network of peer communities; (5) the impact of the AF4Q initiative, and the time to observe impact, vary by community, based on history and context; and (6) sustainability is the major future challenge for the AF4Q initiative. Multi-stakeholder alliances' efforts to improve quality should be viewed as "pieces of the health reform puzzle" rather than stand-alone solutions. As healthcare reform is challenged politically, alliances can practice the bipartisanship that focuses conversation on what is good for the community and how best to achieve community goals amid a potential sea of change in both federal and state policy and funding.

Original languageEnglish (US)
JournalThe American journal of managed care
Volume18
Issue number6 Suppl
StatePublished - Sep 1 2012

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Health Care Reform
Quality of Health Care
Oceans and Seas
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Economics
Research Personnel
Interviews
Health
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All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Alexander, J. A., Scanlon, D. P., McHugh, M. C., Christianson, J. B., Mittler, J. N., Hasnain-Wynia, R., & Beich, J. (2012). Midterm observations and recommendations from the evaluation of the AF4Q initiative. The American journal of managed care, 18(6 Suppl).
Alexander, Jeffrey A. ; Scanlon, Dennis Patrick ; McHugh, Megan C. ; Christianson, Jon B. ; Mittler, Jessica N. ; Hasnain-Wynia, Romana ; Beich, Jeff. / Midterm observations and recommendations from the evaluation of the AF4Q initiative. In: The American journal of managed care. 2012 ; Vol. 18, No. 6 Suppl.
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Alexander, JA, Scanlon, DP, McHugh, MC, Christianson, JB, Mittler, JN, Hasnain-Wynia, R & Beich, J 2012, 'Midterm observations and recommendations from the evaluation of the AF4Q initiative.', The American journal of managed care, vol. 18, no. 6 Suppl.

Midterm observations and recommendations from the evaluation of the AF4Q initiative. / Alexander, Jeffrey A.; Scanlon, Dennis Patrick; McHugh, Megan C.; Christianson, Jon B.; Mittler, Jessica N.; Hasnain-Wynia, Romana; Beich, Jeff.

In: The American journal of managed care, Vol. 18, No. 6 Suppl, 01.09.2012.

Research output: Contribution to journalArticle

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Alexander JA, Scanlon DP, McHugh MC, Christianson JB, Mittler JN, Hasnain-Wynia R et al. Midterm observations and recommendations from the evaluation of the AF4Q initiative. The American journal of managed care. 2012 Sep 1;18(6 Suppl).