The Aligning Forces for Quality initiative: background and evolution from 2005 to 2012.

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

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

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 alliances located throughout the United States. The objectives of this article are to describe the AF4Q initiative's underlying theory of change, its evolution over time, and the key activities undertaken by alliances. This is a descriptive overview of a major multi-site, community-based quality improvement initiative. A qualitative approach was used with information obtained from program documents, program meetings, observation of alliance activities, and interviews with RWJF staff, TA providers, and AF4Q alliance stakeholders. AF4Q is a dynamic initiative, expanding and evolving over time. Participating alliances are addressing 5 main programmatic areas: (1) measurement and public reporting of healthcare 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. The AF4Q initiative is an ambitious program affecting multiple leverage points in the healthcare system. AF4Q alliances were provided a similar set of expectations and given access to substantial TA. While participating alliances have made progress in addressing the AF4Q programmatic areas, given differences in the alliances' composition, market structure, and history, there is considerable variation in program implementation.

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

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Quality Improvement
Delivery of Health Care
Quality of Health Care
Financial Management
History
Observation
Interviews
Physicians

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Scanlon, D. P., Beich, J., Alexander, J. A., Christianson, J. B., Hasnain-Wynia, R., McHugh, M. C., & Mittler, J. N. (2012). The Aligning Forces for Quality initiative: background and evolution from 2005 to 2012. The American journal of managed care, 18(6 Suppl).
Scanlon, Dennis Patrick ; Beich, Jeff ; Alexander, Jeffrey A. ; Christianson, Jon B. ; Hasnain-Wynia, Romana ; McHugh, Megan C. ; Mittler, Jessica N. / The Aligning Forces for Quality initiative : background and evolution from 2005 to 2012. In: The American journal of managed care. 2012 ; Vol. 18, No. 6 Suppl.
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Scanlon, DP, Beich, J, Alexander, JA, Christianson, JB, Hasnain-Wynia, R, McHugh, MC & Mittler, JN 2012, 'The Aligning Forces for Quality initiative: background and evolution from 2005 to 2012.', The American journal of managed care, vol. 18, no. 6 Suppl.

The Aligning Forces for Quality initiative : background and evolution from 2005 to 2012. / Scanlon, Dennis Patrick; Beich, Jeff; Alexander, Jeffrey A.; Christianson, Jon B.; Hasnain-Wynia, Romana; McHugh, Megan C.; Mittler, Jessica N.

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

Research output: Contribution to journalArticle

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Scanlon DP, Beich J, Alexander JA, Christianson JB, Hasnain-Wynia R, McHugh MC et al. The Aligning Forces for Quality initiative: background and evolution from 2005 to 2012. The American journal of managed care. 2012 Sep 1;18(6 Suppl).