Aligning Forces For Quality: A Program To Improve Health And Health Care In Communities Across The United States

Painter, Michael W.; Lavizzo‐Mourey, Risa

doi:10.1377/hlthaff.27.5.1461

Cited by 43 publications

(44 citation statements)

References 5 publications

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“…22 Using the IMS database and the eligibility criteria described above, we drew a random sample of practices, stratifying by practice size (1-2, 3-8, 9-12, and 13-19 physicians), each of the four specialty types listed above, and location (each of the fourteen Aligning Forces for Quality sites and the remainder of the United States). We oversampled the strata that had relatively few practices, such as pulmonology practices with 13-19 physicians.…”

Section: Study Data and Methodsmentioning

confidence: 99%

Small And Medium-Size Physician Practices Use Few Patient-Centered Medical Home Processes

Rittenhouse

Casalino

Shortell³

et al. 2011

Health Affairs

190

218

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The patient-centered medical home has become a prominent model for reforming the way health care is delivered to patients. The model offers a robust system of primary care combined with practice innovations and new payment methods. But scant information exists about the extent to which typical US physician practices have implemented this model and its processes of care, or about the factors associated with implementation. In this article we provide the first national data on the use of medical home processes such as chronic disease registries, nurse care managers, and systems to incorporate patient feedback, among 1,325 small and medium-size physician practices. We found that on average, practices used just one-fifth of the patientcentered medical home processes measured as part of this study. We also identify internal capabilities and external incentives associated with the greater use of medical home processes.T he patient-centered medical home model of health care delivery system reform was featured prominently in the Affordable Care Act of 2010. The model was developed by the primary care specialty societies in 2007. It has been endorsed by a broad coalition of purchasers, payers, providers, consumers, and other health care stakeholders. It emphasizes a robust system of primary care combined with practice innovations and new payment models.

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Section: Study Data and Methodsmentioning

confidence: 99%

Small And Medium-Size Physician Practices Use Few Patient-Centered Medical Home Processes

Rittenhouse

Casalino

Shortell³

et al. 2011

Health Affairs

190

218

View full text Add to dashboard Cite

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“…28,[38][39][40][41][42] The Affordable Care Act emphasizes collection of race, ethnicity, and language data. 20 Private demonstration projects, such as the Robert Wood Johnson Foundation Aligning Forces for Quality Program, 7 aim for multistakeholder coalitions of providers, payers, health care organizations, and consumers to improve quality and reduce disparities on regional levels. Intense policy attention has been devoted to accountable care organizations, 43 the patient-centered medical home, 44 and bundled payments.…”

Section: Assess Organizational Capacitymentioning

confidence: 99%

“…[2][3][4][5][6] We are now beginning to leverage this research base to provide technical assistance to organizations that are implementing disparities reduction interventions, such as those participating in RWJF's Aligning Forces for Quality program. 7 This paper summarizes the major lessons learned from the systematic reviews and provides a disparities reduction framework. Building on our prior work, [8][9][10] we present a roadmap for organizations seeking to reduce racial and ethnic disparities in health care.…”

mentioning

confidence: 99%

A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care

et al. 2012

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Over the past decade, researchers have shifted their focus from documenting health care disparities to identifying solutions to close the gap in care. Finding Answers: Disparities Research for Change, a national program of the Robert Wood Johnson Foundation, is charged with identifying promising interventions to reduce disparities. Based on our work conducting systematic reviews of the literature, evaluating promising practices, and providing technical assistance to health care organizations, we present a roadmap for reducing racial and ethnic disparities in care. The roadmap outlines a dynamic process in which individual interventions are just one part. It highlights that organizations and providers need to take responsibility for reducing disparities, establish a general infrastructure and culture to improve quality, and integrate targeted disparities interventions into quality improvement efforts. Additionally, we summarize the major lessons learned through the Finding Answers program. We share best practices for implementing disparities interventions and synthesize cross-cutting themes from 12 systematic reviews of the literature. Our research shows that promising interventions frequently are culturally tailored to meet patients' needs, employ multidisciplinary teams of care providers, and target multiple leverage points along a patient's pathway of care. Health education that uses interactive techniques to deliver skills training appears to be more effective than traditional didactic approaches. Furthermore, patient navigation and engaging family and community members in the health care process may improve outcomes for minority patients. We anticipate that the roadmap and best practices will be useful for organizations, policymakers, and researchers striving to provide high-quality equitable care.

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“…Our assessment is based on data collected as part of the evaluation of The Robert Wood Johnson Foundation's Aligning Forces for Quality Initiative (AF4Q). 9 Fourteen nonprofit organizations (alliances) received initial grants in 2006-2007; three organizations chose to define their entire state as the relevant area for their work, with others focusing on counties or metropolitan areas. Grantees attempt to coordinate and accelerate improvements in quality of care by aligning public reporting, consumer engagement and quality improvement activities.…”

Section: Methodsmentioning

confidence: 99%

“…The Robert Wood Johnson Foundation has a major programmatic effort to improve quality that includes promoting reporting of provider performance by community level organizations. 9 Despite the considerable support that exists for public reporting of provider quality, results from studies of the impact of reports on consumer and provider decisions have been equivocal. 10,11 Nevertheless, the availability of public reports continues to grow, suggesting that measurement and public reporting of provider quality is likely to be an important part of the US health care system in the future.…”

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confidence: 99%

A Report Card on Provider Report Cards: Current Status of the Health Care Transparency Movement

et al. 2010

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BACKGROUND: Public reporting of provider performance can assist consumers in their choice of providers and stimulate providers to improve quality. Reporting of quality measures is supported by advocates of health care reform across the political spectrum. OBJECTIVE: To assess the availability, credibility and applicability of existing public reports of hospital and physician quality, with comparisons across geographic areas. APPROACH: Information pertaining to 263 public reports in 21 geographic areas was collected through reviews of websites and telephone and in-person interviews, and used to construct indicators of public reporting status. Interview data collected in 14 of these areas were used to assess recent changes in reporting and their implications. PARTICIPANTS: Interviewees included staff of state and local associations, health plan representatives and leaders of local health care alliances. RESULTS: There were more reports of hospital performance (161) than of physician performance (103) in the study areas. More reports included measures derived from claims data (mean, 7.2 hospital reports and 3.3 physician reports per area) than from medical records data. Typically, reports on physician performance contained measures of chronic illness treatment constructed at the medical group level, with diabetes measures the most common (mean number per nonhealth plan report, 2.3). Patient experience measures were available in more hospital reports (mean number of reports, 1.2) than physician reports (mean, 0.7). Despite the availability of national hospital reports and reports sponsored by national health plans, from a consumer standpoint the status of public reporting depended greatly on where one lived and health plan membership. CONCLUSIONS: Current public reports, and especially reports of physician quality of care, have significant limitations from both consumer and provider perspec-

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Aligning Forces For Quality: A Program To Improve Health And Health Care In Communities Across The United States

Cited by 43 publications

References 5 publications

Small And Medium-Size Physician Practices Use Few Patient-Centered Medical Home Processes

Small And Medium-Size Physician Practices Use Few Patient-Centered Medical Home Processes

A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care

A Report Card on Provider Report Cards: Current Status of the Health Care Transparency Movement

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