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Quality of Care

Americans receive only about half of the recommended care they should receive. Adopting quality improvement strategies, reducing racial and ethnic disparities in care, and changing how care is delivered at the local level can improve the care all Americans receive.

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Effectiveness and Challenges for Implementing Quality Improvment Activities in Nebraska's Local Health Departments

December 19, 2012 | Journal Article

The study's results indicate that Nebraska’s LHDs still face significant barriers for QI implementation, including low capacity, knowledge gaps, inadequate resources, and low institutional QI maturity.

Creating and Sustaining Change

September 1, 2012 | Journal Article

At the midpoint of the Aligning Forces for Quality (AF4Q) initiative, the authors report on the learnings and challenges experienced in the initiative thus far.

Getting the Structure Right for Community-Wide Healthcare Improvement

September 1, 2012 | Journal Article

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 be ...

Lessons for Reducing Disparities in Regional Quality Improvement Efforts

September 1, 2012 | Journal Article

Regional efforts to improve quality of care face particular challenges when addressing racial and ethnic disparities in health. Diverse populations have different needs and barriers, and the same quality improvement (QI) intervention can affect them ...

That Was Then, This Is Now

September 1, 2012 | Journal Article

A focus on multi-stakeholder coalitions as a platform for change is not a new concept; however, it has rarely been supported, tested, and refined to the extent that the Aligning Forces for Quality (AF4Q) communities have done. This is a singular ach ...

The Aligning Forces for Quality Initiative

September 1, 2012 | Journal Article

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 ...

Barriers and Strategies to Align Stakeholders in Healthcare Alliances

September 1, 2012 | Journal Article

The objective of this study was to identify barriers to stakeholder alignment and strategies used by 14 multi-stakeholder alliances participating in the Aligning Forces for Quality initiative to overcome these barriers.  

Approaches to Improving Healthcare Delivery by Multi-Stakeholder Alliances

September 1, 2012 | Journal Article

Health care providers are increasingly engaging in a variety of quality improvement (QI) efforts, and have been encouraged to do so by the growing number of pay-for-performance programs and QI resources available. Some have suggested that in order t ...

Economic Downturn Strains Miami Health Care System

September 1, 2011 | Report

The economic downturn and disproportionate fallout on the tourism, real estate and construction sectors has affected Miami more than many metropolitan areas across the country.

Syracuse Health Care Market Works to Right-Size Hospital Capacity

August 1, 2011 | Report

Largely stable over the last three years, the Syracuse health care market continues to grapple with the challenge of finding the right level and mix of hospital capacity.

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