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Supplements The Aligning Forces for Quality Initiative: Early Lessons From Efforts to Improve Healthcare Quality
Creating and Sustaining Change: Early Insights From Aligning Forces
Claire B. Gibbons, PhD, MPH; and Anne F. Weiss, MPP
Getting the Structure Right for Communitywide Healthcare Improvement
Gordon Mosser, MD
Lessons for Reducing Disparities in Regional Quality Improvement Efforts
Scott C. Cook, PhD; Anna P. Goddu, MSc; Amanda R. Clarke, MPH; Robert S. Nocon, MHS; Kevin W. McCullough, MJ; and Marshall H. Chin, MD, MPH
The Imperative to Promote Collaborative Consumer Engagement: Lessons From the Aligning Forces for Quality Initiative
Debra L. Ness, MS
That Was Then, This Is Now
Lisa A. Simpson, MB, BCh, MPH, FAAP
Regional Health Improvement Collaboratives Needed Now More Than Ever: Program Directors' Perspectives
Randall D. Cebul, MD; Susanne E. Dade, MPA; Lisa M. Letourneau, MD, MPH; and Alan Glaseroff, MD, ABFM
The Aligning Forces for Quality Initiative: Background and Evolution From 2005 to 2012
Dennis P. Scanlon, PhD; Jeff Beich, PhD; Jeffrey A. Alexander, PhD; Jon B. Christianson, PhD; Romana Hasnain-Wynia, PhD; Megan C. McHugh, PhD; and Jessica N. Mittler, PhD
Barriers and Strategies to Align Stakeholders in Healthcare Alliances
Larry R. Hearld, PhD; Jeffrey A. Alexander, PhD; Jeff Beich, PhD; Jessica N. Mittler, PhD; and Jennifer L. O’Hora, BA
The Aligning Forces for Quality Initiative: Background and Evolution From 2005 to 2012 - eAppendix
Midterm Observations and Recommendations From the Evaluation of the AF4Q Initiative
Jeffrey A. Alexander, PhD; Dennis P. Scanlon, PhD; Megan C. McHugh, PhD; Jon B. Christianson, PhD; Jessica N. Mittler, PhD; Romana Hasnain-Wynia, PhD; and Jeff Beich, PhD
Producing Public Reports of Physician Quality at the Community Level: The Aligning Forces for Quality Initiative Experience
Jon B. Christianson, PhD; Karen M. Volmar, JD, MPH; Bethany W. Shaw, MHA; and Dennis P. Scanlon, PhD
Community-Level Interventions to Collect Race/Ethnicity and Language Data to Reduce Disparities
Romana Hasnain-Wynia, PhD; Deidre M. Weber, BA; Julie C. Yonek, MPH; Javiera Pumarino, BA; and Jessica N. Mittler, PhD
Approaches to Improving Healthcare Delivery by Multi-stakeholder Alliances
Megan C. McHugh, PhD; Jillian B. Harvey, MPH; Dasha Aseyev, BS; Jeffrey A. Alexander, PhD; Jeff Beich, PhD; and Dennis P. Scanlon, PhD
Evaluating a Community-Based Program to Improve Healthcare Quality: Research Design for the Aligning Forces for Quality Initiative
Dennis P. Scanlon, PhD; Jeffrey A. Alexander, PhD; Jeff Beich, PhD; Jon B. Christianson, PhD; Romana Hasnain-Wynia, PhD; Megan C. McHugh, PhD; Jessica N. Mittler, PhD; Yunfeng Shi, PhD; and Laura J. B
Using Websites to Engage Consumers in Managing Their Health and Healthcare
Jessica N. Mittler, PhD; Karen M. Volmar, JD, MPH; Bethany W. Shaw, MHA; Jon B. Christianson, PhD; and Dennis P. Scanlon, PhD
Currently Reading
Participating Faculty: The Aligning Forces for Quality Initiative: Early Lessons From Efforts to Improve Healthcare Quality at the Community Level

Participating Faculty: The Aligning Forces for Quality Initiative: Early Lessons From Efforts to Improve Healthcare Quality at the Community Level

This supplement to The American Journal of Managed Care discusses the Robert Wood Johnson Foundation’s Aligning Forces for Quality (AF4Q) initiative, the largest privately funded community-based quality improvement initiative to date. It provides funds and technical assistance to 16 multi-stakeholder alliances located throughout the United States, with the goal of improving patient health and healthcare. This supplement includes original research manuscripts describing the AF4Q initiative and results thus far. It also presents perspective articles from nationally recognized thought leaders.
This supplement to The American Journal of Managed Care was supported by the Robert Wood Johnson Foundation (RWJF).

The Aligning Forces for Quality evaluation is funded by a grant from the RWJF.

 


Guest Editor

David Blumenthal, MD, MPP
Dr Blumenthal, the Samuel O. Thier Professor of Medicine and Professor of Health Care Policy at Massachusetts General Hospital/Partners HealthCare System and Harvard Medical School, is chief health information and innovation officer at Partners Healthcare System in Boston. He also chairs The Commonwealth Fund Commission on a High Performance Health System. From 2009 to 2011, he served as the national coordinator for health information technology under President Barack Obama, charged with building a nationwide interoperable, privacy-protected health information technology infrastructure. Previously, he held posts as senior vice president at Boston’s Brigham and Women’s Hospital and executive director of the Center for Health Policy and Management at Harvard’s John F. Kennedy School of Government. During the late 1970s, he was a professional staff member on the late Senator Edward Kennedy’s Senate Subcommittee on Health and Scientific Research. Dr Blumenthal is the founding chairman of AcademyHealth, the national organization of health services researchers; a former national correspondent and board member for the New England Journal of Medicine; and a trustee of the University of Pennsylvania Health System. In January 2013, he will become president and chief executive officer of the Commonwealth Fund.


FacultyPerspective Articles

Randall D. Cebul, MD
President, Better Health Greater Cleveland
Director, Center for Health Care Research & Policy
Professor of Medicine
Case Western Reserve University/MetroHealth Medical Center
Cleveland, Ohio

Marshall H. Chin, MD, MPH
Professor of Medicine
Department of Medicine
Director
Finding Answers: Disparities Research for Change
Robert Wood Johnson Foundation
National Program Office
Center for Health and the Social Sciences
University of Chicago
Chicago, Illinois

Amanda R. Clarke, MPH
Project Manager
Finding Answers: Disparities Research for Change
Robert Wood Johnson Foundation
National Program Office
Center for Health and the Social Sciences
University of Chicago
Chicago, Illinois

Scott C. Cook, PhD
Deputy Director
Finding Answers: Disparities Research for Change
Robert Wood Johnson Foundation
National Program Office
Center for Health and the Social Sciences
University of Chicago
Chicago, Illinois

Susanne E. Dade, MPA
Deputy Director
Puget Sound Health Alliance
Seattle, Washington

Claire B. Gibbons, PhD, MPH
Senior Program Officer
Research and Evaluation Unit
Robert Wood Johnson Foundation
Princeton, New Jersey

Alan Glaseroff, MD, ABFM
Director
Stanford Coordinated Care
Clinical Professor
Stanford School of Medicine
Palo Alto, California

Anna P. Goddu, MSc
Project Manager
Finding Answers: Disparities Research for Change
Robert Wood Johnson Foundation
National Program Office
Center for Health and the Social Sciences
Department of Medicine
University of Chicago
Chicago, Illinois

Lisa M. Letourneau, MD, MPH
Executive Director
Maine Quality Counts
Manchester, Maine

Kevin W. McCullough, MJ
Health Communications Manager
Finding Answers: Disparities Research for Change
Robert Wood Johnson Foundation
National Program Office
Center for Health and the Social Sciences
University of Chicago
Chicago, Illinois

Gordon Mosser, MD
Senior Fellow
Division of Health Policy and Management
School of Public Health
University of Minnesota
Minneapolis, Minnesota

Debra L. Ness, MS
President
National Partnership for Women & Families
Washington, DC

Robert S. Nocon, MHS
Senior Health Services Researcher
Finding Answers: Disparities Research for Change
Robert Wood Johnson Foundation
National Program Office
Center for Health and the Social Sciences
Department of Medicine
University of Chicago
Chicago, Illinois

Lisa A. Simpson, MB, BCh, MPH, FAAP
President and Chief Executive Officer
AcademyHealth
Washington, DC

Anne F. Weiss, MPP
Team Director and Senior Program Officer
Robert Wood Johnson Foundation
Princeton, New Jersey


DisclosuresPerspective Articles
The Aligning Forces for Quality (AF4Q) evaluation is funded by a grant from the Robert Wood Johnson Foundation (RWJF).

These faculty report relationships with the following organizations:

Kapil D. Sethi, MD, FRCP
Randall D. Cebul, MD
Board membership: Better Health Greater Cleveland
Grants/meeting or conference attendance: RWJF

Marshall H. Chin, MD, MPH
Consultant or paid advisory boards/grants/honoraria: RWJF

Amanda R. Clarke, MPH
Grants: RWJF

Scott C. Cook, PhD
Grants: RWJF

Susanne E. Dade, MPA
Employee: Puget Sound Health Alliance
Grants/meeting or conference attendance: RWJF

Alan Glaseroff, MD, ABFM
Grants/meeting or conference attendance: RWJF

Anna P. Goddu, MSc
Grants: RWJF

Lisa M. Letourneau, MD, MPH
Consultant/paid advisory boards: Maine Health Management Coalition
Employee: Maine Quality Counts
Grants/meeting or conference attendance: RWJF

Kevin W. McCullough, MJ
Grants: RWJF

Gordon Mosser, MD
Board membership: Minnesota Community Measurement
Consultant/paid advisory boards: HEALTHeLINK, P2 Collaborative of Western New York, RWJF
Honoraria: RWJF
Meeting or conference attendance: Annual Colloquium of the Institute for Clinical Systems Improvement, RWJF

Debra L. Ness, MS
Board membership: AF4Q National Advisory Committee
Grants/honoraria/meeting or conference attendance: RWJF

Robert S. Nocon, MHS
Grants: RWJF

Lisa A. Simpson, MB, BCh, MPH, FAAP
Consultant/paid advisory boards: RWJF

Claire B. Gibbons, PhD, MPH; and Anne F. Weiss, MPP, report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this supplement.

Faculty—Original Research

Jeffrey A. Alexander, PhD
Richard C. Jelinek Professor of Health Management and Policy
School of Public Health
University of Michigan
Ann Arbor, Michigan

Dasha Aseyev, BS
Research Technologist
Center for Health Care and Policy Research
Penn State University
University Park, Pennsylvania

Jeff Beich, PhD
Consultant
Jeff Beich Consulting
Grand Island, New York

Contracted Research Associate
Penn State University
University Park, Pennsylvania

Laura J. Bodenschatz, MSW
Qualitative Research Manager
Center for Health Care and Policy Research
Penn State University
University Park, Pennsylvania

Jon B. Christianson, PhD
James A. Hamilton Chair in Health Policy and Management
Division of Health Policy and Management
University of Minnesota School of Public Health
Minneapolis, Minnesota

Jillian B. Harvey, MPH
PhD Candidate
Department of Health Policy and Administration
Penn State University
University Park, Pennsylvania

Romana Hasnain-Wynia, PhD
Director, Center for Healthcare Equity
Associate Professor, Research Institute for Healthcare Studies
Division of General Internal Medicine
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Larry R. Hearld, PhD
Assistant Professor
Health Services Administration
University of Alabama at Birmingham
Birmingham, Alabama

Megan C. McHugh, PhD
Research Assistant Professor
Institute for Healthcare Studies

Department of Emergency Medicine
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Jessica N. Mittler, PhD
Assistant Professor
Department of Health Policy and Administration
Penn State University
University Park, Pennsylvania

Jennifer L. O’Hora, BA
PhD Candidate
Department of Health Policy and Administration
Penn State University
University Park, Pennsylvania

Javiera Pumarino, BA
Research Assistant
Center for Healthcare Equity
Institute for Healthcare Studies
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Dennis P. Scanlon, PhD
Professor
Department of Health Policy and Administration
Center for Health Care and Policy Research
Penn State University
University Park, Pennsylvania

Bethany W. Shaw, MHA
Research Data Analyst
Center for Health Care and Policy Research
Penn State University
University Park, Pennsylvania

Yunfeng Shi, PhD
Research Assistant Professor
Center for Health Care and Policy Research
Penn State University
University Park, Pennsylvania

Karen M. Volmar, JD, MPH
Associate Professor
Department of Health Policy and Administration
Penn State University
University Park, Pennsylvania

Deidre M. Weber, BA
Senior Research Coordinator
Center for Healthcare Equity
Institute for Healthcare Studies
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Julie C. Yonek, MPH
Research Associate and Project Director
Center for Healthcare Equity
Institute for Healthcare Studies
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

Disclosures—Original Research
The Aligning Forces for Quality evaluation is funded by a grant from the Robert Wood Johnson Foundation.

Jeffrey A. Alexander, PhD; Dasha Aseyev, BS; Jeff Beich, PhD; Laura J. Bodenschatz, MSW; Jon B. Christianson, PhD; Jillian B. Harvey, MPH; Romana Hasnain-Wynia, PhD; Larry R. Hearld, PhD; Megan C. McHugh, PhD; Jessica N. Mittler, PhD; Jennifer L. O’Hora, BA; Javiera Pumarino, BA; Dennis P. Scanlon, PhD; Bethany W. Shaw, MHA; Yunfeng Shi, PhD; Karen M. Volmar, JD, MPH; Deidre M. Weber, BA; and Julie C. Yonek, MPH report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this supplement.


Signed disclosures are on file at the office of The American Journal of Managed Care, Plainsboro, New Jersey.


The opinions expressed in this supplement are those of the authors, presenters, and/or panelists and are not attributable to the sponsor or the publisher, editor, or editorial board of The American Journal of Managed Care. Clinical judgment must guide each professional in weighing the benefits of treatment against the risk of toxicity. Dosages, indications, and methods of use for products referred to in this supplement are not necessarily the same as indicated in the package insert for the product and may reflect the clinical experience of the authors, presenters, and/or panelists or may be derived from the professional literature or other clinical sources. Consult complete prescribing information before administering.


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