Aligning Forces for Quality Evaluation
The Aligning Forces for Quality (AF4Q) initiative is the Robert Wood Johnson Foundation’s signature effort to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform.
The AF4Q Evaluation conducts impartial mixed methods research to provide inferences about the effect of AF4Q, identify key lessons about the AF4Q program design and implementation, and expand the knowledge base around health care reform at the local level. To measure the impact of the AF4Q initiative, we place particular emphasis on measurable progress in five key areas:
- Consumer Engagement
- Quality Improvement
- Performance Measurement and Public Reporting
- Payment Reform
- Disparities Reduction
Learn more about our evaluation design in a 2012 special edition of the American Journal of Managed Care:
Evaluating a Community-Based Program to Improve Healthcare Quality: Research Design for the Aligning Forces for Quality Initiative
Upcoming Presentations of AF4Q Evaluation Work at Scientific Symposium on Improving the Quality and Value of Health Care
- Catch us at this year’s
Institute for Healthcare Improvement 25th Annual National Forum
December 9, 2013, Orlando, Florida
Measuring the Dose of Community-Level Quality Improvement Interventions (Harvey): We identify three different approaches for measuring QI dose, apply them to a quality improvement initiative launched in 14 communities (The Aligning Forces for Quality initiative), report on the extent to which they consistently identify “high” or “low” dose communities and the extent to which they are associated with changes in QI outcomes in four domains: receipt of recommended care, care coordination, patient satisfaction, and patient experience.
Impact of a Community-Wide Quality Improvement Initiative on Chronic Illness Care: Interim Findings from the Aligning Forces for Quality Program (Harvey): In this study we determine whether AF4Q communities experienced greater improvements than a comparison group on four quality dimensions: receipt of recommended care, care coordination, patient satisfaction and patient experience.