Community Quality Initiatives: Aligning Forces for Quality Robert Graham, M.D. April 15, 2011

1. Community Quality Initiatives:Aligning Forces for QualityRobert Graham, M.D.April 15, 2011

2. What is Aligning Forces for Quality? • An unprecedented commitment by the Robert Wood Johnson Foundation to improve the quality of health care, reduce disparities related to race and ethnicity, and provide models for reform. • Within the 17 different Alliances of AF4Q exist local stakeholder groups charged with making sense of the quality problem in America and meeting it with local solutions. Targeted Regions will Improve and Sustain High-Quality, Patient-Centered, Equitable Care by 2015

3. 17 Communities Across America

4. Do We Have a Tipping Point? • 12.5% of the U.S. population • Almost 15% of all PCPs in the U.S. • 12% of U.S. hospitals AF4Q Alliances

5. Aligning Forces for Quality: A Bold Experiment • Can those that pay for care, provide care, and receive care come together in a common forum and reach consensus about improving quality in their community? • Can they then work together in this Alliance to ensure that their community provides high quality, patient-centered, and equitable care?

6. Improving Quality in Hospitals … Hospital Quality Network Reducing hospital readmissions Improving patient flow and reducing emergency department crowding Empowering nurses and other front-line staff to redesign work processes (through “Transforming Care at the Bedside”) Collecting and using race, ethnicity, and language data 6

7. … and Physician Practices • Ambulatory Quality Improvement • Sustainable infrastructure of quality improvement activities • Care coordination and care transitions • Equity and disparities reduction • Improvement on patient experience of care • Increasing consumer involvement in ambulatory quality improvement activities

8. Consumer Engagement Involvement in all levels of Alliance decision making Integrating the consumer perspective in selecting performance measures for public reporting and quality improvement Providing health information and data to facilitate decisions by consumers Engaging consumers in developing messages for critical healthcare issues

9. Priorities “AF4Q 3.0” 2011-2013 Improving quality Publicly reporting performance measures Implementing payment reform Reducing cost and addressing efficiency Engaging consumers in decision making Ensuring equitable health care 9 9

10. forces4quality.org

11. Robert Graham, M.D. Aligning Forces for Quality Center for Health Care Quality Department of Health Policy George Washington University 2121 K Street, NW, Suite 200 Washington DC 20037 202.994.8616 Robert.Graham@gwumc.edu as of May 1, 2011