The Alliance For Health Reform: Select Community Quality Initiatives Map

Mouseover each circle to display more information on the initiative.

The Regents of the University of California at San Diego: $15,275,115.00
San Diego, CA
Expand pre-hospital emergency field care and electronic information transmission to improve outcomes for cardiovascular and cerebrovascular disease, empower patients to engage in their own health management through web portal and cellular telephone technology, and improve continuity of care for veterans and military personnel through the Veterans Affairs/Department of Defense Virtual Lifetime Electronic Record initiative.

Louisiana Public Health Institute: $13,525,434.00
New Orleans, LA
Reduce racial health disparities and improve control of diabetes and smoking cessation rates by linking technically isolated health systems, providers, and hospitals; and empower patients by increasing their access to Personal Health Records.

Mayo Clinic Rochester, d/b/a Mayo Clinic College of Medicine: $12,284,770.00
Rochester, MN
Enhance patient management and, reduce costs costs associated with hospitalization and emergency services for patients with diabetes and childhood asthma and address reduce health disparities for underserved populations and rural communities.

Delta Health Alliance, Inc.: $14,666,156.00
Stoneville, MS
Focus on achieving improvements for diabetic patients by electronically linking isolated systems and practices for care management, medication therapy management and patient education.

Southern Piedmont Community Care Plan, Inc. : $15,907,622.00
Concord, NC
Improve care coordination for patients with diabetes, heart disease, hypertension, and asthma by engaging patients and providers in bidirectional data sharing through a Health Record Bank, empowering patients and family members to participate in self-management through patient portals, and expanding access to care managers to facilitate post-discharge planning.

Western New York Clinical Information Exchange, Inc.: $16,092,485.00
Buffalo, NY
Utilize clinical decision support tools such as registries and point-of-care alerts and reminders and innovative telemedicine solutions to improve primary and specialty care for diabetic patients, decrease preventable emergency room visits, hospitalizations and re-admissions for patients with diabetes and congestive heart failure or pneumonia, and improve immunization rates among diabetic patients.

Geisinger Clinic: $16,069,110.00
Danville, PA
Enhance care for patients with pulmonary disease and congestive heart failure by creating a community-wide medical home, promoting Health Information Exchange and extending Geisinger’s proven model for practice redesign to independent healthcare organizations throughout region.

Rhode Island Quality Institute: $15,914,787.00
Providence, RI
Improve the management of patients with diabetes through several health IT initiatives to support Rhode Island’s transition to the Patient Centered Medical Home model and adapt infrastructure proven to improve childhood immunizations in order to achieve improvements in adult immunization rates.

HealthInsight: $15,790,181.00
Salt Lake City, UT
Improve Diabetes management performance measures by increasing availability, accuracy and transparency of quality reporting, leverage Intermountain Healthcare’s strategies to reduce health systems costs throughout the region, and improve public health reporting.

Inland Northwest Health Services: $15,702,479.00
Spokane, WA
Focus on increasing preventive services for diabetic patients in rural areas by extending Health Information Exchange and establishing anchor institutions in close proximity to remote clinics that will promulgate successes in health IT supported care coordination.

Eastern Maine Healthcare Systems: $12,749,740.00
Brewer, ME
Expand community connectivity, including long-term care, primary care and specialist providers, to existing Health Information Exchange and promote the use of telemedicine and patient self-management in order to improve care for elderly patients and individuals needing long-term or home care.

Indiana Health Information Exchange, INC.: $16,008,431.00
Indianapolis, IN
Expand the country’s largest Health Information Exchange to new community providers in order to improve cholesterol and blood sugar control for diabetic patients and reduce preventable re-admissions through telemonitoring of high risk chronic disease patients after hospital discharge.

University of Hawaii at Hilo: $16,091,390.00
Hilo, HI
Implement a region-wide Health Information Exchange and Patient Health Record solution and utilize secure, internet-based care coordination and tele-monitoring tools to increase access to specialty care for patients with chronic diseases such as diabetes, hypertension, and obesity in this rural, health-professional shortage area.

Rocky Mountain Health Maintenance Organization, Grand Junction: $11,878,279.00
Grand Junction, CO
Enable robust collection of clinical data from health systems, providers, and hospitals in order to inform practice redesign to improve blood pressure control in patients with diabetes and hypertension, increase smoking cessation counseling, and reduce unnecessary emergency department utilization and hospital re-admissions.

Community Health Alliance of Humboldt-Del Norte
Humbolt County, CA
The Humboldt County-AF4Q initiative is a collaborative project of many local organizations and individuals interested in improving the quality of health care. The effort fosters a high-quality, integrated, patient-centered system of care that is accessible to all North Coast residents. The project has three aims—provider measurement and public reporting, patient involvement, and medical care improvement activities—to improve the medical care and self-care of patients, particularly those with diabetes..

Central Indiana Alliance for Health
Nine central Indiana counties, including Marion County, which encompasses Indianapolis
To achieve its goals, CIA4H aims to increase awareness of health care quality; increase the use and understanding of publicly available quality information; and support the roles of consumers and providers in achieving high-quality, patient-centered care..

The Greater Boston Quality Coalition
Boston, MA
The Greater Boston Quality Coalition's (GBQC) mission is to create substantive change and sustained improvement in the area's health care system through community-wide performance measurement and reporting, consumer engagement and quality improvement efforts. The Coalition's initial focus is on reducing preventable emergency department visits and associated admissions as an indicator for assuring appropriate care in the community. GBQC will work to achieve and sustain community-wide improvements in caring for patients with chronic health conditions such as asthma and diabetes, as well as focusing on improving access to primary care services..

Massachusetts Chartered Value Exchange
Watertown, MA
Collaboration among diverse stakeholders and promotion of benefit designs that encourage high value healthcare. Measure and report on cost of health care and promote the development and adoption of payment incentive systems that reward providers based on performance. .

Maine Aligning Forces for Quality
Manchester, ME (Statewide)
The Aligning Forces for Quality (AF4Q) initiative in Maine is led by Quality Counts (QC). Established in 2004 by a network of 35 organizations, QC is a multi-stakeholder statewide regional health care coalition that is committed to working across organizations and communities to improve health care systems and outcomes for the people of Maine. Its mission is to coordinate existing, but disparate, efforts across the state that promote local, coordinated systems of care and the resources that support them..

Maine Chartered Value Exchange Alliance
Scarborough, ME
Provide quality rankings for hospitals and primary care physicians, bring purchaser and provider communities together in a partnership to measure and report on the value of healthcare services..

Greater Detroit Area Health Council
Detroit, MI
As one of the AF4Q pilot sites, GDAHC implemented Save Lives Save Dollars, a multi-year initiative of coordinated immediate and long-term actions to drive quality improvement (save lives) and derive cost reductions (save dollars). As GDAHC enters the second phase of AF4Q, its mission is to continue to lead improvement in the quality, cost-effectiveness and accessibility of health care..

Alliance for Health
Grand Rapids, MI; West Michigan (Mason, Lake, Osceola, Oceana, Newaygo, Mecosta, Montcalm, Muskegon, Ottawa, Kent, Ionia, Allegan and Barry counties )
The AF4Q work of the Alliance focuses on improving quality and efficiency, reducing disparities and using information as a foundation for provider quality improvement and consumer engagement. Consumer engagement entails influencing, inspiring and motivating consumers to become more active partners in their health care. The initiative aims to increase consumers’ understanding of what high-quality health care is—in general and within the context of diabetes, the Alliance’s first focus area—and to engage diabetes patients in evidence-based self-management activities to improve health and minimize the negative effects of the disease..

MN Community Measurement
Minneapolis, MN (Statewide)
Under AF4Q, the site is expanding performance measurement to publicly report new measures, such as patient experience of care, and more detailed data, such as new clinic-level results for select chronic disease measures. The site's AF4Q initiative is also furthering consumer engagement through its Consumer Engagement Workgroup, first with a targeted focus on patients with diabetes. A new consumer-centered Web site, www.theD5.org, features diabetes care quality information, which will be promoted through a community communications campaign. The next phase of consumer engagement work will focus on the needs of traditionally underserved populations. Efforts to improve provider capacity to undertake quality improvement include a Patient Activation Redesign Collaborative, led by the Institute for Clinical Systems Improvement, and alignment of continuing medical education offerings around quality improvement topics, particularly data transparency..

Albuquerque Coalition for Healthcare Quality
Albuquerque, NM
The Aligning Forces for Quality (AF4Q) initiative in Albuquerque is led by the Albuquerque Coalition for Healthcare Quality (AC4HQ) in partnership with the New Mexico Medical Review Association, the state's health quality improvement organization. AC4HQ is a multistakeholder coalition consisting of hospitals, health plans, primary care physicians, nurses, consumers and employers working together to drive health care quality. The coalition is working across organizations and Albuquerque's multicultural community to improve health care systems and outcomes for residents..

P² Collaborative of Western New York
Williamsville, NY; Western New York (Cattaraugus, Alleghany, Erie, Genesee, Niagara, Orleans, Wyoming and Chautauqua counties)
The P² Collaborative's AF4Q initiative aims to: educate the Western New York community about the importance of health care quality and how consumers (particularly those with diabetes) can take a proactive role; engage the community to incorporate the most up-to-date best practices in treating patients suffering from diabetes and related conditions; create a platform for consumers with diabetes to report on the quality of care they receive; and disseminate resources to diabetes educators, consumers, providers, employers and health plans..

Health Improvement Collaborative of Greater Cincinnati, Cincinnati Aligning Forces for Quality
Cincinnati, OH
Cincinnati AF4Q seeks to enhance local infrastructure and to align key drivers of overall health care improvement. The initiative has identified diabetes as its initial condition of focus, later to be followed by additional conditions. Programmatic aims include aligning diabetes care messaging among employers, health plans, providers and community-based organizations; initiating quality improvement among primary care providers; and initiating region-wide public reporting of selected primary care practices' quality-related outcomes..

Better Health Greater Cleveland
Cleveland, OH
Physician practices across the region volunteer to report measures of outcomes and care to produce twice yearly Community Health Checkup reports, first on diabetes. The reports are based on data from medical records of outpatient care with attention to socioeconomic group and whether the care was paid for through a government or commercial health plan or was provided to a patient without insurance..

Oregon Health Care Quality Corporation
Willamette Valley, Oregon (Multnomah, Washington, Marion, Polk, Yamhill, Clackamas, Linn, Benton and Lane counties)
The priorities of the Quality Corp are to promote the availability and use of understandable quality information to inform decision-making, stimulate cooperation among all health care stakeholders and support the development of a health information infrastructure so that Oregonians' health information is always available..

Healthy York County Coalition
York, PA
AF4Q in South Central PA seeks to improve the quality of health care, with initial foci on diabetes, congestive heart failure and coronary artery disease. The overall goals of the initiative are to strengthen the partnership between consumers and their health care teams and encourage consumers to take actions based on the information and data they receive..

Healthy Memphis Common Table
Memphis, TN
HMCT identifies and implements results-driven, quality improvement solutions that are informed by the expertise of community partners, including schools, faith-based organizations, local governments, social agencies, hospitals, health plans, physicians, employers and corporations. Its AF4Q initiative develops a sustainable infrastructure for physician quality improvement activities, placing an emphasis on performance measurement and public reporting in its programming..

The Puget Sound Health Alliance
Puget Sound, WA (King, Kitsap, Pierce, Snohomish and Thurston counties )
Its AF4Q work includes developing and promoting quality improvement strategies that provide key stakeholders with action steps for targeted clinical areas, in addition to providing resources and tools to enhance quality improvement efforts..

Wisconsin Collaborative for Healthcare Quality
Middleton, WI (Statewide)
Its initial consumer engagement efforts are focused on addressing the issue of low health literacy and its adverse impact on health outcomes. Many Wisconsin organizations are working together to implement the Ask Me 3 program, which is designed to apply practical solutions—like asking essential questions of your provider—to promote effective patient-provider communication..

California Chartered Value Exchange
San Francisco, CA
Collect and report comparable, reliable performance data for stakeholder use, such as standardized, reliable health plan and provider performance data. Also promote the use of accurate and comparable quality measures and create efficiency in data collection leading to reduced burden and cost to all participants..

Colorado Value Exchange
Denver, CO
Colorado Value Exchange is a virtual entity under the leadership of the Colorado Business Group on Health. It engages the healthcare markerplace through leadership and active participation, driving positive changes to address quality and realize savings, by creating standards of care, improving accountability and data about providers and hospitals, and restructuring and reforming healthcare delivery systems..

eHealth Connecticut Inc.
Middletown, CT
eHealth Connecticut is focused on statewide health information exchange, and represents a collaborative approach to meeting the challenges of health information technology adoption and interoperability for the entire state..

Quality Health First Program
Indianapolis, IN
Operates nation's largest health information exchange and assembles health data in a meaningful way for providers to help them achieve improved health outcomes for patients. Targets focus on cancer screenings, diabetes care, heart health, asthma care, well-child visits and other care interventions..

Greater Louisville Value Exchange Partnership
Lousiville, KY

Louisiana Health Care Quality Forum
Baton Rouge, LA
The Quality Forum has established five committees that focus on quality improvement. The committees include he Medical Home, Quality Measurement, Clinical Quality Improvement, Health Information Technology and Outreach and Education. .

Alliance for Health
Grand Rapids, MI
Alliance for Health determines community needs, service gaps and areas of unnecessary duplication and measures health status of the community. They act as liason between different sectors to improve health care and lead discussion. .

Health Information Alliance
Mt. Pleasant, MI
Leverage health information technology to improve quality, safety, access, and cost-effectiveness of health care, across the central Michigan region. .

Healthcare Value Exchange
St. Paul, MN
The alliance’s activities directly relate to state health care reform legislation signed into law in May 2008; which include the Minnesota Quality Reporting and Incentive Payment System, Health care home support and development, Bundles of care measurement and payment, and Provider peer grouping by cost and quality. .

Kansas City Quality Improvement Consortium
Kansas City, MO
The goals of KCQIC are to equip patients to make informed health care choices, engage physicians in public reporting and other processes to improve the quality of health care for patients, and increase the role that family and community resources play in helping people with their health care selections and services..

Partnership for Value Driven Health Care
Las Vegas, NV
Work with stakeholders to attain a value-driven healthcare system, through the development of health information technology, data sharing, increased transparency, and promote evidence based practices..

Niagara Health Quality Coalition
Williamsville, NY
Initiatives include www.myHealthFinder.com, New York's independent source of hospital and physician ratings. The New York State Hospital Report Card examines the quality of care at every NY state hospital, as well as a New York State Preventable Hospitalizations Report. .

New York Quality Alliance
Albany, NY
Comprised of representatives from multiple health plans, physician groups, businesses, consumers and government. It's project includes developing a uniform data aggregation and reporting system that will promote statewide quality performance improvements among health care practitioners. .

Health Improvement Collaborative of Greater Cincinnati and Health Bridge
Cincinnati, OH
Maintain HealthBridge, nation's largest health information exchange that connects hospitals, physicians, nursing homes, independent labs, radiology centers, and others within the health care community. It also releases Indicators of Healthy Communities Report every three years that gives an overview of the tri-state population's health and support initiatives to improve quality of care and health. .

Oregon Health Care Quality Corporation
Portland, OR
The priorities of the Quality Corp are to promote the availability and use of understandable quality information to inform decision-making, stimulate cooperation among all health care stakeholders and support the development of a health information infrastructure so that Oregonians' health information is always available..

Pittsburgh Regional Health Initiative
Pittsburgh, PA
Implement electronic health records and clinical quality incentives payments. .

Aligning Forces for Quality - South Central Pennsylvania
York, PA
Improve health care transparency on quality, cost and efficiency, and patient experience through provider performance and patient management information collection and presentation with the provision of technical support to providers, performance-based payment, and public reporting to assist consumers in identifying high quality cost effective providers. .

Utah Partnership for Value- driven Health Care
Salt Lake City, UT
Define incentives and monitor pay for performance progress; increase adoption of electronic medical records among physicians and encourage and support exchange of health information. .

Virginia Health Care Alliance
Glen Allen, VA
Develop and maintain an integrated healthcare system through a multispecialty group and other healthcare providers and organizations. .

The Puget Sound Health Alliance
Seattle, WA
The Alliance measures and evaluates the actual performance of doctors and hospitals and then publishes results in the report Community Checkup, which evaluates and compares performance across hospitals, clinics, and among doctors. .

Wisconsin Healthcare Value Exchange
Madison, WI
Create the WHIO Health Analytics Exchange, a datadriven marketplace that analyzes health system and individual physician performance based on several variables. The Exchange can also be used to identify population health issues, gaps in care, and cost per episode of care. .

Kansas City Quality Improvement Consortium
Kansas City, MO
The AF4Q goals of KCQIC are to equip patients to make informed health care choices, engage physicians in public reporting and other processes to improve the quality of health care for patients, and increase the role that family and community resources play in helping people with their health care selections and services..

Community Services Council of Tulsa: $12,043,948.00
Tulsa, OK
Leverage broad community partnerships with hospitals, providers, payers, and government agencies to expand a community-wide care coordination system, which will increase appropriate referrals for cancer screenings, decrease unnecessary specialist visits and (with telemedicine) increase access to care for patients with diabetes.

The Greater Cincinnati HealthBridge, Inc: $13,800,000.00
Cincinnati, OH
Use health information exchange program to develop new quality improvement and care initiatives. Focus on patients with pediatric asthma and adult diabetes. Provide better clinical information and IT "decision support" tools to physicians, health systems, federally qualified health centers and critical access hospitals.

The Southeastern Michigan Health Association: $16,200,000.00
Detroit, MI
Use Health IT tools and strategies to prevent and better manage diabetes. Leverage existing and new technologies across health care settings to improve availability of patient information at the point of care. Track clinical outcomes and provide practical support for the adaptation of EHRs.