AF4Q Evaluation Work Published on Quality Improvement

Do Electronic Medical Records Improve Diabetes Quality in Physician Practices?

American Journal of Managed Care, 2013

In this study authors measure the effect of electronic medical records (EMRs) on a publicly reported composite measure indicating optimal diabetes care (ODC) rates in ambulatory settings.

Use of Care Management Practices in Small- and Medium-Sized Physician Groups: Do Public Reporting of Physician Quality and Financial Incentives Matter?

Health Services Research, 2013

The purpose of this study was to examine the effect of public reporting (PR) and financial incentives tied to quality performance on the use of care management practices (CMPs) among small- and medium-sized physician groups.

Chronic Illness and Patient Satisfaction

Health Services Research, 2012

In this article authors examine how the relationship between patient characteristics, patient experience with the health care system, and overall satisfaction with care varies with illness complexity.

Approaches to Improving Healthcare Delivery by Multi-Stakeholder Alliances

American Journal of Managed Care, 2012

Purposes of this study were: (1) to describe how 14 multi-stakeholder alliances participating in the Aligning Forces for Quality (AF4Q) initiative approached the charge of improving healthcare delivery at the community level between 2006 and 2010; and (2) to offer insights to policy makers and program planners seeking to promote or establish communitywide quality improvement (QI).

Building the Scaffold to Improve Health Care Quality in Western New York

Health Affairs, 2012

Many health policy leaders are promoting the community as a place to try out new ideas for improving the quality of health care. Alliances with multiple stakeholders are moving forward with communitywide efforts to improve the quality of care without the benefit of an established evidence base or guiding framework. This article presents a profile of one community’s attempt to facilitate and coordinate quality improvement in its geographic area. The P2 Collaborative of Western New York is one of sixteen sites supported by the Robert Wood Johnson Foundation’s national Aligning Forces for Quality initiative. The strategy and vision of the collaborative has evolved as it has tried to capitalize on opportunities and overcome barriers in its work. The article concludes with a discussion of eight tasks that community alliances may consider undertaking when establishing an infrastructure for improving the quality of health care, such as convening area stakeholders to develop a strategy and finding ways to monitor health outcomes at the local level on an ongoing basis.

Journey Toward a Patient-Centered Medical Home: Readiness for Change

The Milbank Quarterly, 2011

Information is limited regarding the readiness of primary care practices to make the transformational changes necessary to implement the patient-centered medical home (PCMH) model. Using comparative, qualitative data, we provide practical guidelines for assessing and increasing readiness for PCMH implementation.

Small and Medium-Size Physician Practices Make Minimal Use Of Patient-Centered Medical Home Processes

Health Affairs, 2011

The patient-centered medical home has become a prominent model for reforming the way health care is delivered to patients. The model offers a robust system of primary care combined with practice innovations and new payment methods. But scant information exists about the extent to which typical US physician practices have implemented this model and its processes of care, or about the factors associated with implementation. In this article we provide the first national data on the use of medical home processes such as chronic disease registries, nurse care managers, and systems to incorporate patient feedback, among 1,344 small and medium-size physician practices. We found that on average, practices used just one-fifth of the patient centered medical home processes measured as part of this study. We also identify internal capabilities and external incentives associated with the greater use of medical home processes.

Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation

Research Summary Published by AF4Q Evaluation, 2012

Using Community-Level Quality Measurement to Promote Value in Health Benefit Design: The Experience of Maine's State Employee's Health Insurance Program

Research Summary Published by AF4Q Evaluation, 2009