Aligning Forces for Quality Evaluation Publications (2007-2016)

When health systems deliver consistent care, do clinics perform better?

Increasingly, health systems promote their brands as delivering high-quality, integrated health care; essential to the development of a reputable brand is the ability to provide a consistent, high-quality product at all points of care. We found that larger health systems were more likely to deliver a combination of high-performance and consistent care than smaller systems. Our study also suggests that future research is needed to explore the mechanisms that drive the relationship between consistency of care and performance within health systems - READ MORE

Journal Articles (full list)

To date, the AF4Q Evaluation team has published over 40 articles expanding the knowledge base around health care reform at the local level and providing formative evaluation findings regarding the AF4Q program design, implementation, and effectiveness of early program efforts.

Research Summaries

The AF4Q Evaluation team produces summaries of important aspects of our research and the experiences of AF4Q alliances including the implementation of patient-centered medical homes, the challenges of consumer engagement, and more.

AF4Q Community Snapshots

Community Snapshots were created early in the evaluation (2009) to provide overviews of each community where AF4Q was implemented, as well as the health improvement activities undertaken as part of the AF4Q effort at that point in time.

Survey Reports

The AF4Q Evaluation team has produced a series of survey reports to provide community specific results to each AF4Q allaince for the AF4Q Alliance Survey, the AF4Q Evaluation Consumer Survey, and the AF4Q Evaluation Physician Survey. These reports contain information on change over time for a number of variables, as well as comparisons between AF4Q communities. For more information or copies of specific community reports, please contact the AF4Q Evaluation project manager, Dora Hunter (