The document summarizes a fall conference on Aligning Forces for Quality hosted by HIMSS—New Jersey and Delaware Chapters. It provides an overview of the Aligning Forces for Quality initiative, which aims to improve healthcare quality, reduce disparities, and provide reform models through local stakeholder groups. It then discusses the Detroit leadership team involved in these efforts and shows dashboards tracking their progress over time. Finally, it outlines some community quality initiatives and highlights the vision of accountable care organizations in reforming payment models to focus on patients, data, teams, payment reform, and reducing disparities.

1. HIMSS—New Jersey and Delaware Chapters
Fall Conference
A New Hope?
Michael W. Painter, JD, MD
September 23, 2011

9. Aligning Forces Communities

10. 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 16 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
10

11. Equity
Performance
Consumer
Measurement
Engagement
& Public
Reporting
Quality
Improvement

12. Detroit Leadership Team

13. Detroit Leadership Team
 Providers
− University of Michigan Health System, Henry Ford Healthy
System, Detroit Medical Center, Huron Valley Physicians
Association
 Consumers
− American Diabetes Association, National Kidney Foundation of
Michigan
 Health Plans
− Blue Cross Blue Shield, Blue Care Network, Health Alliance
Plan, Priority
 Purchasers
− General Motors, Automotive Industry Action Group (AIAG),
Retired Auto Workers Medical Trust

15. Dashboard 2007

16. Dashboard 2011

19. Ellsworth Clinic

21. Payment Reform

22. Payment Reform
Susie Dade, Project Director
Puget Sound Health Alliance

23. Payment Reform Pilots

24. Vision of accountability in the ACO idea is promising—accountable for
quality and cost plus patients’ experience and population health.
•Focus on Patient and Consumer.
•Data.
•Collaborative Teams, Primary Care and Workforce.
•Payment Reform.
•Population Health.
•Racial, Ethnic and Language (REL) Health and Health Care Disparities gaps.

26. Select Community Quality Initiatives

27. An alternate vision—A vibrant national, swarming improvement network

28. And that’s just “Mike’s” Galaxy…

30. Aligning Forces for Quality Developer Challenge