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Aligning Forces for Quality. An Initiative of Quality Counts in Partnership with Maine Quality Forum and Maine Health Management Coalition. Ted Rooney, RN, MPH AF4Q Project Leader PTE Project Leader. Aligning Forces for Quality Vision.

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Aligning forces for quality

Aligning Forces for Quality

An Initiative of Quality Counts in Partnership with Maine Quality Forum and Maine Health Management Coalition

Ted Rooney, RN, MPH

AF4Q Project Leader

PTE Project Leader


Aligning forces for quality vision
Aligning Forces for Quality Vision

  • By 2010, because of the efforts of QC in partnership with MQF & MHMC, and through activities funded by the AF4Q initiative, organizations and individuals in Maine (e.g. consumers, providers, employers, health plans, government, etc.) are aligned and working together to achieve best health outcomes for people in Maine. Mainers are healthier because we have changed the culture of healthcare in Maine and achieved the following:


Aligning forces for quality

  • All entities in Maine are working together collaboratively to improve health care

  • The Care Model is widely adopted and great care is delivered

  • People recognize and identify measurable differences in quality of health care, and understand what they can do to improve their care

  • People are responsible for self-management of their conditions


Af4q core activities
AF4Q Core Activities to improve health care

  • Performance Measure & Public Report

    • IOM: Safe, Timely, Effective, Efficient, Patient Centered and Equitable

  • Quality Improvement Capacity

    • Ambulatory & Inpatient

  • Consumer Engagement

    • Choosing high performing providers

    • Partnering with providers to improve health

  • Analyze population & diversity data

    • Plan interventions

  • Develop nurse led QI initiatives in hospitals

    • E.g. RWJ Transforming Care at Bedside




Comparison of mainecare health and chronic condition composite measures by race cy2007
Comparison of Mainecare Health and Chronic Condition Composite Measures by Race, CY2007


Overall care not different
Overall Care Not Different Composite Measures by Race, CY2007

  • Overall, Non-Caucasian members do not appear to experience any lower rate of care and in fact have a higher rate of care on many measures.

  • However, 26,493 members had unknown background (vs. 14,691 non Caucasian)

  • These were only process measures.


What to do next
What to Do Next? Composite Measures by Race, CY2007

  • Better documentation

    • More accurate process measures

    • Have to get to outcomes

  • Work with MHA and Hospitals

    • Hospitals and others

  • EMR pilot

    • Physician practices

  • Focus QI on MaineCare overall

    • With a few exceptions, MaineCare members had lower use of required health screenings and chronic care than National commercial and Medicaid averages as well as Maine specific plan averages (where available).