Regional Health Quality Improvement Coalitions
Lessons Across the Life Cycle
ResearchPublished 2003
Lessons Across the Life Cycle
ResearchPublished 2003
Regional health quality improvement coalitions have aimed to promote and coordinate improvement across various levels and types of health care organizations in particular geographic areas. However, the general factors involved in coalitions’ successes or failures are largely unknown. This report looks in depth at four such coalitions — the Cleveland Health Quality Choice Program (now defunct), Minnesota’s Institute for Clinical Systems Improvement, the Rochester Health Commission, and the Pittsburgh Regional Healthcare Initiative — and seeks to find common issues and conditions that influence a coalition’s sustainability and its success in improving regional health care. The authors review the four groups’ general history and highlight issues that arose as the initiatives progressed. From these case study findings, the authors build a conceptual model and review a related set of observations and testable hypotheses regarding factors that may contribute to a coalition’s success.
The research described in this report was supported by the Robert Wood Johnson Foundation. The research was conducted by RAND Health within the Health Sciences program.
This publication is part of the RAND technical report series. RAND technical reports, products of RAND from 2003 to 2011, presented research findings on a topic limited in scope or intended for a narrow audience; discussions of the methodology employed in research; literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; and preliminary findings. All RAND technical reports were subject to rigorous peer review to ensure high standards for research quality and objectivity.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.