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Our funding for updating this website ended in 2011, but the resources we developed are still helping clinical practices from around the world to transform the care they provide to better serve patients with chronic illness. Please visit our home page to learn more—or check out our more recent tools and resources at:


Regional Quality Improvement

The Institute of Medicine’s 2001 report, “Crossing the Quality Chasm” argues that constructive change in care delivery can occur only when public policy and market forces are in agreement, and the process is supported by an appropriate information technology infrastructure. The fragmentation of the American health care system calls for a coordinated effort to align measurement, incentives and concerted improvement.
Coalitions are a promising structure for effecting this change.  Offered here is a new model, The Framework for Creating a Regional Health Care System, and an introductory look at public and private stakeholders currently working together to improve health care in many regions of the country.