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State Quality Improvement Institute: Progress Report

In 2008, The Commonwealth Fund and AcademyHealth launched the State Quality Improvement Institute (SQII) to complement the State Scorecard by providing technical assistance for state quality improvement efforts. Through a competitive process, nine states—Colorado, Kansas, Massachusetts, Minnesota, New Mexico, Ohio, Oregon, Vermont, and Washington—were selected to participate in an intensive process of state-level planning and engagement with expert faculty to facilitate their reform efforts.

The SQII facilitated ongoing contacts between high-level state participants and expert faculty to support state efforts to improve care in three priority areas: delivery and financing systems reform, chronic care/population health improvement, and data integration/transparency. Following their start-up planning phase, SQII states began the process of implementing action plans around specific improvement strategies. Important strategies under way in the states include implementation of medical homes and care coordination strategies, adoption of population health initiatives to reduce chronic disease risk in the community, improved chronic disease management to improve outcomes and avoid costly hospitalization and rehospitalization, and use of data for performance improvement and public reporting. The SQII's expert faculty is working closely with multi-stakeholder state teams to support their efforts to identify and adopt evidence-based models for systemic transformation.

A progress report describes important elements of the technical assistance provided, outlines the efforts of the participating states, and lays the groundwork for revisiting progress at the state level at the end of the State Quality Improvement Institute project.

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