Leading up to and since the passage of the Affordable Care Act (ACA), there has been a significant number of health care quality improvement (QI) initiatives at national, state and private sector levels. Below are a few of the most recent initiatives.

CDC's 6/18 Initiative:Accelerating Evidence into Action

CDC is partnering with health care purchasers, payers, and providers to improve health and control health care costs. The 6|18 Initiative targets six common and costly health conditions – including high blood pressure - with proven specific interventions to inform partner’s decisions for the greatest health and cost impact.
For more information, visit: The 6|18 Initiative: Accelerating Evidence into Action
For the evidence document describing three proven specific interventions for high blood pressure, visit: Control High Blood Pressure: Evidence Summary

CMS Innovation Center (download PDF )

The Center for Medicare & Medicaid Innovation (the Innovation Center) with CMS supports the development and testing of innovative health care payment and service delivery models. Find "Where Innovation is Happening" near you.

Health Center Controlled Network (HCCN)

Health Center Controlled Networks are groups of safety net providers (a minimum of three collaborators/members) working together to improve access to care, enhance quality of care and achieve cost efficiencies through the redesign of practices to integrate services, optimize patient outcomes, or negotiate managed care contracts on behalf of the participating members. Supported through the Health Center Controlled Network grant program, the networks work collaboratively to

  • Adopt and implement certified electronic health record technology,
  • Meet meaningful use requirements under the Medicare and Medicaid Electronic Health Records Incentive Programs, and
  • Improve clinical and operational quality, reduce health disparities, improve population health through health information technology, and achieve patient centered medical home recognition.

Within the networks, individual health centers work together to share resources, leverage buying power (e.g. discounted software), enhance access to information and promote guidelines on best practices, as well as provide support for achieving quality of care and operational goals. Networks support member health centers in their shared mission to provide comprehensive, culturally competent, quality primary health care services to medically underserved communities and vulnerable populations.

For more information and resources visit http://www.hrsa.gov/healthit/networkguide

Find a Health Center Controlled Network

HCCN Fact Sheet from the National Association of Community Health Centers www.nachc.org

Million Hearts® (download PDF )

Million Hearts® is a public-private initiative led by CDC and CMS to prevent 1 million heart attacks and strokes in the U.S. over the next five years by focusing the nation on evidence-based community and clinical prevention actions.

Million Hearts® priorities include:

  • Empowering Americans to make healthier choices by preventing tobacco use and limiting sodium and trans fat consumption. This can reduce the number of people who need medical treatment such as blood pressure or cholesterol medications to prevent heart attacks and strokes.
  • Improving care for people who do need treatment by encouraging a targeted focus on the "ABCS" - Aspirin for people at risk, Blood pressure control, Cholesterol management and Smoking cessation - which address the major risk factors for cardiovascular disease and can help to prevent heart attacks and strokes.


For more resources and information visit: Million Hearts®

Model for Improvement (MFI)

The Model for Improvement is a framework used by many to guide improvement work. The Model for Improvement, developed by Associates in Process Improvement, is a simple, yet powerful tool for accelerating improvement. The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change - by planning it, trying it, observing the results, and acting on what is learned.

To learn more about MFI & PDSA visit: Institute for Healthcare Improvement