Aligning Forces for Quality (AF4Q) is the visionary effort of the Robert Wood Johnson Foundation to pilot real change in today's complicated health care system. For the past six years, AF4Q has brought together 16 geographically, demographically, and economically diverse communities across the United States behind a common purpose—to create sustainable models for health care transformation. Our ideas and initiatives have led to improvements in how health care is delivered, reductions in racial and ethnic disparities, and increased...

Colorectal cancer is the second leading cause of cancer-related deaths in the United States and the leading cause of cancer deaths among nonsmokers, according to the CDC. If everyone age 50 years and older had a regular screening test, at least 60 percent of the deaths from this cancer could be avoided. And early detection, the key to treating colorectal cancer, is inexpensive. Two communities in the Robert Wood Johnson’s Aligning Forces for Quality (AF4Q) initiative have made tackling this issue a priority.


Health care providers are increasingly being paid based on the value of the services they provide instead of the quantity, in the hopes of both improving quality and controlling costs. Aligning Forces for Quality alliances have worked with physicians, hospitals, insurers, employers and other stakeholders to develop and implement systems to measure and publicly report performance.
Journalist Bruce Japsen examines how hospitals and health systems participating in the Wisconsin Collaborative for Healthcare Quality have embraced new payment systems that...

The Aligning Forces for Quality (AF4Q) initiative in Wisconsin is led by the Wisconsin Collaborative for Healthcare Quality (WCHQ). Established in 2002, WCHQ is a voluntary consortium of organizations learning and working together to dramatically improve the health and increase the value of healthcare for the people of Wisconsin. The mission of WCHQ is to publicly report and bring meaning to performance measurement information that improves the quality and affordability of healthcare, in turn improving the health of individuals and communities.

  • A 28-member board of directors—including private-sector purchasers, consumers, physician groups and hospitals—governs WCHQ.

View the Alliance's Website Here.

View the Public Reporting Website Here.

View the Wisconsin Hospital Association Public Reporting Website Here.

Contact Us

Wisconsin Collaborative for Healthcare Quality
7974 UW Health Court
PO Box 628578
Middleton, WI 53562
Cindy Schlough
Wisconsin Collaborative for Healthcare Quality
Director, Strategic Partnerships
Mr. Chris Queram M.A.
Wisconsin Collaborative for Healthcare Quality
President and CEO