The program will work in Maine (the nation's most rural state except Vermont), Minnesota, Wisconsin, Humboldt County, Calif., the Willamette Valley of Oregon, south-central Pennsylvania, western Michigan, western New York state, Cincinnati, Cleveland, Detroit, Kansas City, Mo., Memphis and Seattle. "They were selected as part of a highly competitive process to find communities that were positioned to make fundamental and cutting-edge changes to rebuild their health care systems," the release explained.
RWJF President Risa Lavizzo-Mourey said, “Despite having the most expensive health care system in the world, patients are subject to too many mistakes, too much miscommunication and too much inequity. As a result, too many Americans aren’t receiving the care they need and deserve. This unprecedented commitment of resources, expertise and training will turn proven practices for improving quality into real results in communities across America.”
RWJF examined Medicare claims to illustrate vast variations in health care quality across the country. Five different measures of care were examined by researchers in the 14 area. According the the RWJF news release, "Most strikingly, researchers found significant differences by race and by region in whether patients lost a leg to amputation, a complication of peripheral vascular disease and diabetes. ... The report also demonstrates significant differences in whether people get basic recommended care, such as women getting regular mammography tests or patients with diabetes getting essential blood tests." You may examine the study here.