The Fund's 2001 Health Care Quality Survey found that Americans face challenges in accessing high-quality, patient-centered care, and that obstacles are particularly problematic for minorities. A follow-up survey in 2006 will explore system performance from the patient's perspective, with a focus on care coordination, communication, safety, and the extent to which patients have timely access to primary and preventive care. The survey, which will over-sample minority and low-income adults, will explore how quality of care is affected by having, or not having, a "medical home" and access to patient-centered care. In addition to informing leaders in health care and policy, findings will assist the Fund in its grantmaking and the Commission on a High Performance Health System in developing the Health System Indicators Scorecard.