Playbook Phase 3 Authorization: Activities to Improve Care for High-Need, High-Cost Patients


The five-foundation collaborative that includes The Commonwealth Fund, The John A. Hartford Foundation, the Peterson Center on Healthcare, the Robert Wood Johnson Foundation, and The SCAN Foundation shares a vision to transform health care delivery for America's sickest, frailest, and costliest patients. The collaborative coordinates resources and funding to accelerate progress toward this joint goal. In December 2016, the foundations, in partnership with the Institute of Healthcare Improvement (IHI), launched the Better Care Playbook, an online, curated resource providing practical guidance for health system leaders and payers seeking to improve care for patients with complex needs. A year-and-a-half post-launch, the Playbook, as it is known, has garnered nearly 24,000 unique visitors and 104,000 page views. In addition, the foundations have together provided more than $9 million in joint funding for 13 projects related to care improvement for high-need, high-cost patients. This authorization will allow The Commonwealth Fund to continue its investment in the Playbook, act quickly to fill gaps in the field, and cofund projects with our partners outside the regular Board grant cycle, thereby giving the Fund much-needed latitude to accommodate each foundation's approval process, timeline, and culture. In supporting the third phase of the Playbook, the authorization will permit IHI to expand the resource's content (to include, for example, video blogs by experts and user-generated case studies), enhance the site's functionality, and broaden dissemination of its tools and curricula for care redesign. The IHI team will also incorporate users' implementation experiences to promote shared learning. Further, this funding will enable the Fund to make grants for the development of additional products to address gaps that Playbook users and advisers have identified. All five foundations have verbally committed to cofund this phase of work. Continued Fund support for the Playbook will help the collaborative achieve its goal: to motivate and guide ACOs, Medicare Advantage plans, health system leaders, payers, and policymakers to improve care for high‐need populations. Cofunding with our partners enables the collaborative to stretch its funds and expand dissemination platforms.

Grant Details

Grantee Organization:
The Commonwealth Fund
Principal Investigator:
Tanya Shah, M.B.A., M.P.H.
Award Amount:
Approval Date:
November 14, 2017

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