Northwell is a large, integrated health system encompassing 21 hospitals and over 850 ambulatory facilities with a service area population of 11 million. Its vision is to lead ambulatory quality care, defining and exceeding the standards for large health systems in order to raise the health of communities. 

This presentation will describe how Northwell Health embarked on an ambulatory quality transformation pathway that began with a system-level approach to improve population health and to drive improvement in common significant health conditions. The Ambulatory Quality Improvement Collaborative (AQIC) is a multi-stakeholder group to facilitate the change management process. The case for change was based on ACO performance and the move to electronic reporting. 

This session will describe AQIC from its inception through its first three initiatives (improvement of hypertension and diabetes control, appropriate screening for depression), and will highlight implementation and sustainment as a key imperative for success in a large, integrated health system.