THE CHALLENGE
Healthcare Isn't Delivering the Outcomes Anyone Wants
Patients, care teams, health systems, public health departments, payers, and communities all face the same frustrating reality: care delivery processes are often inefficient and ineffective in achieving health, care quality, experience, and financial goals.
3 Important Numbers
Braithwaite, J. et al. BMC Medicine, 2020. The three numbers you need to know about healthcare: the 60-30-10 Challenge
60%
of patients receive
recommended care
30%
of healthcare spending
may be wasted
10%
of patients experience
adverse events
The emerging consensus: we need Learning Health Systems — organizations and ecosystems that continuously use data and experience to improve care delivery and outcomes. Building them requires a structured approach that breaks down silos and supports reengineering complex processes. ACT provides these methods and collaborations.
WHERE ACT IS MAKING AN IMPACT
Current Test Kitchens:
Transformation in Action
ACT’s approach is being applied in real organizations working now to improve health and healthcare — refining the playbook through use and generating practical, reusable results.
This work integrates and builds on 2 decades of successful methods and collaborations that have significantly improved care transformation implementation and results. Test kitchens under ACT are currently focused on planning and early implementation.
IPRO — 13-State Care Transformation
IPRO — a leading CMS-designated QIN-QIO — is partnering with the ACT LHS Collaborative and using the Transformation Playbook across providers in the Northeast and Mid-Atlantic (13 states plus DC, Puerto Rico, Virgin Islands). Initial targets include hypertension, chronic kidney disease, Type 2 diabetes, opioid management & opioid use disorder, and obesity, nutrition and exercise.
QIN-QIO · CMS 13TH SOW
Pima County Health Department
ACT is supporting Pima County's drive to become one of the healthiest counties in the nation by 2030. Initial joint work includes a hypertension control pilot with a local health system that includes enhancing and leveraging public health data and making home blood pressure readings more accessible and useful in EHRs.
PUBLIC HEALTH · HEALTHY PIMA
HL7 International
ACT's collaboration with HL7—whose board vice chair serves on the ACT Steering Committee — is making health information flow more effectively to support care transformation and Learning Health Systems. Activities include working with test kitchens and device vendors/others to apply and advance standards-based information exchange (e.g., supported by HL7 CardX for supporting blood pressure data flow using FHIR) and working toward robust ways to connect standards developers and implementers in mutually beneficial ways.
STANDARDS & INTEROPERABILITY
The Joint Commission Recognition
ACT's workflow reengineering methods anchored a health system's care and business transformation initiative that The Joint Commission identified as an exemplary approach (see this Quality Poster). Focused on hypertension control, care access, and whole-person care — producing measurable early results, featured by TJC as a model for other organizations.
RECOGNIZED EXEMPLARY APPROACH
WHO'S INVOLVED
ACT Steering Committee
A diverse group of leaders spanning key domains including clinical practice, public health, informatics, quality improvement, health IT standards, and patient advocacy — all committed to accelerating care transformation and Learning Health Systems.
Jerome A. Osheroff, MD, FACP, FACMI
Founder, ACT (Steering Committee Chair); Principal, TMIT Consulting, LLC
Theresa Cullen, MD, MS
Public Health Director, Pima County Health Dept.
Ben Hamlin, DrPH, FAMIA
Director of Digital Health, IPRO
Michael Meier, MD, MPH
HRO Coach; Principal, Winsight Consulting, LLC
Bilikis Oladimeji, MD, MMCi, CPHIMS
Founder, SheriBell Global, LLC
Josh Rubin, JD, MBA, MPH, MPP
Founding President and CEO, Learning Health Community; Program Officer for Learning Health System Initiatives, Department of Learning Health Sciences University of Michigan Medical School
Frank Sonnenberg, MD, FACP, FACMI
Professor Emeritus, Rutgers Robert Wood Johnson Medical School
Retired CMIO, RWJBarnabas Health Medical Group
ACT Program Manager: Shehzrin Shah, MPH, MS
Carol E. Ash, D.O., MHCDS, MBA, FACHE
Pulmonary/Sleep Medicine Physician, Deborah Heart and Lung Center; Care Transformation Lecturer and National Health News Consultant; Former Chief Medical Officer, RWJ University Hospital Rahway
Patricia Gagliano, MD
Vice President, Health Care Quality Improvement, IPRO
Sue Lacey Bryant, MSc
Visiting Professor, Manchester Metropolitan U, UK; Former Chief Knowledge Officer, NHS England
Anne Myrka, BSPharm,RPh, MAT, CPHQ
Senior Director, Drug Safety and Chronic Disease Management, IPRO
J. Marc Overhage, MD, PhD
Overhage Group, NCQA Board Member (former CHIO, Elevance Health)
Julia Skapik, MD, MPH, FAMIA
Board Vice Chair, HL7 International
Janice Tufte
Patient Partner, Hassanah Consulting
Beyond the Steering Committee, ACT connects a growing network of collaborators across organizations and sectors.
ADDITIONAL INFORMATION
Resources & References
LEARN MORE ABOUT ACT
ACT in 10 Slides — Executive briefing deck (coming soon)
ACT 1-Page Overview (coming soon)
Full Collaboration Outreach Deck (for deeper dives)
Geisinger ACT Seminar (June 2025, 235 attendees): Flyer · Slides · Recording
TOOLS & METHODS
Workflow Reengineering Worksheet FAQ and Methods
ACT Transformation Initiative Catalog: Entry form · Submissions
Contact Jerry Osheroff to examine the ACT Playbook
FOUNDATIONS
GET INVOLVED
Collaborate to Accelerate Care Transformation?
ACT welcomes mutually beneficial engagement with organizations and individuals working to improve health and care outcomes.
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Explore Synergies
We'd love to learn about your strategic goals and explore how ACT can support your work. Contact Jerry Osheroff
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Follow ACT on LinkedIn
Updates on activities, proof points, and collaboration opportunities. Follow the ACT Initiative →
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Join the ACT Mailing List
Periodic updates on ACT progress and opportunities. Request to join
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Trainee & Practicum Opportunities
Learning lab experiences for students in informatics, QI, public health, and care transformation. Contact us