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FACCT (Foundation For Accountability), was a national non-profit organization that closed its operations in 2004, after nine years of advocacy for an accountable heath care system in which consumers are partners who help shape the delivery of care.
David Lansky, president of FACCT, joined the Markle Foundation in September of 2004, as a director of the Health Program, which had long supported and collaborated with FACCT on health care quality and consumer outreach programs.
The Markle Foundation is committed to seeing that FACCT's key health care policy and research documents remain accessible to the public and has agreed to host them on the Markle Web site.

These FACCT programs now have new homes:
CompareYourCare (TM), and CAHMI
The mission of the CAHMI is to ensure that children, youth and families are at the center of quality measurement and improvements efforts in order to advance a high quality, consumer-centered health care system. The CAHMI is a national collaboration to develop and facilitate the implementation of a comprehensive set of consumer-centered quality measurement tools. For more information about the CAHMI, visit www.cahmi.org. The website has information about each of the CAHMI measures, current projects, and links to tools and resources. You'll find some of their reports also listed below.

Below is a selection of FACCT's Legacy Documents:
Click here to download Adobe Acrobat.
- Portrait of the Chronically Ill in America
Results of a study by The Robert Wood Johnson Foundation and FACCT about how people with chronic illnesses are faring in the US. 2001.
Download (1MB)
- Innovators and Visionaries: Strategies for Creating a Person-centered Health System
An in-depth report that describes 22 important strategies for creating a more person-centered health care system. September 2003
Download (818K)
- RWJF National Strategic Indicators Survey: RWJF Priority and Program Area Performance Indicators Summary Report
Results of a survey by FACCT and Harris Interactive, Inc. on a national on-line survey to assess the quality of health and health care in the United States. September, 2000
Download (315K)
- Development of a Consumer Communications Toolkit Report and Findings from The Leapfrog Group's 2001 Focus Groups
The final report and findings of a project testing consumer messages on raising awareness about medical errors and the importance of safety standards in hospitals. Project completed in two phases and encompassed 16 focus groups. Results combined to create a communications toolkit on health care quality. December, 2001
Download (532K)
- Measuring and Interpreting Health Care Quality Across Culturally-Diverse Populations
A report summarizing the differences in health care quality across racial and ethnic groups and the challenges interpreting these differences and making policy decisions based on them. The report also makes recommendations for future work in accurately assessing racial and ethnic differences in health care quality and reducing disparities. March, 2003
A Focus on Consumer-Reported Indicators of Health Care Quality
Download (653K)
- The Basics — Organization and Scoring of CAHPS Specifications for Consumer Reporting
This measurement and performance scoring tool assesses ³The Basics² of access to care and getting good service. This tool captures and reports the consumer¹s perspective on key aspects of access, service and their health care experiences in their health plan or health care organization.
Download (95K)
- The Children With Special Health Care Needs (CSHCN) Screener ©
The CSHCN screener is a five item parent survey-based tool that is used to identify children with special health care needs. It was developed by the CAHMI, while at FACCT. Click here to go to the CAHMI site for this report
- A Portrait of Adolescents in America, 2001
This report explores the health and health care experiences of 2,000 adolescents, ages 13 to 17, surveyed online in May 2001. The Robert Wood Johnson Foundation, in collaboration with FACCT, conducted this survey to learn from teens about their physical, mental and social well-being and the perceptions and behaviors that promote or threaten their health. 2001. Click here to go to the CAHMI site for this report
- A Portrait of Informal Caregivers in America
Results of a study by The Robert Wood Johnson Foundation and FACCT on how informal caregivers feel about providing care and what they need from the health care and social services systems. 2001.
Download (4.3MB)
- Chronic Care in America: Improving the Patient-Physician Interaction
A study conducted in 2002 on finding day-to-day solutions to the growing health concerns of chronic conditions in America. June 2003 — Harris Interactive/GlaxoSmithKline.
Download (762K)
- Diabetes Care Survey
December, 1998
Download (269K)
- Patient-centered Care Measures for the National Health Care Quality Report
An executive summary of a paper that outlines a rationale and method for incorporating measures of patient centered care in the National Health Care Quality Report as a complement to other categories of importance; patient safety, effectiveness, promptness and efficiency. May, 2000.
Download (212K)
- National Estimates of the Quality of Preventive and Developmental Services for Young Children
Presentation by Christina Bethell, PhD, at the 2002 Pediatric Academic Society meeting about using the Promoting Healthy Development (Survey (PHDS) measures of care in the National Survey of Early Childhood Health. The PHDS was developed by the CAHMI, while at FACCT.
Click here for this report
- FACCT Measures — Major Depressive Disorder
Download (266K)
- Quality of Care Indicators for HIV/AIDS
This background paper reviews issues related to quality of care assessment for people with HIV/AIDS. The discussion focuses on indicators that could be used to look at the performance of providers and organizations in managed care organizations. It is intended to help providers, health researchers, patients and patient advocates, service organizations, managers, employers, and policy makers consider using measures of HIV quality of care. September 18, 1998.
Download (124K)
- Young Adult Health Care Survey (YAHCS) Version 2.0
The Young Adult Health Care Survey (YAHCS) is designed to capture information about the quality of preventive health care provided to adolescents.This is the YAHCS for a mail administration. The YAHCS was developed by the CAHMI, while at FACCT.
Click here to go to the CAHMI site for this report
- The Promoting Healthy Development Survey
English version of the Promoting Healthy Development Survey (PHDS). A survey given to parents for collecting information about preventive and developmental care for their children under the age of four. It also captures information about the child's health (e.g. whether the child has a special health care need, child's risk for developmental, behavioral or social delays), child's health care, parent health and family behaviors. The PHDS was developed by the CAHMI, while at FACCT.
Click here to go to the CAHMI site for this report
- Promoting Healthy Development Survey (PHDS) 2000 Results, Washington State
Over 3,500 parents of children enrolled in the Washington State Medicaid program completed the PHDS in Spring 2001. This report highlights the key findings and implications for the state.
Click here to go to the CAHMI site for this report
- Partnering With Parents to Promote The Healthy Development Of Young Children Enrolled In Medicaid
Results of a survey of 1,900 parents using CAHMI's Promoting Healthy Development Survey-PLUS, a survey of parents of children under age 4 who were covered by Medicaid. Funded by The Commonwealth Fund. September 2002. September 2002 — Commonwealth Fund.
Click here to go to the CAHMI site for this report
- FACCT Measures — Asthma
Download (182K)
- Consumers and Quality — What Do They Want? What Do They Know?
Results from FACCT Consumer Research 1996-2000
Download (655K)
- FACCT — The Year in Review 2002
Download (113K)
- FACCT Measures — Adult Primary Care
Download (95K)
- FACCT | ONE Asthma
Download (389K)
- The Consumer as Integrator - South Central Michigan Health Alliance, Annual Meeting
Compare Your Care; audience segmentation; segmentation, FACCT framework; health; health care; health care system; consumer-centered; FACCT; measuring; messaging; decision-making; doctor quality; quality; coaching; comparing; choosing; decision support. September, 2002.
Download (1.5MB)
- Information for Better Quality Care — The Patient's Perspective
David Lansky's slide show presentation from the October 2002 e-Health Initiative's Health Legacy Partnership Conference.
Download (1.2MB)
- Using Consumer Segmentation to Examine Utlization of Health Education Tools
A slide presentation on consumer segmentation regarding differences in health care information seeking and utilization. Presented by FACCT during the MEDNET 2002 conference, Amsterdam, The Netherlands.
Download (514K)
- Consumer Choice Models: Empowering Members as Participants in Care
David Lansky's presentation from the June 11, 2002 American Association of Health Plans Managed Care Institute.
Download (809K)
- Consumer Information and Consumer Empowerment
David Lansky's presentation from the Center for Outcomes Research and Education's Second Annual Outcomes Management Conference. May, 2002.
Download (917K)
- Thoughts on Consumer-centered Health Care Reform
Broadly discusses the current context for Science/Information Push, Translation, and Market Pull, and how these concepts can be used to understand and conceptualize ways to increase consumer engagement in health care. October, 2000.
Download (64K)
- Patient Engagement in the United States
David Lansky, PhD's presentation from The Commonwealth Fund - Nuffield Trust's conference, "Improving Quality of Health Care in the United States and United Kingdom: Strategies for Change and Action, 2003" which took place in July in Bagshot, England. Senior policymakers and leading experts from the UK and the US heard Lansky speak on patient engagement and decision making.
Download (324K)
- Patient Engagement and Patient Decision-making in US Health Care
David Lansky, PhD's background paper from The Commonwealth Fund - Nuffield Trust's conference, "Improving Quality of Health Care in the United States and United Kingdom: Strategies for Change and Action, 2003" which took place in July in Bagshot, England. Senior policymakers and leading experts from the UK and the US heard Lansky speak on patient engagement and decision making.
Download (94K)
- A person-centered view of consumer information in the health care marketplace
FACCT President David Lansky's presentation for the FTC/DOJ Joint Hearings on Health Care and Competition Law and Policy. June 12, 2003.
Download (2.2MB)
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