Who We Are


California Quality Collaborative (CQC) is a healthcare improvement organization dedicated to advancing the quality and efficiency of the health care delivery system in California. The CQC will generate scalable and measurable improvement in care delivery in ways important to patients, purchasers, providers, and health plans.

Improvement Principles:

  • Value is best created by improving cost and quality together
  • Performance is a system property; therefore improvement strategy must be focused at the organization level
  • Improvement is only sustainable when aligned with business models that support cross-institutional integration and quality outcomes
  • Measurement and reporting will be based on the triple aim for improvement in:
    • Improving the patient experience of care (including quality and satisfaction)
    • Improving the health of populations
    • Reducing the per capita cost of health care


Led by national experts in the field, CQC offers a range of healthcare improvement programs, including:

Healthcare quality improvement training programs engage California physician group and hospital leadership teams to manage change across their organizations to achieve evidence-based, patient-centered care

Topic-specific collaboratives offer access to national experts and leading physician peer group leaders to facilitate the adoption of best practices in patient satisfaction, clinical care, and efficiency


Enjoy the following benefits by joining CQC healthcare improvement programs:


  • Programs led by experts in the field


  • Access to leading physician organizations and policy makers
  • Opportunity to transform healthcare delivery systems to achieve evidence-based, patient-centered care at the practice level


  • Training, collaboratives, and resources customized for providers in California
  • Programs attuned to the California healthcare marketplace and aligned with business incentives in California


  • CQC is a source trusted by purchasers, providers, and plans, and provides a neutral venue to bring historical competitors together for the common good


California plans, providers, and purchasers have a long history of collaborating to improve care.

2012: CQC increased its scope to pursue large-scale, state-wide health system improvement in chronic care and coordinated care, together with collaborating partners such as CAPG, HSAG, CHCF, and IHA. An award from the Center for Medicare & Medicaid Innovation allowed for significant expansion of the Intensive Outpatient Care Program (IOCP) which will engage 27,000 high-risk Medicare patients throughout California and Arizona in intensive care management in partnership with their respective delivery systems, health plans, and private purchasers. The Intensive Outpatient Care Program (IOCP) care delivery model uses embedded care managers in primary care teams to develop close relationships with medically complex patients and deliver highly individualized and accessible primary care, based on treatment goals specific to each patient.

2009: CQC program participation grew from the initial 38 physician groups in 2002 to 110 groups, representing 35,000 outpatient practices serving more than 13 million Californians.

2007: The program name changed to the California Quality Collaborative, with expanded programming including peer-to-peer learning and implementation support to improve patient experience, affordability of care, and clinical effectiveness.

2004: The project name changed to the Breakthroughs in Chronic Care Program, in recognition that care systems to improve diabetes could assist patients with any chronic illness. The program offered structured support to physician groups to implement registries, self-management support, and planned care for patients.

2002: Efforts to improve diabetes care in California led to formation of the Diabetes CQI Project, which sponsored quarterly meetings for provider groups and plans.