Key Projects

  • Avoid Readmissions through Collaboration (ARC):  ARC is a San Francisco Bay Area focused effort to identify, implement and share best practices to reduce avoidable readmissions.  By the end of 2013, ARC initiatives have helped eliminate over 6,400 readmissions over a 3 year period, saving more than $62 million in healthcare expenditures.  For more information view the ARC site

  • Covered California Health Plan Network Analysis:  The health plan networks available to enrollees through Covered California, the state’s health exchange under ACA, are reportedly more narrow than usually available in commercial products.  This project poses the question: “Does variation in performance exist among the health plan networks for Covered California using publicly available data?”  The project goal is to determine if physicians - through physician group reports in California, or hospitals with published data on the website, that are contracted with the different plan products in each of the 19 Covered California regions - demonstrate meaningful differences in clinical performance.  Using an expert workgroup with deep experience in creating composite measures, the project will identify every network participant in each region and create a “network composite” for each plan product in that region. Project completion is anticipated Fall 2014.  Funded by the California HealthCare Foundation.
  • California Hospital Assessment and Reporting Taskforce (CHART):  Cynosure leads the development and publication of hospital  quality performance through CHART, the multi-stakeholder public reporting entity for California hospitals.  CHART is a not-for profit organization governed by a board with consumer, health plan, purchaser, hospital, integrated provider and nursing leader perspectives.  It aggregates data from publicly available sources, scores the results using a novel “multiple benchmark” statistically valid methodology that enhances performance discrimination and provides reports on a consumer friendly, easy to navigate website.  The CHART Board, supported by a Technical Advisory Committee and data analysis from Truven Health Analytics, determines the consumer relevance, clinical value and measure accuracy for public reporting.

  • Maternity Alternative Payment Program:  As alternative payment methods are tested and spread throughout the country, determining ways to align hospitals and physicians both clinically and financially are key goals. For a commercial population, maternity care provides a high volume opportunity to consider alternative payment methods.  Additionally, published data on hospital performance suggests wide variation in C-section ratios with the mean level of performance far in excess of optimal levels.  This project is designed to reduce C-section ratios and better align incentives in a two-pronged approach: Project goals are to: 1) provide evidence-based quality improvement training with appropriate measurement, and 2) standardize payments for hospitals and physicians regardless of the type of maternity care provided.  Physicians are currently paid a fixed rate for either vaginal or C-section deliveries.  This program will calculate a “blended rate” for hospitals that aligns incentives with physician payments.  Using both incentives and QI support, the program will reduce avoidable C-sections and test new models of payments between hospitals and commercial health plans. The project is developed in partnership with the Pacific Business Group on Health (PBGH) and the California Maternal Quality Care Collaborative (CMQCC) with funding from the Robert Wood Johnson Foundation.

Cynosure Health Solutions in the News

Cynosure Health Solutions was named in Modern Healthcare's 2014 Largest Healthcare Management Consulting Firms Survey report: 



Resource Archive

This is where you will find examples of checklists, protocols, articles, presentations, and other helpful materials. This toolbox will be expanding as we continue to gather great examples to guide your improvement work.

Find a Resource


This is where participating facilities can submit outcome and process data associated with the improvement initiatives.  Blinded comparison data will be available.



Cynosure Health provides a variety of improvement capacity building classes to meet the needs of quality professionals, physicians, and front-line staff.