Pathways for Quality

board game

The Story | Game Play | Research | Where to Buy

The Story

Get your town’s resources lined up to improve healthcare quality!

Players take on the role of organizations working to implement health quality initiatives among payers, providers, employers, and local communities. Build up resources and craft narratives to reach key milestones and meet your goals.

Find the path that yields the care your community needs, allocate your resources wisely, and win!

Game Play

Players race to fulfill the care needs of two Target Populations in their community by enacting health care Improvements. Every round players compete and collaborate to divide a fixed pool of Resources equitably, and then use those Resources to work towards their Improvements by completing Milestones that stand in their way.

Each round is split into three phases:
Resource Phase: Draw Resources from the deck and divide them among players
Ability Phase: Start an Improvement, research a Target Population, or acquire a Resource
Action Phase: Allocate Resource cards to complete Milestones and enact Improvements

The first player to improve health care in her community enough to meet the care needs of two of her Target Populations is the winner! Players must be creative enough to craft narratives about their Improvements while being analytical enough to find the most efficient path to victory.


Pathways for Quality supports Aligning Forces for Quality, the Robert Wood Johnson Foundation’s signature effort to lift the overall quality and value of health care in targeted communities, reduce racial and ethnic disparities, and provide models for national reform.

Pathways for Quality was designed and produced in collaboration with Digital Mill, and made possible with support from the Robert Wood Johnson Foundation (RWJF).