The Value Transformation Framework: An Approach to Value-Based Care in Federally Qualified Health Centers.

BACKGROUND

With the transition toward value-based care, health care organizations have a business imperative to simultaneously focus on improved health outcomes, improved patient and staff experience, and reduced costs (the Quadruple Aim). For federally qualified health centers-which provide care to some of nation's most vulnerable populations-balancing the complex task of systems change in the face of overwhelming volumes of information and best practices is challenging and can be supported through a guiding framework.

PURPOSE

This need for synthesis and translation of evidence in an actionable and practical way led to the design of a model for health center systems change. This article describes the development process and defines the resulting conceptual framework.

METHODS

Deployed a four-step process between 2016 and 2018 to develop and test a framework for value transformation in health centers.

RESULTS

NACHC's Quality Center developed the Value Transformation Framework to guide health center systems change toward high value care. The framework identifies 15 change areas across three Domains: infrastructure, care delivery, and people and summarizes evidence-based action steps within the change areas.

CONCLUSIONS

The framework shows promise in supporting health center efforts to adapt, transform, and balance competing demands as they advance value-based models of care.