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

Abstract

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.