Overview
The Value Transformation Framework is an organizing framework to guide health center systems change and the translation of research, proven solutions, and promising practices into actionable steps.
It organizes health center systems into 15 Change Areas grouped into three Domains: Infrastructure, Care Delivery, and People. Change Areas can be targeted for improvement to transform systems and enhance overall performance.Â
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Three Overarching Domains
Infrastructure
Infrastructure encompasses the components, including health information systems, policies, and payment structures that build the foundation for delivering reliable high-quality health care.
Improvement Strategy
Cost
- Action Brief: Attribution
- Action Brief: Attribution Thresholds for Value-Based Care
- Action Brief: Developing Your Health Center’s Value-Based Payment Goals
- Action Brief: Payor Data
- Health Center Value-Based Care Business Analysis Tool
Payment
- Action Guide: Payment
- CMS Billing Lingo, Defined!
- Summary of Medicare G0511 Care Management Services
- Reimbursement Tips: Advanced Care Planning
- Reimbursement Tips: Behavioral Health Integration
- Reimbursement Tips: Chronic Care Management, Complex Chronic Care Management, and Principal Care Management
- Reimbursement Tips: Chronic Pain Management
- Reimbursement Tips: Community Health Integration
- Reimbursement Tips: Diabetes Self Management/Medical Nutrition Therapy
- Reimbursement Tips: Initial Prevention Exam/Annual Wellness Visit
- Reimbursement Tips: Mental Health Telehealth
- Reimbursement Tips: Principal Illness Navigation
- Reimbursement Tips: Psychiatric Collaborative Care Model
- Reimbursement Tips: Remote Physiologic Monitoring/Remote Therapeutic Monitoring
- Reimbursement Tips: Transitional Care Management
- Reimbursement Tips: Telehealth
- Reimbursement Tips: Tobacco Cessation
- Reimbursement Tips: Virtual Communication Services
Care Delivery
Care Delivery encompasses the processes and proven approaches used to provide care and services to individuals and target populations, such as evidence-based care and social drivers of health.
Population Health
Evidence-Based Care
- Action Guide: Cancer Screening
- Action Guide: Diabetes
- Action Guide: HIV Prevention: Pre-Exposure Prophylaxis (PrEP)
- Action Guide: Hypertension
Care Coordination and Care Management
Social Drivers of Health
People
People encompasses the stakeholders who receive, provide and lead care at the health center, as well as partners that support the goals of high-value care.
Patients
Care Teams
Governance and Leadership
Take the First Step
Self-assess your health center’s progress toward transformation using NACHC’s Value Transformation Framework Assessment Tool. This tool allows health center staff and leaders to reflect on their organization’s progress in areas of system change fundamental to advancing on the Quintuple Aim using the Value Transformation Framework.
Helpful Resources
