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A new model for the delivery of health care has been emerging in recent years, and today a growing number of health centers are transitioning from the traditional volume-based care to value-based care.
The difference between the two systems is fundamental. In volume-based care, also known as fee-for-service, providers are reimbursed according to the number of services they provide. While this model has been widely adopted, it has raised concerns that it encourages health care facilities to provide services that are unneeded.
Value-based care focuses not on serving as many patients as possible but on delivering high-quality care and minimizing unnecessary procedures and repeat visits. The goal is to improve patient outcomes while reducing the cost of care for providers and patients.
The transition can be very complicated, and health centers that want to make the switch face a major challenge: How to continue operating under their volume-based model while transitioning to a new value-based system.
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Founded in 1971, the National Association of Community Health Centers (NACHC) is a leading advocate for community-based health centers and the expansion of access to health care for the medically underserved and uninsured. Its work includes providing training, leadership development, and technical assistance to health centers to support and strengthen their operations and governance.
One of NACHC’s initiatives is Elevate, a national learning forum designed to help health centers shift from volume-based care to value-based care. NACHC recognized that it is difficult for health care centers to transition to a new system by focusing on one change area or issue at a time, and so it based the Elevate program on a systems approach to change that enables health centers to address the full range of challenges they face.
At the heart of Elevate is NACHC’s Value Transformation Framework (VTF), which identifies 15 change areas organized across three domains to guide health centers through the transition to a value-based model.
Founded in 1971, the National Association of Community Health Centers (NACHC) is a leading advocate for community-based health centers and the expansion of access to health care for the medically underserved and uninsured. Its work includes providing training, leadership development, and technical assistance to health centers to support and strengthen their operations and governance.
One of NACHC’s initiatives is Elevate, a national learning forum designed to help health centers shift from volume-based care to value-based care. NACHC recognized that it is difficult for health care centers to transition to a new system by focusing on one change area or issue at a time, and so it based the Elevate program on a systems approach to change that enables health centers to address the full range of challenges they face.
At the heart of Elevate is NACHC’s Value Transformation Framework (VTF), which identifies 15 change areas organized across three domains to guide health centers through the transition to a value-based model.
Although more than 250 health centers and 48 primary care associations and health center controlled networks were participating in Elevate, the program did not have a formal curriculum. Participants could access PDF action guides covering each change area within the VTF, but NACHC needed a more structured approach for training busy health care professionals in the complicated process of systems change.
All Things Creative produced a suite of easy-to-digest learning modules that focused on individual elements of the VTF.
We took the PDF action guides that NACHC had created and developed a rich, interactive curriculum based on the 15 change areas and three domains of the VTF. The curriculum provided a step-by-step program that health centers could follow to apply evidence-based research and best practices and to implement the VTF across multiple areas of their systems simultaneously.
The curriculum included online modules with content, interactions, and infographics. For the most complex modules, we developed video introductions that introduced the concepts and provided practical application for participants.
We realized that health care workers are busy, and we designed the curriculum to be “on demand” so that participants could use their limited time to focus on the change areas most relevant to them and then dig deeper into additional resources when time permitted.
This new Elevate curriculum, combined with the program’s peer learning, webinars, forums, and podcasts throughout the year, provided health centers with tools they could use to take their organizations from a volume-based to value-based model of care.
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