title: The VALUE Framework: training residents to provide value-based care for their patients.
abstract: National efforts to improve the value of health care must include graduate medical education (GME) if they are to succeed. Proposals to teach residents to provide value-based care have come from the Medicare Payment Advisory Commission (MedPAC), the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Physicians (ACP). Such proposals skip a key step: residency programs currently lack a clear strategy to prepare residents to assess and deliver value-based care. In this article, we present the VALUE Framework for programs to utilize to teach residents to assess and deliver value-based care for their patients. We then present more than 20 opportunities for residency programs to incorporate training in value-based care.
authors.affiliation: Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA. mitesh.patel@uphs.upenn.edu
authors.forename: Mitesh S
authors.initials: MS
authors.lastname: Patel
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Davis
authors.forename: Monica L
authors.initials: ML
authors.lastname: Lypson
mesh_terms: D004503:Education, Medical, Graduate / Q000191:economics / Q000592:standards* / Q000639:trends; D006801:Humans; D007396:Internship and Residency / Q000191:economics / Q000592:standards* / Q000639:trends; D005791:Patient Care / Q000191:economics / Q000592:standards* / Q000639:trends; D015203:Reproducibility of Results; D062505:Value-Based Purchasing / Q000191:economics / Q000592:standards*