Applying A 3.0 Transformation Framework To Guide Large-Scale Health System Reform
Abstract
Implementation of the Affordable Care Act is unleashing historic new efforts aimed at reforming the US health system. Many important incremental improvements are under way, yet there is a growing recognition that more transformative changes are necessary if the health care system is to do a better job of optimizing population health. While the concept of the Triple Aim-dedicated to improving the experience of care, the health of populations, and lowering per capita costs of care-has been used to help health care providers and health care systems focus their efforts on costs, quality, and outcomes, it does not provide a roadmap for a new system. In this article we describe the 3.0 Transformation Framework we developed to stimulate thinking and support the planning and development of the new roadmap for the next generation of the US health care system. With a focus on optimizing population health over the life span, the framework suggests how a system designed to better manage chronic disease care could evolve into a system designed to enhance population health. We describe how the 3.0 Transformation Framework has been used and applied in national, state, and local settings, and we suggest potential next steps for its wider application and use.
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Health systems are being transformed by the needs of chronic disease management, health promotion, management of health risks at a population level, and paying for outcomes (vs. fee-for-service).
“Health systems are being transformed by the needs of chronic disease management, health promotion, management of health risks at a population level, and paying for outcomes (vs. fee-for-service) [64].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [64]
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Translating economic evaluations into financing strategies for implementing evidence-based practices
Dopp, A. R., Kerns, S. E. U., Panattoni, L., Ringel, J. S., Eisenberg, D., Powell, B. J., Low, R., & Raghavan, R. (2021) · Implementation Science · doi:10.1186/s13012-021-01137-9 · Cited by 52 · see citing works
- Authors
- Halfon, N., Long, P., Chang, D. I., Hester, J., Inkelas, M., & Rodgers, A.
- Affiliations
- University of California, Los Angeles (US)
- Blue Shield of California Foundation (US)
- Debbie I. Chang is vice president of Policy and Prevention at Nemours, in Newark, Delaware.
- James Hester is a senior adviser at Population Health Systems, in Burlington, Vermont.
- Anthony Rodgers is a principal at Health Management Associates, in San Francisco.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2014-11
- Volume
- 33
- Issue
- 11
- Pages
- 2003-2011
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2113763627
- Cited by
- 74
- References
- 18
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 6 · 2022: 5 · 2021: 11 · 2020: 9 · 2019: 7 · 2018: 9 · 2017: 11 · 2016: 5 · 2015: 6 · 2014: 1
- FWCI
- 19.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- health care reform, Triple Aim, population health, Affordable Care Act, chronic care, health care costs, quality of care, health care outcomes, health system redesign, health planning
- MeSH terms
- Delivery of Health Care, Diffusion of Innovation, Health Planning, Humans, United States, Health Care Reform, Patient Protection and Affordable Care Act, Quality Improvement
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