Value-Driven Framework

Value-Driven Framework for Evaluating Health Care Innovations

To measure health care innovation success and value, the Office of Health Care Innovation and Learning (OHIL) created a fit-for-purpose evaluation framework that focuses on four dynamic measures of value—access, effectiveness, efficiency, and equity—and follows three fundamental principles—meaningfulness, appropriateness of scale, and time to value realization.

With this new framework, there is an opportunity to:

Prioritize what matters to Veterans and continue to support excellence in value-driven Veteran health care
Design, develop, and deploy a portfolio of mission-driven and sustainable health care innovations
Realize the dynamism of innovation value, yielding more significant health outcomes over time from individual and population levels

Download the Executive Report

Anatomy of the Framework

Editable Framework Download (Digital)

Editable Framework Download (Print)

Michael Borges
Veteran Patient Expert, U.S.
Air Force Retired

"Technology is moving quickly and it's hard for Veterans like me to keep up. I love my VA care. They never stop pushing the boundaries of how it can be better for me and my fellow Veterans."

Carolyn Clancy, AUSH for Discovery, Education, and Affiliate Networks

Carolyn Clancy, MD iBOT Chair by Mobius Mobility
Assistant Under Secretary for Health for Discovery, Education, and Affiliate Networks

"We have an opportunity to redefine the blueprint for successful healthcare innovations. To be transformational, evaluation frameworks need to define true value as that which matters most to our Veteran patients."

The Evidence-Based Framework Uses a Mixed-Method Approach

The Value-Driven Framework for Evaluating Healthcare Innovations is the culmination of extensive research, including a literature review, expert interviews, and user testing.

Evidence-based Framework for Evaluating Healthcare

PRIDE in all Who Served Program (PRIDE) is a 10-week health education group for LGBTQIA+ Veterans with the aim of reducing health care disparities and enabling dialogue related to health care needs.

3D Printing reimagines personalized care delivery and provides patient-specific solutions, even when no commercial products exist or are available.

VA Doctors demonstrate a smartHEART device to a Veteran

The Smart Health Education and Rehab Technology (SmartHEART) Program uses smartphone technologies and telehealth capabilities to deliver cardiac rehab to Veterans.

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How to Deploy the Framework

The Value-Driven Framework for Evaluating Healthcare Innovations offers three solutions to decision makers:

Demonstrate

The balance of value being pursued across an innovation portfolio

Is your innovation portfolio balanced to meet your strategic goals?
Do you have a clear vision of how the innovations in your portfolio will mature over time and yield new value?

Support

Investment decisions based off a holistic evaluation of the value they promise

How do your investment opportunities in health care innovation promise to return value across the domains of access, effectiveness, efficiency, and/or equity?
How are your investment opportunities in health care innovation meaningful to Veterans?
What is the optimal scale of your investment opportunities in health care innovation?
What is the potential of investment opportunities in health care innovation to realize additional value over time?

Inform

Operational rigor needed to track the full range of value returned from the innovation portfolio

How does your organization equip innovators with data that outlines the needs and experiences of Veterans to ensure meaningful innovation?
How does your organization track and measure impact across the “value measures” (access, effectiveness, efficiency, and equity) for each innovation?