The implementation of the Value Based Care framework using Measurement Based Care principles in Behavioral Health: two quantitative approaches.

Abstract Information: The Aurora Research Institute (ARI) has been working on the implementation of the Value-Based Care (VBC) framework (Porter & Teisberg, 2006) using Measurement-Based Care (MBC) principles (https://greenspacehealth.com/en-ca/value-based-care/), specifically within Behavioral Health care. In this presentation, we will describe the main propositions behind the Value-Based Care approach in health, how the VBC framework is enriched by the inclusion of MBC principles, how the VBC/MBC ideas have been implemented in physical health, and some of the key barriers that emerge when the framework is implemented in Behavioral Health. Within the context of Behavioral Health, we present our approach to address some of the key barriers. Specifically, we use two quantitative approaches for the implementation of VBC using MBC. The first approach analyzes longitudinal self-reported outcomes collected from clients receiving services at a Community Mental Health center using Hierarchical Linear Models (HLM). The second analyzes the impact of Social Determinants of Health (SDoH) on outcomes using Structural Equation Models (SEM). By incorporating client-reported outcomes and the impact of SDoH on outcomes, our work elevates client voices in the evaluation process. In this presentation, we describe the models we have implemented, lessons learned in the process of the implementation, as well as future research.