Building a Value-Based Workforce

June 15, 2015

Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH

Presentation at the 2015 AcademyHealth Annual Research Meeting



  • What will the shift to value-based payment models mean for the workforce?
  • Literature review of 57 studies focused on staff roles in new models of care that:
    • are new or have undergone significant transformation
    • provide direct patient care
    • address patients’ health care needs in community, ambulatory and acute settings
  • Review revealed
    • new responsibilities for existing workers
    • new and emerging roles
      • roles that focus on coordinating care within the health care system
      • “boundary spanning” roles that address patient needs between home and health care settings
    • new challenges
      • job descriptions have to be rewritten or created
      • workflows reconfigured
      • trainings developed to support task shifting and new roles

Implications for Health Workforce Research and Policy

  • Health workforce researchers and policy makers need to shift focus from “old school” to “new school” approaches.
    • From a focus on workforce shortages to measuring the demand-capacity mismatch
    • From a focus on provider type to provider role
    • From a focus on training new professionals to retooling existing workforce
    • From health workforce planning to planning for a workforce for health


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This work is funded through cooperative agreement U81HP26495, Health Workforce Research Centers, with the National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, U.S. Department of Health and Human Services. The content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.