ACLC staff and cohort members created the following tools in connection to the whitepapers

*Scroll down to view the Accountable Care Learning Collaborative's tools & resources or click the links below to view each page. 

ACO Leadership Team Assessment

The “ACO Leadership Team Assessment” guides ACO leaders seeking to thoughtfully transform their care delivery institution to a whole-person, value-focused system of care by answering the question, “what are the core change leadership principles we can collectively focus on to guide our ACO to reliable success?”

As ACO leadership teams regularly use the assessment they will not only gain a deeper understanding of the decisions and actions they can take to construct their own pathway forward but inevitably lead their organization though a successful and timely transition to value-based care


ACO Leadership Team Assessment Scoring Methodology

Scoring the results of the ACO Leadership Team Assessment is an important step in the leadership team’s effort to understand what appears to be going well and what they might improve.

In our work with several ACO Leadership Cohort member organizations, we suggested a pass ("P") or fail ("F)" grading scale for each of the 13 questions in the leadership guide. Each question is scored as a pass ("P") based on whether 95% of the respondents indicate the organization's leaders behave in a manner consistent with the research findings. The 95% cut-off is set intentionally high to challenge leaders to be “the best they can be.” The purpose is to spur interest, not cast a final “Pass” or “Fail” judgement.

This scoring method in combination with a descriptive analysis of the answer options (% of “strongly agree” responses and so on) offer an approach that can help leaders narrow their focus on where and how to begin their pathway to success.


ACO Leaders Change Leadership Reference Guide

The “ACO Leaders Change Leadership Reference Guide” is a comprehensive summary of insights captured from the original research and the results of interviews with ACO leaders from across the U.S. ACO leaders use the information in this section as a handy reference when leading a team through a system-wide transformation to a successful ACO, through a more narrowly focused service line redesign, or through any other multi-stage initiative.


Initiative Design Phase Readiness Assessment

The “Initiative Design Phase Tool” is used either during the planning of an initiative or shortly before launching an initiative to confirm the initiative is setup for success. The questions in the table asks leaders to examine the readiness of their initiative plans and is intended to be a prospective analysis.


Leadership Educational Chapters

The following “Leadership Educational Chapters” provide a brief learning opportunity for leaders. The topics are based on insights from research, and leadership retreats hosted with ACO leadership teams.

  1. Leadership vs. Management Challenge
  2. Innovation Management
  3. Celebrate Moments and Milestones
  4. Signals
  5. Change is everyone’s responsibility
  6. A leadership mental model for any project
  7. Population Health vs. Population Health Management
  8. Complicated vs. Complex

CCN Model

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The ACLC’s “Coordinated Care Network” Model is available for download and consists of these elements:

  • Core: the person served by the CCN, their physical and psychological state
  • Inner Layer: the patient’s status, goals, and preferences that drive the functions of the network
  • Second Layer: the direct support system that can enable self-management and the achievement of a care plan co-produced with members of the CCN team
  • Third Layer: the health and social care services essential to the whole-person health and well-being of patients
  • Outer Layer: the primary mechanisms that will facilitate the desired outcomes

CCN Value Compass

The CCN Value Compass depicts the various components of a patient persona and is a means to help care teams see their patients from more than one angle; to see the whole-person, and the etiology of each person’s current state of health and well-being. The cardinal points on the compass represent:

  • North: functional status, risk status, and well-being
  • South: cost of the care delivered, including medical expenses, lost days of work, and other non-health care costs incurred by the patient and their family
  • East: whether the care provided matches the patient’s preferences, needs, and values, and whether the patient is satisfied with their care experience
  • West: presenting clinical problems and their manifestations

CCN Target Behaviors

This tool presents 51 core functions of a CCN (as classified by the cohort’s research findings) and describes the target behaviors associated with each core function. These behaviors and functions are organized by four domains; Management Structures, Performance Management, Care Delivery, and Patient Engagement.


CCN Assessment

The CCN Assessment tool, also known as the Value-Based Readiness Assessment (VBRA) is the premier analytic tool for organizations moving to value. Based on leadership, behavior and change management principles, the assessment tool effectively guides health systems to reliable, high-performance care under risk-based payment models.

The tool assesses the organization’s proficiency in, and priority placed on, each of the 51 core functions, across leadership and the workforce to provide clear insights into leadership and workforce alignment. The tool also provides sources, definitions of terms, and links to resources to aid the respondent in becoming familiar with value.