VALUE ARCHITECTURE

Value Framework

The AiQL Value Architecture — 10 dimensions that together define how performance payment is computed in value-based health contracts. Each dimension is a computable, non-overlapping component of the payment formula.

10Dimensions108Measures5Active contracts3ICHOM-linked

VALUE=[D1 + D2]/[D6]×[D3 ± D4 ± D5]+[D8]|gated by [D10]|in context of [D7] [D9]

Contextual

Health Equity

CONTEXTUAL

ICHOM Enabling

Population

Numerator · What did we achieve?

ICHOM

Clinical Outcomes

NUMERATOR

Did the patient's disease get better? What happened clinically?

ICHOM Primary

Patient→Episode→Provider→Population

ICHOM

Patient-Reported Outcomes

NUMERATOR

How does the patient say they feel? What is their symptom burden, function, and quality of life?

ICHOM Primary

Patient→Provider→Population

Denominator · Among whom?

Patient Engagement & Program/Pathway Adherence

DENOMINATOR

Is the patient participating? Are they following their care plan and staying engaged?

ICHOM Indirect

Patient→Provider

Adjustments · Quality modifiers

Patient Experience

ADJUSTMENT

ICHOM Indirect

Patient→Provider

−

Patient Safety

ADJUSTMENT

ICHOM Supportive

Event→Provider→Facility

Care Process Quality & Guideline Adherence

ADJUSTMENT

ICHOM Supportive

Patient→Provider→Facility

Separate Stream · Cost savings

Cost & Resource Utilisation

SEPARATE STREAM

What did it cost? Was the care efficient? How much was saved compared to the expected spend?

ICHOM Indirect

Episode→Provider→Population

Contextual

Access & Timeliness

CONTEXTUAL

ICHOM Indirect

Patient→Provider→Facility→Network

Gate · Entry Prerequisite

D10

System Readiness

GATE

ICHOM Enabling

Facility→Network

Minimum readiness thresholds must be met before any performance measurement begins. Failing D10 = ineligible for value contracts.