Transition from STEEEP Care to Value-Based Healthcare

In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the 21st Century that highlighted six aims for healthcare improvement. Baylor Scott & White Health adopted these six aims to create the STEEEP quality improvement framework focused on the delivery of safe, timely, effective, efficient, equitable, and patient-centered care. In 2013, the Institute of Medicine published Best Care at Lower Cost: The Path to Continuously Learning Health Care in America highlighting the transition to value-based healthcare based on the following imperatives, vision, and paths.


  • Mange Rapidly Increasing Complexity
  • Achieve Greater Value in Healthcare
  • Capture Opportunities from Technology, Industry, and Policy


  • Continuous Learning Healthcare System


  • Generate and Apply Knowledge in Real Time
  • Engage Patients, Families, and Communities
  • Achieve and Reward High-Value Care
  • Create a New Culture of Care
  • Actions for Continuous Learning, Best Care, and Lower Costs

In order to enhance the focus on value-based healthcare, the STEEEP acronym, which was conceptualized in 2001 by BSWH Chief Quality Officer, Dr. David Ballard, and for which BSWH holds a national U.S. trademark, will change to Value-Based Healthcare.. The six Institute of Medicine aims for improvement are still just as important in 2018 as they were in 2001. To support the delivery of high quality care in today’s dynamic healthcare environment, “Value-Based Healthcare” will now be used to replace “STEEEP.” To support this transition, STEEEP Global Institute (SGI) will now be called Value-Based Healthcare Global Institute (VBH Global).

Offerings from VBH Global to enhance value-based healthcare delivery, include:

Cardiovascular Registry, Quality Improvement and Service Line Management & Consulting 

Onsite Quality Improvement Assessment & Recommendations

Population Health Management

Quality Improvement Training

For more information on solutions developed from BSWH’s value-based healthcare journey, please contact Nanette Myers at