HealthTeamWorks begins quality improvement with the end in mind: identifying key performance priorities and objectives, then leveraging quality and process improvement principles in the implementation of known drivers of desired outputs. We have captured many of these known drivers in a living framework informed by experiences in the field, expertise, and the emerging evidence base. We help medical practices, physician organizations, and integrated delivery networks (IDNs) improve their performance in delivering value-based services. We call this framework our Interactive Change Package (ICP).