Reimagining Patient Engagement in a Value-Based Care Delivery System

The Nuka System of Care which allows SCF to effectively treat those customer-owners. The Nuka System of Care is self-described as a “relationship-based, customer-owned approach to transforming health care, improving outcomes and reducing costs,” SCF says on its website. It has twice received the Malcolm Baldrige Performance Excellence Award out of the National Institute of Standards & Technology (NIST) and is largely responsible for a near-total transformation of Alaska Native and American Indian healthcare.

According to April Kyle, a 17-year veteran at SCF and current Nuka System of Care interim CEO, Alaska Native, and American Indian healthcare has deep historical roots. As sovereign governments, Alaska Native and American Indian peoples entered into treaties with the US government in response to early colonization and the negative consequences that held.