Aquifer High Value Care

Aquifer High Value Care
In collaboration with: American College of Physicians &
Alliance for Academic Internal Medicine

The 12 cross-disciplinary virtual patient cases in the High Value Care course explore the fundamentals of providing value in health care, adopted from the American College of Physicians (ACP) and the Alliance for Academic Internal Medicine’s (AAIM) High Value Care Resident curriculum.


Aquifer High Value Care teaches students how their decisions about diagnostic testing, care management, and other interventions affect the costs and efficacy of care. Including this curriculum in every healthcare professional’s education is a step to making high value care a reality in clinical practice.

Aquifer High Value Care cases take an average of 15 minutes for students to complete.

Coming July 1: New Module & Access

As of July 1, High Value Care will be available for subscription as part of Aquifer’s Clinical Excellence Case Sets offering. Paired with other key interdisciplinary topics, this new package provides access to 52 short cases. As part of this upgrade, a new principles module will also be added to Aquifer High Value Care. Learn more…

  • Created for educators, by educators, from the ACP-AAIM’s High Value Care Resident Curriculum
  • Available by subscription as of July 1, 2023, as part of Aquifer’s Clinical Excellence Case Sets.
  • Proven pedagogy that standardizes experiences—overcoming geography, seasonality, and accessibility
  • Evidence-based, peer-reviewed, and continuously updated content
  • A wealth of source material, embedded assessment questions, and full references in each case
  • Delivered via the Aqueduct teaching and learning platform, which includes user management options, easy reporting on student progress and course usage, plus tools for creating custom courses to match a specific curriculum

Aquifer High Value Care consists of innovative, cross-discipline, case-based modules that begin teaching the fundamentals of value in health care. The modules include short interactive virtual patient cases, brief instructional videos, key teaching points, and embedded links so that students can apply principles from the HVC modules to other cases. Topics include: making your diagnostic testing count, adult preventative care, insurance, statistics and clinical decision making, and more.

Coming July 1: New Module & Course Structure

All Clinical Excellence Case Sets, including High Value Care, will follow a new course structure.

A new principles module will be added to the course, which covers key definitions, epidemiology, explanations of key principles and why they are important for patient care, and a harm statement that makes it explicit what harm can come to the patient if the principle is not incorporated into practice.

After completing the principles module, students unlock additional application cases (the existing High Value Care cases) that explore realistic case scenarios. Application cases are concise and focus on one area of a patient encounter, and are centered around asking students to make important clinical decisions. Content models evidence-based best practices and communication strategies, exploring the real-world impacts on care and potential harm. At the end of each case, a reflection question asks the students to consider key takeaways, implications for their future practice, or personal wellness. Each application case also includes self-assessment questions that extend the learning to other scenarios.

This course is excellent learning tool that can be used alone or combined into a custom curriculum in Aqueduct.  Aquifer High Value Care is available free of charge for all teachers and learners. Programs and individuals can both access the content to supplement clinical learning.

High Value Care 01: 45-year-old male – The importance of clinical reasoning

High Value Care 02: 25-year-old female – Making diagnostic testing count

High Value Care 03: 65-year-old female – Adult preventive care and value

High Value Care 04: 80-year-old female – Medications and value

High Value Care 05: 78-year-old female – High value care in the inpatient setting

High Value Care 06: 65-year-old male – Paying for value: Insurance Part 1

High Value Care 07: 7-year-old female – Rooting out waste

High Value Care 08: 5-month-old female and 4-year old female – Value of vaccines

High Value Care 09: 66-year-old female – Redefining value at end of life

High Value Care 10: 16-year-old female – Statistics and clinical decision making

High Value Care 11: 17-year-old female – High value care reproductive health care

High Value Care 12: 17-year-old female – Paying for value: Insurance Part 2

From Our Cases

Educator Guide Available

Course Overview – Integration Strategies – Real World Application Activities – Case Details

The Educators Guide—available to institutional subscribers—provides a quick reference guide for all cases and resources included with Aquifer High Value Care. Integration strategies and suggestions for custom courses are also included, making it easy to include this key topic in a variety of rotations and courses. The Educator Guide provides a wealth of valuable, engaging Real World Application Activities ready to use in your teaching.

The Educator Guide and individual Real World Application Activities are available in the Educator Resources section of your Aquifer account. Learn more…

User Story Video

Learn how Aquifer High Value Care—available free of charge—can benefit students and faculty in your program:


“Aquifer High Value Care was an incredibly helpful resource. High Value Care is introduced in the first and second years of medical school only as a concept. I completed the first Aquifer High Value Care case and I was hooked. The cases are built very well, and I was able to learn efficiently. I was impressed with the content and the course’s ability to bring together information that would have taken me days to compile. The hyperlinks to online resources were invaluable.”

  Third-Year Medical Student

Aquifer High Value Care Course Board