The Institute for Healthcare Improvement (IHI) developed the “pcnok Triple Aim” in October 2007 to help healthcare organizations improve the patient experience of care while lowering–or at least reducing–the rate of increase in per capita cost. The goals are based on three interconnected aspects of health and patient satisfaction: population health, quality of care, and affordability.
Population health seeks to improve the health of a community by focusing on prevention. This can be achieved through measures such as education and preventive medicine.
Cost reduction aims to decrease healthcare costs through better management of chronic diseases. This can be done by creating a more efficient and effective patient-centered approach to health care.
Quality of care aims to ensure that patients receive the right level of service and treatment for their needs. This can be accomplished through improved communication between providers and adherence to evidence-based practice standards.
Achieving the Triple Aim also requires shifting to a system of rewards and incentives that are more aligned with quality than volume-based payments. This can be achieved through payment models that reward providers for exceptional performance, rather than based on how often they see a patient.
This can be done through initiatives like Accountable Care Organizations (ACOs), bundled payment programs, and more.
Using patient surveys can help health systems and providers determine how well their services are meeting the needs of patients and improve overall patient satisfaction. It also can be used to measure the impact of quality improvements and make changes if necessary.
It can be challenging to find a single, consistent method for measuring the quality of care. This is because many measures vary across different types of health organizations.
Therefore, it is important to collect measures that can be easily analyzed and evaluated. This can be accomplished by utilizing standardized z-scores that are computed for each of the 10 performance dimensions representing the “health,” “patient experience” and “cost” components of the Triple Aim.
This can be accomplished by analyzing data from administrative data profiles and patient surveys.
For example, a standardized patient survey measuring patient-cent redness was utilized to evaluate the Triple Aim’s “patient experience” component. This survey included questions about demographics, a validated 14-item patient-cent redness survey, and two questions about access to PHC.
The results indicate that FHTs are partially achieving Triple Aim goals, however, there is variation in performance within each site. This suggests that it is essential for practices and health systems to collect appropriate measures and be attentive to performance across all Triple Aim components.
The IHI Triple Aim is an ambitious goal, and it will take effort to achieve. However, if it is pursued and implemented effectively, the outcome is worth the time and resources involved. It will improve the overall health of a population and reduce the cost of healthcare in society.
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