WK 2 - Summative Assessment_ The Impact of IHI’s Triple and Quadruple Aim Initiative
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Feb 20, 2024
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WK 2 - Summative Assessment: The Impact of IHI’s Triple and Quadruple Aim Initiative Renetta Roland
University of Phoenix
MHA/515
Dr. Debbie Simmons
November 27, 2023
2
The Impact of IHI’s Triple and Quadruple Aim Initiatives
This paper will discuss an in-depth overview of the history of the triple aim goals and if they have been achieved. This discussion will also demonstrate if the triple aim can be applied to my organization and how it measures data to determine the success of each aim in the organization. Lastly, it will show how to analyze the quadruple aim and implement it as a standard for the organization. Part I: IHI Triple Aim Goals Evaluation
The history of the IHI Triple Aim framework serves as a foundation for optimizing health for individuals and populations by simultaneously improving the patient experience of care (including quality and satisfaction), improving the health of the population, and reducing the per capita cost of care for the benefit of communities (Triple Aim and Population Health, 2023). Traditional models often focus on individual aspects of care and sometimes have ineffective results. The Triple Aim model aimed to address issues by promoting a more understanding approach that considers the patient experience, population health, and cost efficiency.
The IHI Triple Aim framework has gained attention, and some organizations have adopted the models by various health care organizations nationally. With the implementation of these models, there have been positive outcomes in terms of improved patient experience, better health outcomes, and some cost containment. Some innovative care modes were also created, like patient-centered medical homes and value-based payment systems, and all this is aligned with the Triple Aim Principles.
Achieving all three dimensions of the Triple Aim is a challenge for many companies, and it is due to several factors, including complexity in health care systems, patients’ geographics, 2
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and financial constraints. Patient care and satisfaction can be improved, but at what cost? Achieving the Triple Aim nationally will require ongoing effort with collaboration, adoption, and innovation. The IHI Triple Aim dimensions nationally are realistic goals for organizations, but they must embrace Triple Aim Principles with potential positive changes. For example, change the health care infrastructure, policies, and funding sources. This requires cost reductions and, at the same time, improves quality and patient experiences; the model will be an ongoing plan to achieve the goal.
Part II: Evaluation of Application of IHI Triple Aim Goals Application in Optum
With Optum, Triple Aim Analytic Services delivers actionable information, plus resource capacity, to advance public sector performance in three ways that make the most significant difference, and three differences are better program outcomes, greater financial accountability, and improved consumer and stakeholder engagement (Optum Triple Aim Analytic Services, 2014). To elevate the impact of these goals with Optum, we have analyzed relevant data in each area.
Measuring quality and outcomes - Develop and apply quality metrics and benchmarks to identify improvement opportunities from clinical and population health perspectives (
Optum Triple Aim Analytic Services, 2014).
Advanced program and policy development - Evaluate, research, and monitor competencies to inform program redesign and innovation projects (Optum Triple Aim Analytic Services, 2014).
Managing finances and payment value - Monitor and evaluate program expenditures to address
cost-effectiveness, performance, and long-term budget viability (Optum Triple Aim Analytic Services, 2014).
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Improve efficiencies - Initiate exploratory analysis to drive continuous operational improvements
(Optum Triple Aim Analytic Services, 2014).
Assessing access – Examine variations across programs by region, eligibility groups, and service needs, including utilization, time, and distance criteria (Optum Triple Aim Analytic Services, 2014).
Strengthening cross-agency cohesion - Enable operational insights that affect positive changes throughout your health and human services operations, regardless of where the data originate or programmatic responsibility resides in the enterprise (Optum Triple Aim Analytic Services, 2014).
Part III: IHI’s Quadruple Aim
The IHI’s Quadruple Aim, which expands on the Triple Aim by focusing on improving healthcare providers' work-life, is an important consideration. With 45% of doctors feeling at least one symptom of burnout and the cost of replacing a seasonal clinician exceeding $250,0003, it is time to invest in strategies that bring the joy of work back to the clinician (Gokal,
2023). By addressing these issues, my organization can create a more supportive, sustainable work environment that can improve staff morale, reduce turnover, and improve patient care. I believe that the Quadruple Aim should be a standard for healthcare organizations. Educating providers and staff can create a platform for improved staff satisfaction, leading to better patient care outcomes and organizational success.
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Conclusion
In conclusion, the IHI Triple Aim Framework will provide a valuable guide for health care organizations. These goals have influenced our strategic planning and operational approach with Optum. The organization aims to enhance patient experience, improve population health, and achieve cost savings through data analysis and continuous evaluation. I firmly believe in the
importance of the Quadruple Aim and its potential to improve healthcare organizations’ overall performance and provide well-being with work-life balance.
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References
Gokal, N. (2023). Care of the clinician: Addressing the quadruple aim. https://www.optum.com/business/insights/health-care-delivery/page.hub.care-of-
clinician.html
Optum Triple Aim Analytic Services
. (2014). https://cdn-aem.optum.com/content/dam/optum3/optum/en/resources/brochures/
8891_35427_Optum_Triple_Aim_Brochure.pdf
Triple Aim and Population Health
. (2023). Institute for HealthCare Improvement.
https://www.ihi.org/improvement-areas/triple-aim-population-health
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