Despite enormous spending on health care per capita, in fact spending more per capita than all other nations in the Organization for Economic Cooperation and Development combined, the United States has staggering and disappointing outcomes- ranking 28 th out of 34 countries in life expectancy, 33 rd in infant mortality and 1 st in poverty ( 5, 6). The health system in the United States is one of the most inequitable when compared to peer developed nations. The notion that global improvements in quality and delivery of care would improve health disparities and achieve health equity is explicitly false ( 4). However, what became apparent was that a stringent focus on checking the boxes to the Quadruple Aim was insufficient, in and of itself, to reduce health disparities. In fact, the addition of this 4 th aim effectively eclipsed the other aims, because optimization of the initial Triple Aim was now considered impossible without the additional focus on clinician and workforce wellness, resilience and satisfaction. Immediately after and further catalyzed by emerging literature on the enormous financial, clinical and workforce impact of clinician burnout ( 3), evolving clinical settings focused on population health and national alternative payment models for advancing primary care delivery in new ways, and the true north for optimal health system performance was codified-it was now reflected in the Quadruple Aim. Berwick ( 2), an early pioneer of quality improvement in health systems and healthcare, the Quadruple Aim expanded the goals of enhancing patient experience, reducing cost and optimizing population health to include improvements to the work-life and experience of clinicians and care teams that provide care to patients. Building off of the Triple Aim articulated by Dr. Bodenheimer and Sinsky introduced the Quadruple Aim into our health system improvement lexicon ( 1). Email: 09 July 2020 Accepted: 30 October 2020 Published: 25 June 2021. Chair and Professor, Department of Family and Community Medicine The Ohio State University College of Medicine, Columbus, OH, USA. Policy of Dealing with Allegations of Research MisconductĬorrespondence to: J.Policy of Screening for Plagiarism Process.Press play to explore the topic further with Diane. In our webinar “The Quadruple Aim: Hitting the Mark for Improvement,” Diane deconstructs the Quadruple Aim, offering viewers a deeper understanding of each element of the Quadruple Aim along with tips to learn about, act on and improve in each area. The Quadruple Aim framework is based off the Institute for Healthcare Improvement’s (IHI) Triple Aim, which looks at the patient experience of care, reducing the total cost of care, and population health, and then adds on a fourth focus of improving workforce well-being with the mindset that happy healthcare providers equate to happy patients.ĮBSCO Health CNO Diane Hanson recently took a closer look at the Quadruple Aim and it’s four components to help organizations better understand the element of the Quadruple Aim and how each relates to improved patient care. One model that many healthcare institutions have adopted to help in their efforts to improve patient care and quality outcomes is the Quadruple Aim. But, how do hospitals achieve improved quality of care and higher patient satisfaction? Quality of care and patient satisfaction are core initiatives at heart of every healthcare institution. At the end of the day, the mission of every hospital is to improve the lives of the patients they serve.
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