As things like technology and reimbursement models evolve, the means by which organizations achieve the aim may also evolve. Feeley’s point, then, I think, is that there are many “essentials” if organizations are to effectively pursue and meet aim goals. The effective use of data and technology and collaboration between healthcare providers and entities are just a couple of examples that come to mind. When you think about it, there are many things that can’t be ignored if organizations are to achieve Triple Aim outcomes. The IHI is even offering a 12-week virtual training all about “Finding & Creating Joy in Work” in 2019 (see details and learn how to register here ).įeeley urges organizations “to interpret the Triple Aim in a way that makes sense for you and your organization and what you need to achieve, but do so in a way that is deliberate and strategic.” Feeley also recognizes that popular aim “add-ons” like joy in work and health equity can’t be ignored if organizations want to achieve Triple Aim outcomes. If organizations add additional components to the IHI’s Triple Aim, Feeley says they should be cautious about making modifications that may take focus away from the aim’s highest priority: patients. Many other organizations have added “joy in work.” Still others have made “health equity” their fourth aim. Feeley says that the military’s health system, for example, has added “readiness” as their fourth aim. Those components differ, however, from organization to organization. In a post on the IHI blog, IHI President Derek Feeley explains why.įeeley says that the IHI understands that some organizations may want to add a fourth component to the Triple Aim to help them deliver on their organizational strategy. While many healthcare organizations have expanded their focus to a quadruple aim, it doesn’t appear that the IHI has plans to modify the three-part aim that has stood for over a decade. So, it seems that adding “joy in work” to the Triple Aim to make it the “Quadruple Aim” should be a no-brainer, right? Drummond, Bodenheimer and Sinsky’s argument speaks to an important truth: Healthcare is only as good as those delivering the care. physicians to experience symptoms of burnout.”įor all of the technology, regulations and carefully engineered processes that course through any healthcare organization, Drs. Bodenheimer and Sinsky wrote, “The wide gap between societal expectations and professional reality has set the stage for 46% of U.S. Drummond: When looking holistically at the healthcare system, the aim is missing an essential component-concern for care providers. In their 2014 Annals of Family Medicine paper that called for a move from the triple to a quadruple aim, Thomas Bodenheimer, MD and Christine Sinsky, MD came to a similar conclusion as Dr. How can providers deliver an exceptional patient experience, for example, if they constantly feel overworked and stressed? How motivated will healthcare workers be to creatively problem solve and increase productivity if they don’t feel their efforts are acknowledged or rewarded? ![]() Drummond says that preventing things like physician burnout and creating a culture where healthcare workers feel valued and supported is essential if healthcare organizations are to achieve the Triple Aim. Drummond argues that the Triple Aim cannot be achieved without adding a fourth component to the aim: “joy in work.”ĭr. is predicated on the assumption that your people are happy and healthy and enjoying their work.”ĭr. In his article, “Healthcare’s New Quadruple Aim – 3 Key Components,” Dike Drummond, MD says, “Every single contact with patients, test ordered, procedure performed and drug prescribed. While the value of the Triple Aim is generally not debated, some healthcare organizations and policy leaders have questioned: Is it enough? Or, are there one or more essential elements missing? Curious if you have the right staff in the right roles? Wondering how you can keep your staff incentivized and focused on the patient experience? Check out our free e-book, Staffing in the New Economy.
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