One internationally renowned framework, developed in 2008 by Donald Berwick and colleagues is the healthcare Triple Aim. This type of assessment provides us with an opportunity to identify strategies and learnings to ensure Australian consumers are provided with access to an adaptive, responsive, robust and effective healthcare system. Reflecting on models of care applied to various health systems worldwide, it’s helpful to assess these approaches to identify the best elements for bettering Australia’s healthcare performance. The Australian Government’s Department of Health states that “Australia’s health system is one of the best in the world” and although this is the case, there’s always room for improvement. 2018 4(2):33-35.To support the delivery of safe and quality-focused healthcare, the number of moving parts required to piece it all together is mind-boggling, yet daily, thousands of Australians benefit from comprehensive care. Targeting the quadruple aim through clinical pathways. From triple to quadruple aim: care of the patient requires care of the provider. Institute for Healthcare Improvement website. The triple aim or the quadruple aim? Four points to help set your strategy. Regardless of the adoption of the Quadruple Aim by health care organizations, an emphasis on health care provider satisfaction remains a hot topic. Some organizations are using the Triple Aim, while others have adopted the Quadruple Aim. Involved organizations/oversight: The expansion of the Triple Aim to the Quadruple Aim has been proposed to improve the work life of health care providers. The expansion of pharmacist roles within the care team can increase access to care while allowing pharmacists to practice at the top of their training. 3 Pharmacists can also play a role in quality-focused initiatives to support the system and providers’ efforts to improving the provided quality of care. Pharmacists can, under various collaborative care models, assume responsibility of chronic disease state management and preventive care in order to increase the efficiency of the care team, support value-based care, and have a clinical impact. 1 Expansion of pharmacists’ roles can help support many aspects of the Quadruple Aim. How it relates to ACO/PCMH: The Triple Aim is focused on improving patient care, and practices within PCMH and ACOs must continue pursuing the original 3 aims while expanding their focus to the Quadruple Aim. 2 Therefore, a fourth aim focusing on the improvement in work life of clinicians and staff has been proposed to create a more symbiotic relationship between patients and health care providers. Professional burnout and reduced job satisfaction have hindered the ability of providers and staff to provide quality care. In primary care, the adoption of the Triple Aim has enhanced the patient experience, but resources are lacking to help providers and staff maintain these overarching goals. 1 Organizations view this expansion in different ways, but the Institute for Healthcare Improvement calls this new aim “Joy in Work.” 1 Many health care organizations have adopted the framework of the Triple Aim, but the stressful work life of clinicians and staff has proven to play a large role in the ability to achieve and maintain the 3 aims. Categories: Learn the Lingo Quadruple Aimĭefinition: Quadruple Aim is the expansion of the Triple Aim (enhancing patient experience, improving population health, and reducing costs) to include an additional goal of improving the work life of health care providers.
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