Fundamental triple aim of healthcare drivers#
Fundamental triple aim of healthcare professional#

Nearly all of these experiments emphasize improving care processes and reducing costs. Many private experiments are also being conducted by health systems, insurance companies, and new health care businesses, including “Value-Based Purchasing” and “Direct Primary Care.” Most include payment reforms designed to enhance primary care (e.g.: paying for care coordination and registries) and incentives to encourage clinicians to deliver evidence-based care. Since the establishment of the Centers for Medicare and Medicaid Innovations center, a number of local and regional experiments are underway. Some have added a fourth Aim, improving the work life of health care providers. The Triple Aims are: (1) improving the quality of the care provided, (2) improving patient outcomes, and (3) reducing the cost of care. Reformers are measuring the success of their efforts using the “Triple Aims,” a framework proposed by Donald Berwick, President Emeritus and Senior Fellow at the Institute for Healthcare Improvement and former Director of the Centers for Medicare and Medicaid Services. These strategies require tighter adherence to evidence-based clinical practice guidelines, implementation of information technologies like electronic records, registries, and information exchange systems, and more effective teamwork.

Fundamental triple aim of healthcare professional#

Recent improvement strategies have recognized the importance of primary care and have embraced the “Care Model,” developed by Ed Wagner and colleagues, and “Patient-Centered Medical Home' principles developed and adopted by the three major primary care professional associations. We are about three decades into a concerted effort on the part of government and industry to reform our health care system, primarily because it is so expensive, but also because we have fallen behind other developed countries on most measures of population health. In the process, it could also make health care less mechanical and more humane. Reframing health in terms of health-related goals and directing the health care system to help people achieve them, could both improve quality and reduce costs. The role of patients within clinician-patient relationships would be elevated, strengthening therapeutic relationships. Greater emphasis would be placed on prevention, meaningful activities, advance directives and personal growth and development. If we redefined health in terms of patient-centered goals, health care could be focused more directly on meaningful outcomes, reducing the number of irrelevant tests and treatments.

Fundamental triple aim of healthcare drivers#

Problem-oriented care is clearly one of the drivers of rising costs and it could be adversely affecting the quality of care, depending upon how quality is defined. While that perspective has led to incredible advances in medical science, it now may be adversely affecting value. In spite of admonitions from the World Health Organization and others, our current health care system operates under the assumption that health represents the absence of health problems. It seems appropriate, therefore, to examine what we value in health care, and that will require that we examine our definition of health. Health care reform efforts have increasingly emphasized payment models that reward value (quality/cost).