NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures

Triple Aim Outcome Measures

I will discuss the care coordination approach that the hospital has selected to achieve the Triple Aim, and which is being implemented to ensure effective management of patient care The IHI Triple Aim framework was created by the Institute for Healthcare Improvement as a blueprint for enhancing the performance of the healthcare system by providing a comprehensive strategy. IHI thinks that to concurrently achieve the “Triple Aim,” which we refer to as three dimensions, newer concepts should be created.

Value-based healthcare has gained importance for healthcare institutions as different nations use its model, especially the Triple Aim model developed by the US Institute for Healthcare Improvement, to increase the overall efficiency of the healthcare service (Kokko, 2022).

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures

Contribution to Population Health

The triple Aim is the concurrent goal of enhancement in three aspects: population health status, healthcare quality, and system value. The triple objective concept has been used in several situations across numerous nations since it was originally proposed in 2008. One of the main goals of England’s integrated healthcare sectors has been suggested as the triple Aim. Even though quality improvement techniques and tools are progressively used in the triple goal’s quality of care component, few studies have been published regarding how the methodical usage of quality improvement might aid in accomplishing the triple objective (Pearcey & McIntosh, 2021).

Obucina et al., 2018 thoroughly examined the empirical data on the Triple Aim framework’s implementation in primary care systems from its debut approximately ten years ago. The findings reveal that primary healthcare practitioners are challenged with a lack of clarity and the unavailability of comprehensive frames of indicators for performance appraisal. They also showed variation in how they interpreted the Triple Aim framework. When applying the Triple Aim paradigm to primary healthcare, greater precision is required, particularly when choosing and implementing purposeful measurements from locally accessible data.

Relationship Between New Healthcare and Treatment Models

The development of patient-centered medical homes (PCMHs) and accountable care organizations (ACOs) has advanced the health service by fulfilling the Triple Aim of promoting population health, lowering costs, and improving the patient experience. Comparing ACO and PCMH concepts to traditional care strategies, the Triple Aim may be achieved mainly because of these concepts. Nevertheless, there may be disadvantages to designing execution. These models’ durability still justifies more research (Cantiello, 2022).

Yang, 2020 examines the potential cost savings of several ACO models and finds whether any are superior. The findings show that one-sided ACOs are much more effective than 2-sided ACOs in minimizing healthcare spending allowing quality care, or maximizing better services in healthcare costs. Therefore, it may not be a good idea to compel the conversion of ACOs from one to two-sided. This study also demonstrates how Medicare ACOs must be enabled to cut costs considerably despite moving to two-sided tracks by increasing productivity. Another result is that many Medicare ACOs’ target spending levels are below their adequate spending levels and need to be raised.

Given assistance from legislation and practice for developing and testing treatment intended to promote a greater patient’s way into excellent healthcare, the number of such initiatives falls short of objectives when used in actual healthcare situations. The Patient-Centered Medical Home (PCMH) paradigm, which aims to give integrated care, is one illustration. A meta-analysis evaluating PCMH programs revealed conflicting results on the effects on service accessibility, quality, and costs. Understanding PCMH as a complicated health intervention can provide new perspectives on how this paradigm works. By separating PCMH core functions (the intervention’s fundamental goals) from forms, it can also address heterogeneity (the methods applied to fulfill each purpose) (Perez Jolles et al., 2019).

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures

Another model concerning the current scenario is the clinical assistantship of experienced Transitional Care nurses, who are technically strong for managing old-age patients. According to (Pedrosa et al., 2022), “transitional care” refers to the treatment given during the transition from admission to discharge, from a residence to a health center, and from injury or sickness to rehabilitation and autonomy. In reality, transitional care may also involve supporting the person’s reunification into their employment and more significant social role, as well as the transformation to preventive and end-of-life care. The family, careers, workplace, and local community should all be included in this comprehensive psycho-social perspective on transitional care.

Continuity of Care (CoC) is another model, the combined efforts of each of the healthcare professionals a patient see, in addition to subsequent communications, affect the results for patients with diverse and complicated health requirements, especially those who suffer from chronic diseases. Even an excellent working health system consequently requires care coordination, described as the intentional arrangement of patient care among various professions to allow optimal care delivery and satisfy patients’ requirements (Gandré et al., 2020).

Contribution of Particular Health Care Models

The healthcare models for consideration include Prolonging Healthcare and healthcare professionals, nurses, patients, and their attendants. Comprehensive information-gathering methods are used in the healthcare industry to keep current. The patient’s medical history, hospital admission, and the related thorough research are part of this procedure-oriented approach. The Triple Aim compels PCMH to use validated content to get results. These results include patient happiness, data veracity, process openness, and reputation building for the individual institute to attract additional patients.

COC is a multifaceted concept with several key components, including repeated and ongoing visits to a health professional (longitudinal care), a trusting and accountable relationship among patients and healthcare professionals, and communication and sharing of pertinent information between providers both within and across healthcare setting (Nicolet et al., 2022).

The Guided Care Model offers the nurses a general education program and afterward grants individuals accessibility using Electronic Health Records (EHR) with the help of the designated doctors to supply the patient group with their necessary medical care. Completing this exercise is a mandatory component of obtaining the nursing guidance certificate (GCN) (Graby et al., 2021). The GCN program equips nurses with the ability to make patient-centered decisions by utilizing electronic health records (EHRs), patient data, and the evolution of health issues. Care plans are the methodical creation of procedures using pertinent data, the patient’s health issues, and the concerned parties. When it comes to carrying it out, significant thought is given. The affected person is the focal point which is what these processes circle in any case. Their treatment, contentment, and anticipated results are primarily taken into account.

Evidence-Based Data Shaping Care Coordination

Today’s healthcare institutions strongly emphasize teamwork to deliver services effectively and satisfy patients. The healthcare industry has used multidisciplinary care plans for over a decade. Incomplete planning and expensive procedures, which must be paid for by health insurance but are sometimes unavailable to the poor and deprive them of essential services, undermine the entire system (Chakurian & Popejoy, 2021). Identifying specified results is the most excellent method for practical, quality-based care. They may be identified by pleased patients, a higher average of successfully treated patients, reasonable treatment costs, and a lower incidence of people-related issues during therapy.

Taking the information into account, fact-based, urgently required changes are taken to increase the effectiveness of the healthcare sector. Patients getting treatments should be given these information-based facts as education so they may decide and remain engaged. IHI’s statistical and qualitative data collection and analysis are used to maintain comparability to prevent unanticipated events. One out of every 500 and a single out of every 40 patients who are hospitalized serve as the method of identifying a record of such sad events (Chakurian & Popejoy, 2021).

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures

The SBAR (Situation-Background-Assessment-Recommendation) approach offers a framework for discussing a patient’s condition among healthcare team members (Gupta et al., 2019). A simple, tangible framework like SBAR helps structure any interaction, especially urgent ones, and calls for a physician to act immediately. Building cooperation and promoting a patient safety culture enables a simple and focused manner to guidelines regarding what will be shared between group members (Gupta et al., 2019). This knowledge can efficiently provide results while preserving a comfortable setting for both management and patients.

Initiatives and Outcome Measures Related To Government Regulation

Healthcare disparities primarily result from the fragmented way healthcare is provided in the United States. These discrepancies have complicated causes entrenched in historical and current injustices and include internal and external elements of the healthcare system. Inadequate access to healthcare and delayed treatment are two important contributing factors (Harris & Pamukcu, 2020).

Both clinicians and payers are promoting new delivery methods that promise to reduce health inequities. For instance, the Triple Aim, which encourages simultaneous gains in patient experiences, population health, and reduced costs per capita and has substantial applicability for reducing healthcare inequities, was introduced by the Center for Healthcare Improvement. The Patient Protection and Affordable Care Act and ongoing payment reform initiatives also heralded a change in how healthcare is provided(Rocco et al., 2018). It promotes more access to high-quality, cost-effective treatment, which can reduce health inequities from a public health viewpoint. An entire set of new frameworks is now being designed (Rocco et al., 2018). Research is required to determine if payer-based changes enhance outcomes, such as patient satisfaction, if changes to the system have a meaningful impact on eliminating healthcare inequities, and whether newly designed healthcare models are beneficial (Wasserman et al., 2019).

Recommendations for Process Improvement

Enhancing the patient experience, boosting population health, and cutting costs are the three noble objectives of Triple Aim in healthcare. However, only by concentrating on a fourth objective improving the work environment and general well-being of the care team, can those objectives be fully attained.

Conclusion

These actions will assist the team in accomplishing the Triple Aim of healthcare and promote the success of practice transitions. Most significantly, as the change approach to one in which enjoy and find fulfillment in practicing medicine, personal and career well-being will advance. Patients, the community, and the field of family medicine will look up to them as role models. s to the skills developed throughout this transition.

References

Cantiello, J. (2022). To what extent are ACO and PCMH Models advancing the Triple Aim objective? Implications and considerations for primary care medical practices. Journal of Ambulatory Care Management, 45(4), 254–265. https://doi.org/10.1097/jac.0000000000000434

Chakurian, D., & Popejoy, L. (2021). Utilizing the care coordination Atlas as a framework: An integrative review of transitional care models. International Journal of Care Coordination, 24(2), 57–71. https://doi.org/10.1177/20534345211001615

Gandré, C., Beauguitte, L., Lolivier, A., & Coldefy, M. (2020). Care coordination for severe mental health disorders: an analysis of healthcare provider patient-sharing networks and their association with quality of care in a French region. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05173-x

Graby, J., Metters, R., Kandan, S. R., McKenzie, D., Lowe, R., Carson, K., Hudson, B. J., & Rodrigues, J. C. L. (2021). Real-world clinical and cost analysis of CT coronary angiography and CT coronary angiography-derived fractional flow reserve (FFRCT)-guided care in the National Health Service. Clinical Radiology, 76(11), 862.e19–862.e28. https://doi.org/10.1016/j.crad.2021.06.009

Gupta, M., Soll, R., & Suresh, G. (2019). The relationship between patient safety and quality improvement in neonatology. Seminars in Perinatology, 1, 151173. https://doi.org/10.1053/j.semperi.2019.08.002

Harris, A. P., & Pamukcu, A. (2020). The civil rights of health: A new approach to challenging structural inequality. UCLA Law Review, 67(1), 758. https://heinonline.org/HOL/LandingPage?handle=hein.journals/uclalr67&div=22&id=&page= 

Kokko, P. (2022). Improving the value of healthcare systems using the Triple Aim framework: A systematic literature review. Health Policy, 126(4). https://doi.org/10.1016/j.healthpol.2022.02.005

Nicolet, A., Al-Gobari, M., Perraudin, C., Wagner, J., Peytremann-Bridevaux, I., & Marti, J. (2022). Association between continuity of care (COC), healthcare use and costs: What can we learn from claims data? A rapid review. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07953-z

Obucina, M., Harris, N., Fitzgerald, J. A., Chai, A., Radford, K., Ross, A., Carr, L., & Vecchio, N. (2018). The application of triple aim framework in the context of primary healthcare: A systematic literature review. Health Policy, 122(8), 900–907. https://doi.org/10.1016/j.healthpol.2018.06.006

Pearcey, J., & McIntosh, B. (2021). One year on: Lessons from COVID-19. British Journal of Healthcare Management, 27(4), 1–2. https://doi.org/10.12968/bjhc.2021.0041

Pedrosa, R., Ferreira, Ó., & Baixinho, C. L. (2022). Rehabilitation nurse’s perspective on transitional care: An online focus group. Journal of Personalized Medicine, 12(4), 582. https://doi.org/10.3390/jpm12040582

Perez Jolles, M., Lengnick-Hall, R., & Mittman, B. S. (2019). Core functions and forms of complex health interventions: A patient-centered medical home illustration. Journal of General Internal Medicine, 34(6), 1032–1038. https://doi.org/10.1007/s11606-018-4818-7

Rocco, P., Kelly, A. S., & Keller, A. C. (2018). Politics at the cutting edge: Intergovernmental policy innovation in the Affordable Care Act. Publius: The Journal of Federalism, 48(3), 425–453. https://doi.org/10.1093/publius/pjy010

Wasserman, J., Palmer, R. C., Gomez, M. M., Berzon, R., Ibrahim, S. A., & Ayanian, J. Z. (2019). Advancing health services research to eliminate health care disparities. American Journal of Public Health, 109(S1), S64–S69. https://doi.org/10.2105/ajph.2018.304922

Yang, C. C. (2020). Health expenditures and quality health services: The efficiency analysis of differential risk structures of Medicare Accountable Care Organizations (ACOs). North American Actuarial Journal, 1–21. https://doi.org/10.1080/10920277.2020.1793783