By Cooper Nelson
The Triple Aim philosophy is a framework designed in 2007 by the Institute for Healthcare Improvement (IHI). As the name suggests, the framework consists of three main components, which together are designed to optimize the performance of the healthcare system.
These components are population health, patient experience and per capita cost of health care.
Here’s a closer look at how the Triple Aim philosophy seeks to improve the healthcare system in the United States.
Ultimately, the goal is to improve the overall health of the population while reducing the costs of medical care. The Triple Aim framework is not necessarily three different goals. Instead, the components should be seen as three steps to approach simultaneously to achieve the same goal.
In a country with an extraordinarily expensive healthcare system, that might sound unachievable. Triple Aim seeks to address this challenge by breaking down improvements into small, doable steps that are easy to measure.
The first facet of Triple Aim is to improve all aspects of the patient experience. In addition to emphasizing that organizations have the right skills to bring about positive outcomes, this step calls for systems to be in place that evaluate the experience and implement changes for improvement.
Sometimes these improvements involve making the healthcare system, which many people have trouble navigating, more user-friendly. Initiatives may include care coordination and communication with patients.
Improvements also focus on compliance with healthcare regulations regarding privacy as medical facilities embrace the convenience of current technology.
As the population ages and the number of people in need of regular health care increases, reducing costs becomes increasingly important. Among the 11 high-income countries evaluated as part of a Commonwealth Fund analysis of Organisation for Economic Cooperation and Development health data, the United States spent more on health care but continued to face significant challenges, such as the lowest life expectancy and the highest suicide rate.
Cost reduction in Triple Aim has two components. The first involves finding ways to decrease the costs of care in medical facilities, of medications and of treatments.
The second cost-reduction factor is to focus on prevention. By focusing on giving people the necessary resources for good health, Triple Aim works to mitigate the need for health care as people age.
Improving population health goes hand in hand with health care cost reduction and improving patient experience. The goal of this Triple Aim aspect involves understanding the public health needs of the population as well as the health challenges they face.
For example, social factors can affect health when it comes to mental health, communicable diseases and preventable conditions like diabetes.
The population health component of Triple Aim calls for improved communication and outreach. It also involves researching the factors causing the illnesses and conditions within a given community. Using public health efforts to help prevent illnesses and conditions prevalent in a community can go a long way toward reducing health care costs and improving care for the people who do need medical assistance.
Triple Aim has achievable and logical goals that can reduce costs and improve experience and outcomes. However, the challenges associated with implementing Triple Aim have slowed down its popularity.
Here’s a look at some of the most common pitfalls healthcare organizations encounter:
Of course, some of these drawbacks are a mixture of actual challenges and misperceptions. Luckily, certain benefits of Triple Aim directly address some of these challenges with solutions.
The Triple Aim philosophy strives to improve the healthcare system by making it easier to navigate and more effective. Here are some additional potential benefits of this public health philosophy.
The Triple Aim philosophy is most effective when implemented correctly in a community.
Triple Aim requires that all three principles be incorporated in medical organizations' daily work and operational policies. The effort can start even before healthcare providers see their first patient.
By ingraining the Triple Aim approach in healthcare degree programs, clinicians, technicians and administrators will already have an understanding of the benefits and public-health-centered approach of Triple Aim when they begin their professional duties.
Providers need to understand how the patient-centered philosophy can make their lives easier too. Most of all, hospital and clinic leadership needs to embrace public-focused health care for it to become effective in a community. Making Triple Aim part of health administration degree programs can help decision-makers understand its benefits.
This implementation also requires that healthcare organizations attract skilled nurses, doctors and administrators to facilities that incorporate this health care approach. It may also require a more diverse nursing workforce with providers who can perform their jobs in nontraditional settings and can reach out to underserved members of the community.
Integrated effectively, Triple Aim has the power to transform healthcare, one facility at a time.
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