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Under a Creative Commons license Open access Highlights• Evidence about the effects of value-based healthcare on healthcare performance remains ambivalent. •Evidence on the results of each triple aim goal is inconsistent. A holistic, system-level view on pursuing the triple aim is lacking. •The concept of balance is undefined and therefore interpreted differently. •Further conceptual work is needed for the concept of balance. AbstractThe notion of value-based healthcare has become increasingly important for healthcare institutions, and more and more countries are adopting its representative approach—namely, the US Institute for Healthcare Improvement's Triple Aim framework for optimizing health system performance in terms of population health, patient experience, and cost of care. In this study, using a five-step systematic review protocol and PRISMA methods we systematically review and analyze with descriptive and qualitative analysis methods literature on the results of using the Triple Aim framework for assessment at the health system level, especially the concept of balance among the framework's goals. Inclusion criteria were that the paper evaluated the policy-level impact of value-based healthcare movements based on the Triple Aim goals, discussing at least one of the goals or the balance. Our analysis shows a lack of consensus on the impact of each goal and on the concept of a balance between the goals, and a paucity of literature related to the pursuit of the Triple Aim at the health system level. To properly evaluate the impact of the value-based healthcare movement, a standard set of measures aligned with the context is needed. The results of this study are expected to contribute to the improved assessment of health system performance, development of the Triple Aim framework's measures, and ultimately, enhanced effectiveness in achieving healthcare goals. KeywordsHealth policy Health system Triple aim Value-based healthcare Systematic literature review Cited by (0)© 2022 The Author. Published by Elsevier B.V.
Triple Aim for Populations – Applying integrated approaches to simultaneously improve care, improve population health, and reduce costs per
capita There is a growing realization that the successful health and health care systems of the future will be those that can simultaneously deliver excellent quality of care, at optimized costs, while improving the health of their population. This is known as the IHI Triple Aim, and we believe it is the ultimate destination for the high-performing hospitals and health systems of the future. IHI is helping partners to understand and stratify the needs of their populations, to activate those populations to improve their health, and to map and utilize all of the assets in their communities to achieve improvements in health, experience of care, and costs. We convene learning networks to share best practices and proven approaches, and we develop capacity within organizations for population health improvement. IHI’s focus on Triple Aim for populations includes:
The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”:
Why the Triple Aim?The US health care system is the most costly in the world, accounting for 17% of the gross domestic product with estimates that percentage will grow to nearly 20% by 2020. [Source: National Healthcare Expenditure Projections, 2010-2020. Centers for Medicare and Medicaid Services, Office of the Actuary.] At the same time, countries with health systems that out-perform the US are also under pressure to derive greater value for the resources devoted to their health care systems. Aging populations and increased longevity, coupled with chronic health problems, have become a global challenge, putting new demands on medical and social services. ApproachIn most health care settings today, no one is accountable for all three dimensions of the IHI Triple Aim. For the health of our communities, for the health of our school systems, and for the health of all our patients, we need to address all three of the Triple Aim dimensions at the same time. Because the IHI Triple Aim entails ambitious improvement at all levels of the system, we advocate a systematic approach to change. Based on six phases of pilot testing with over 100 organizations around the world, IHI recommends a change process that includes: identification of target populations; definition of system aims and measures; development of a portfolio of project work that is sufficiently strong to move system-level results, and rapid testing and scale up that is adapted to local needs and conditions. IHI believes that to do this work effectively, it’s important to harness a range of community determinants of health, empower individuals and families, substantially broaden the role and impact of primary care and other community based services, and assure a seamless journey through the whole system of care throughout a person’s life. In the US environment many areas of health reform can be furthered and strengthened by Triple Aim thinking, including: accountable care organizations (ACOs), bundled payments, and other innovative financing approaches; new models of primary care, such as patient-centered medical homes; sanctions for avoidable events, such as hospital readmissions or infections; and the integration of information technology. Concept DesignIHI’s innovation team developed a concept design and described an initial set of components of a system that would fulfill the IHI Triple Aim. The five components are listed below, and a more detailed list can be found in the Concept Design document.
Benefits to an Approach in Line with the IHI Triple AimOrganizations and communities that attain the Triple Aim will have healthier populations, in part because of new designs that better identify problems and solutions further upstream and outside of acute health care. Patients can expect less complex and much more coordinated care and the burden of illness will decrease. Importantly, stabilizing or reducing the per capita cost of care for populations will give businesses the opportunity to be more competitive, lessen the pressure on publicly funded health care budgets, and provide communities with more flexibility to invest in activities, such as schools and the lived environment, that increase the vitality and economic wellbeing of their inhabitants. For examples of organizations that have achieved results on the three dimensions of the Triple Aim, visit our Success Stories page. Visit the Triple Aim Topic page >>Which of the following is one of the three simultaneous goals of IHI Triple Aim?It is IHI's belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”: Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and. Reducing the per capita cost of health care.
What are the 3 components of the triple aim?In the aggregate, we call those goals the “Triple Aim”: improving the individual experience of care; improving the health of populations; and reducing the per capita costs of care for populations.
How does the triple aim strive to lower health care costs quizlet?How does the Triple Aim strive to lower health care costs? By reducing waste in health care and increasing the value of care.
What are the key tenants of the Triple Aim for health care quizlet?Correct Answer: Improve the health of the population. Improve the health of the population is the correct answer. Improving the health of the population, along with enhancing the patient experience of care, and reducing (or at least controlling) per capita costs of care comprise the IHI Triple Aim.
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Which of the following is one of the three simultaneous goals of the ihi triple aim?
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