Health Policy Case Study Triple Aim
It is a difficult challenge to try and achieving all this while lowering the cost of care per capita. As such, the IHI and similar organizations realized that this could only be possible through societal and individual changes (Whittington, Nolan, Lewis & Torres, 2015). A 2014 national survey of hospitals stated that financial challenges remain the top concern to hospitals, especially regarding to government reimbursement. Thus, the Triple Aim helps organizations to improve populations’ healthcare experience, which includes to access, quality, and reliability while at the same time lowering the costs, or at least reducing the growth of per capita cost of care. Through the pursuance of these objectives, healthcare organizations identify and fix such problems as poor coordination of care and medical services overuse (Spinelli, 2013).
In spite of the fact that doctors endeavor to enhance the nature of care that they give, they are infrequently in charge of the wellbeing of particular patient populaces (Spinelli, 2013). Charge for-benefit repayment administer to doctors to utilize additionally testing and claim to fame referrals so as to see more patients, yet this comes to the detriment of illness counteractive action and coordination of care - administrations that give the most incentive to the two people and populaces. For most healing centers, general cost diminishment is contradictory with money related reasonability in light of the fact that the most lucrative surgeries and innovations endorse different administrations that are not enough repaid. The outsider payers boost benefit when they cut out solid patients from the populace, or deny mind on the premise of here and now costs instead of long haul results (Whittington, Nolan, Lewis & Torres, 2015).
Patients, numerous without protection or constrained access to essential care, do not get preventive care; rather, they give end-arrange malady needing developing salvage mind. In this regard, a population refers to a group of individuals that share common personal or environmental traits. While population-focused healthcare is somewhat a new concept in the US, the health leaders media state that this is a type of healthcare that other countries embraced long ago and has many advantages (Lee, 2014). An example of healthcare practitioners that use the similar treatment guidelines or recommendations for specific populations with specific diseases, illnesses, or injuries is the population-focused healthcare. In this regard, healthcare professionals are assured of achieving the best since evaluation of observation of effectiveness on population of comparable patients determine the guidelines and recommendations.
As such, when healthcare employees have achieved a positive outcome with one patient, they can then standardize the treatment steps across all patients with similar conditions (Stanhope & Lancaster, 2015). These professionals have the opportunity to provide healthcare information through workshops, printed materials among others. Such information may include preventive measures for basic overall health that is specific for populations. This is very empowering in the sense that communities have an opportunity to come together rand learn about how healthcare affects them individually and the population as a whole (Stanhope & Lancaster, 2015). This then helps the population to the see the bigger picture that their collective health is of concern and measures are being taken to ensure that their needs are addressed. The population-focused healthcare is also important as it enables preventive measures for populations.
According to Lee (2014), tertiary prevention is useful for those with long term or complicated health issues. This type of prevention is helpful for aiding people with long-term problems or health issues. This form of prevention is important for managing quality of life and limiting additional negative effects resulting from illnesses or health problems. An example of such a prevention is the provision of pain management to patients with chronic pain. Healthcare professionals in aiding populations often utilize these three types of prevention. Some claim that investing the quality improvement can lead to a reduction of cost. This is a popular view although it requires a lot of work. Increasing costs may lead to a decline in the quality benefits of the additional resources, which may eventually become negative.
However, economists have stated that there is an evidence that the rate of growth is slowing (Prior, McManus, White & Davidson, 2014). Over a couple of -downs decades, there has been a slow and steady by-downs of benefits by large corporations which is a benefit consulting peak for the employees’ financial burden. As such, there are cases where these efforts are deliberately hindered in order to prevent loss of required revenue (Prior, McManus, White & Davidson, 2014). For instance, a CEO may encourage his employees to participants in a coalition to slow down the improvement process. This is because he thought that the hospital would most likely face financial challenges if the Triple Aim approach succeeded. This shows the need to consider carefully the political tensions that could possibly occur at the population level in the selection of focus populations for the Triple Aim initiatives.
According to Prior, McManus, White & Davidson (2014) there are some case where the payment model actually lead to a reduction of revenue for the providers. Accordingly, about 37% of hospital suffers from burnout while another 37% of home nurses report issues of burnout. This is in comparison to 22 percent of the nurses that work in other settings (Spinelli, 2013). The dissatisfaction among nurses and physicians also leads to a lower satisfaction among the patients. Furthermore, when the physicians and nurses experience burnout, it may also result in an overuse of resources, which leads to ballooning costs. As such, it is crucial that the healthcare system take care of these healthcare givers in order to ensure that system remains productive. Many healthcare organizations if not all already have IT systems in place and what is required is simply to improvement in their use of IT recourse for easier access to patient and population information.
Furthermore, efforts such as the implementation of the ambulatory redesign initiatives are also replicable. Achieving Triple Aim In order to achieve the Triple Aim goals, there are three major principles that are essential for the healthcare for healthcare organizations include the creation of the right foundations for population management, service management at scale for population and establishing learning systems to drive and sustain work. Organizations should ensure focusing the population on the tree dimensions of the Triple Aim framework, the Triple Aim becomes crucial for results, which involves building and the alignment of governance and leadership structures that guide the work, in addition to driving the work forward with clear purpose statement regarding to why the Triple Aim was strategic. This will ensure that the organizations make longitudinal decisions regarding to how to meet the needs of the people they serve better (Spinelli, 2013).
In order for the Triple Aim approach to be successful, there is need to engage patients with technologies that they are already familiar with. While the Triple Aim has evidently slowed the cost escalation, there is need to focus more on primary and preventive care rather than acute care, and make healthcare more effective and accessible in order to pave way for more healthier future for the US population. As more organizations begin to adopt the Triple Aim goals and begin sharing the unique and successful approaches to the very challenging problem of coordinated care, the management of chronic diseases, and preventive health, there is a likelihood that the program is likely to undergo innovative evolution in order to be application in a variety of settings.
From $10 to earn access
Only on Studyloop