Triple Aim : An Initiative Created By The Institute For Healthcare Improvement

Triple Aim, as defined by the Institute for Healthcare Improvement, consists of improving patient experience of care, improving health populations, and reducing per capita health care costs simultaneously (IHI, 2009). Triple Aim is not focused on patient satisfaction or on reducing the growth of healthcare; rather it is based on the six Institute of Medicine (IOM) dimensions (safe, effective, patient-centered, timely, efficient, and equitable), reducing per capita healthcare costs, and improving health populations (Relman, 2001). Key to the Triple Aim model is understanding each element works in tandem with each other and sacrificing population health at the expense of reducing per capita expense, for example, does not comply with the Triple

The top objectives for Kaiser Permanente is known as the “triple aim” which is healthier populations, affordable care, and creating ideal patient care experiences. The objective of preventative healthcare for all members is pushed throughout Kaiser Permanente through the thrive campaign. This aligns with the triple threat equaling healthier populations and affordable care. The healthier the population the lower the utilization of services equaling lower premiums and rates.

Triple Aim, as defined by the Institute for Healthcare Improvement, consists of improving patient experience of care, improving health populations, and reducing per capita health care costs simultaneously (IHI, 2009). Triple Aim is not focused on patient satisfaction or on reducing the growth of healthcare; rather it is based on the six Institute of Medicine (IOM) dimensions (safe, effective, patient-centered, timely, efficient, and equitable), reducing per capita healthcare costs, and improving health populations (Relman, 2001). Key to the Triple Aim model is understanding each element works in tandem with each other and sacrificing population health at the expense of reducing per capita expense, for example, does not comply with the Triple Aim

Goal The Affordable Care Act had the goal of the potentially increasing access to coverage for millions of Americans by implementation of market reforms. As well as the establishing new health insurance exchanges; and expanding the Medicaid eligibility for low-income adults (Keith & Lucia, 2014)

The Institute of Medicine (IOM) committee created six “Aims for Improvement” that healthcare should embrace in

The ACA is made up of a series of additions of and changes, to the multiple laws that are made up from the legal framework of the U.S. healthcare system. This act establishes the basic legal protections that have been nonexistent to the United States, will now guarantee access to affordable health insurance coverage for Americans, from when they are born, all the way through his or her retirement. The act hopes in cutting the number of uninsured Americans by more than half of the U.S. population (Rosenbaum, 2011, p.130). This law hopes to result in health insurance coverage for about 94% of the American population (Rosenbaum, 2011, p. 130). This will reduce the population of uninsured Americans by 31 million people, and increase Medicaid enrollment by 15 million recipients (Rosenbaum, 2011, p. 130). Approximately 24 million people are still expected to remain without a coverage plan. The act has several goals. For instance, one goal of the ACA is to have a close to universal coverage system, with the help and responsibility among individuals, employers, and largely, the government. The second goal is to improve the fairness, condition, and affordable prices of health insurance coverage for Americans (Rosenbaum, 2011, p. 130). Lastly, a third goal is to improve the quality of health care through value, excellence, and effectiveness while trying to reduce inefficient spending and making the healthcare system more reachable to a diverse population (Rosenbaum,

The Affordable Care Act (ACA) was the biggest milestone to date in American health care policy (Saldin, 2011). There is nothing more complex or controversial in recent history than the passing of the ACA in 2010 (Davidson, 2016). The three goals of the ACA are to expand access to quality care with affordable insurance for all, work with innovation to lower health care cost, and shift focus from treatment to prevention (Rosenbaum, 2011).

President Obama signed the Affordable Care Act on March 23, 2010. This law puts in place widespread health insurance reforms that expanded out over the last 4 years and continues to change the lives of many Americans today. Health care reform has been an extensively debated topic for multiple years, and the ACA is the first effective attempt at passing a law aiming to make health care not only affordable, but accessible for all individuals. The law impacts many Americans including, children, employers, government programs which includes federal and state, health plans and private insurers, health care coverage, health care cost, and the quality of care received. The main goal of the law is to expand health care coverage, broaden Medicaid eligibility, minimize and regulate health care cost, and improve the health care delivery system. In order to improve the health care delivery there have been new consumer protections established and an increase access to affordable care.

The affordable care act was signed into law by president Obama in the year 2010. The aim of the act is to ensure Americans get access to quality health care and at the same time, reform the health care system in order to manage costs. The act has different sections that explicitly explain how this aim would be realized.

The first goal is to "promote professional development through mentoring programs for career development, professional growth, increase of morale, and quality within my nursing career by the end of one year." The second goal is to "apply the principles of effective organization involving use of information, focus on patient care giving, and design clinical care giving in an organizational chart to achieve organizational planning and evaluation as all levels."

Health care spending grew 3.7 percent in 2012 and the traditional way medicine was practiced had to change (Edlin, Goldman & Leive, 2014). The Affordable Care Act and Population Health was designed based on the concept of “The Triple Aim” to foster change in patient care by providing better care for individuals, better health for populations and decrease the cost of health through improved care (Perez, 2014). As a result, population management has moved to the front by linking services, reducing hospital admission, risk stratification, pursing preventive medicine, ensuring medication review and lowering health care cost. Several organizations have follow in the pursuit of population management by forming Accountable Care Organizations

The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.

The Institute for Healthcare Improvement Open School helps the Health Care personnel to advance the quality improvement and patient safety competency to be able to provide the optimum care needed by the patients. As a future provider itself, I think using IHI will benefit my practice and will help me in dealing with different situations. With the IHI 's comprehensive program it will help to improve the lives of the patients, the health of communities, and establishing a good workflow.

-Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives.

A health care system that improves on the 6 aims would ensure a fundamentally better care.