practice the quadruple aim.docx

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The document discusses the Triple Aim framework developed in 2008 to guide healthcare system redesign and the transition to population health. The Triple Aim focuses on improving individual care experience, population health, and reducing per capita healthcare costs. It also introduces the idea of a Quadruple Aim, which adds improving the work life of healthcare providers as a fourth goal. The document asks how evidence-based practice could impact or not impact achieving the goals of the Quadruple Aim.

Education

Evidence-based practice & the quadruple aim
In 2008, Donald Berwick and colleagues provided a framework for the delivery of high
value care in the USA, the Triple Aim, that is centered around three overarching goals:
improving the individual experience of care; improving the health of populations; and
reducing the per capita cost of healthcare. 1 The intent is that the Triple Aim will guide the
redesign of healthcare systems and the transition to population health. FULL ARTICLE
ATTACHED FOR ASSISTANCEReflect on how Evidenced Based Practice might impact (or not
impact) the Quadruple Aim in healthcare.Consider the impact that Evidenced Based Practice
may have on factors impacting these quadruple aim elements, such as preventable medical
errors or healthcare delivery.To Complete:Write a brief analysis of the connection between
Evidenced Based Practice and the Quadruple Aim.Your analysis should address how
Evidenced Based Practice might (or might not) help reach the Quadruple Aim, including
each of the four measures of:1. Patient experience2. Population health3. Costs4. Work life of
healthcare providers(2 pages only no longer than 2 pages) APA FORMAT WITH
REFERENCES & IN-TEXT CITATIONS

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Overview Prepare a 3–4 page report on a critical health issue in a community or state. Describe the factors that contribute to the health issue and interventions that have been implemented. Explain the scope and role of nursing in the interventions, and recommend ways the scope of the interventions might be expanded. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: · Competency 1: Explain the factors that affect the health of communities. . Explain the factors that contribute to a critical health care issue within a specific community. · Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues. . Describe current interventions to target a critical health care issue within a specific community. . Describe the scope and role of nursing in current interventions that target a critical health care issue. . Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue. · Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional. . Describe a critical health care issue within a specific community. . Write content clearly and logically with correct use of grammar, punctuation, and mechanics. . Correctly format citations and references, using current APA style. Context Community/public health nursing is nursing care that is population-focused and occurs in non-hospital settings. Numerous nursing theories can provide the structure for community/public health nursing; however, nursing theories that incorporate components of the general systems theory frequently provide the framework for the practice of community/public health nursing. Historically, nurses have made significant contributions to the field of public health. From providing maternal-child care to poor women in the late 1800s, to promoting hygiene among school aged children in the early 1900s, to providing environmental and safety care to industrial workers during World War I, nurses have been instrumental in shaping health policies (Maurer & Smith, 2013). Today, community/public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues. Many factors influence the health of communities and populations, including national policies that focus on health promotion. Healthy People, a major national health promotion program issued by the U.S. Surgeon General, identifies major health problems of the nation and sets national goals and objectives targeting health promotion (Maurer & Smith, 2013). If adopted, activities that target health promotion can result in disease prevention. Reference Maurer, F. A., & Smith, C. M. (2013). Community/public health nursing practice: Health for families and populations (5th ed.). St. Louis, MO: W. B. Saunder.

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The National Academies Health and Medicine Division About UsPublicationsActivitiesMeetings Announcement Crossing the Quality Chasm: The IOM Health Care Quality Initiative In 1996, after releasing America's Health in Transition: Protecting and Improving Quality, the IOM launched a concerted, ongoing effort focused on assessing and improving the nation's quality of care. The first phase of this Quality Initiative documented the serious and pervasive nature of the nation's overall quality problem, concluding that "the burden of harm conveyed by the collective impact of all of our health care quality problems is staggering" (Chassen et al., 1998). IOM Definition of Quality The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. This phase built on an intensive review of the literature conducted by RAND to understand the scope of this issue (Schuster) and a framework was established that defined the nature of the problem as one of overuse, misuse and underuse of health care services (Chassen et al). More specifically, the report Ensuring Quality Cancer Care (1999) documented the wide gulf that exists between ideal cancer care and the reality many Americans with cancer experience. During the second phase, spanning 1999-2001, the Committee on Quality of Health Care in America, laid out a vision for how the health care system and related policy environment must be radically transformed in order to close the chasm between what we know to be good quality care and what actually exists in practice. The reports released during this phase—To Err is Human: Building a Safer Health System(1999) and Crossing the Quality Chasm: A New Health System for the 21st Century(2001)—stress that reform around the margins is inadequate to address system ills. The series of IOM quality reports have included a number of metrics that illustrate how wide the quality chasm is and how important it is to close this gulf, between what we know is good quality care and what the norm is in practice. To Err is Human put the spotlight on how tens of thousands of Americans die each year from medical errors and effectively put the issue of patient safety and quality on the radar screen of public and private policymakers. The Quality Chasm report described broader quality issues and defines six aims—care should be safe, effective, patient-centered, timely, efficient and equitable—and 10 rules for care delivery redesign. Phase three of the IOM's Quality Initiative focuses on operationalizing the vision of a future health system described in the Quality Chasm report. In addition to the IOM, many others are working to create a more patient responsive 21st century health system, including clinicians/ health care organizations, employers/consumers, foundations/research, government agencies, and quality organizations. This collection of efforts focus reform a.

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practice the quadruple aim.docx

1. Evidence-based practice & the quadruple aim In 2008, Donald Berwick and colleagues provided a framework for the delivery of high value care in the USA, the Triple Aim, that is centered around three overarching goals: improving the individual experience of care; improving the health of populations; and reducing the per capita cost of healthcare. 1 The intent is that the Triple Aim will guide the redesign of healthcare systems and the transition to population health. FULL ARTICLE ATTACHED FOR ASSISTANCEReflect on how Evidenced Based Practice might impact (or not impact) the Quadruple Aim in healthcare.Consider the impact that Evidenced Based Practice may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.To Complete:Write a brief analysis of the connection between Evidenced Based Practice and the Quadruple Aim.Your analysis should address how Evidenced Based Practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:1. Patient experience2. Population health3. Costs4. Work life of healthcare providers(2 pages only no longer than 2 pages) APA FORMAT WITH REFERENCES & IN-TEXT CITATIONS

practice the quadruple aim.docx

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