Connection Between EBP And The Quadruple Aim

Connection Between EBP And The Quadruple Aim

Dr Archie Cochrane, a British epidemiologist who wrestled with the effectiveness of healthcare and advised the public to only pay for services that were deemed medically effective, founded the evidence-based practice movement (Melnyk & Fineout-Overholt, 2019). He was a firm believer in the use of evidence from randomized controlled trials. One of the primary reasons for implementing EBP is that it results in better patient outcomes and higher quality of care. The Triple Aim, which aims to improve population health while also lowering costs, was used to optimize the performance of the healthcare system. However, healthcare team members were still experiencing burnout and dissatisfaction (Bodenheimer & Sinsky, 2014). It has been suggested that the goal of improving healthcare providers’ work lives be added to the Triple Aim, making it the Quadruple Aim. This analysis aims to explain how EBP contributes to achieving the quadruple goal.

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Patient Knowledge

Care that is provided to patients should be safe, effective, patient-centered, timely, efficient, and equitable. Safe means avoiding harm to the patient from care meant to help them (EBSCO, 2018). Effectiveness entails providing services based on scientific knowledge to all who could benefit while excluding those who will not benefit (EBSCO, 2018). Patient-centered care entails respecting and responding to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions (EBSCO, 2018). Timely means reducing wait times and harmful delays that impede patients (EBSCO, 2018). Efficient means avoiding inefficient tests or services (EBSCO, 2018). Equitable care entails providing equal quality care regardless of a person’s gender, ethnicity, location, or socioeconomic status (EBSCO, 2018). Patient surveys and patient recommendations are two examples.

The Health of the Population

According to Kindig, population health is “the health outcomes of a group of individuals, including the distribution of such outcomes within the group” (Kindig & Stoddart, 2003, p. 380). Healthcare workers must identify the Population their facility serves and understand how social determinants affect population care (Stiefel & Nolan, 2012).

Costs

This includes cost definition, measurement, and cost-cutting strategies (EBSCO, 2018). Healthcare workers must stay informed about their employer’s financial performance and identify cost-cutting strategies whenever they are available. Nurses must collaborate with other healthcare professionals to improve care coordination and reduce service duplication. This entails determining an individual’s actual cost of care and lowering those costs while improving care outcomes (Stiefel & Nolan, 2012).

Healthcare providers’ working conditions

The Magnet program is one method hospitals invest in their healthcare personnel (Lavenberg, 2019). Magnet-designated organizations “create supportive environments in which personnel is encouraged to develop professionally and use EBP to provide high-quality care and improve patient outcomes” (Lavenberg, 2019, p. 5). The quadruple goal deepens the nurse’s understanding of the factors influencing healthcare professionals’ well-being. Nurses must reflect on their level of well-being and how it affects patient care. Clinicians must engage with their coworkers and be aware of their level of well-being. Healthcare workers must care for themselves and contribute to creating a safe, collaborative work environment. The goal is to improve wellness by decreasing clinician burnout, fostering a teamwork culture, reducing documentation burden, measuring and monitoring team satisfaction, and recruiting and retaining top talent (Stiefel & Nolan, 2012).

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References

Bodenheimer, T., & Sinsky, C. (2014). From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. Annals of Family Medicine, 12, 573-576. http://dx.doi.org/10.1370/afm.1713

EBSCO. (2018, July 25). The Quadruple Aim: Hitting the Mark for Improvement [Video file]. Retrieved from https://health.ebsco.com/blog/article/the-quadruple-aim-hitting-the-mark- for-improvement

Kindig, D., & Stoddart, G. (2003). What Is Population Health? American Journal of Public Health, 93, 380-383. http://dx.doi.org/10.2105/ajph.93.3.380

Lavenberg, J. G. (2019, February 3). Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice. Worldviews on Evidence-Based Nursing, 16. http://dx.doi.org/10.1111/wvn.12346

Melnyk, B. M. (2016, October 23). Improving healthcare quality, patient outcomes, and costs with evidence-based practice. Reflections on Nursing Leadership. Retrieved from https://www.reflectionsonnursingleadership.org/features/more- features/Vol42_3_improving-healthcare-quality-patient-outcomes-and-costs-with- evidence-based-practice

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing and Healthcare (4th ed.). Philadelphia: Wolters Kluwer.

Stiefel, M., & Nolan, K. (2012). A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost. Retrieved from IHI.org: http://www.ihi.org/resources/Pages/IHIWhitePapers/AGuidetoMeasuringTripleAim.aspx

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To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider EBP’s impact on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
  

  Connection Between EBP And The Quadruple Aim

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures:

• Patient experience
• Population health
• Costs
• Work-life of healthcare providers