Implications for policy: The Triple Aim, Quadruple Aim, and interprofessional collaboration

Abstract

Healthcare delivery in the Unites States stimulates policy change at a rapid pace. The Patient Protection and Affordable Care Act of 2010 (ACA) is intended to expand access to care and ultimately improve the health of Americans. The Triple Aim, created by The Institute for Healthcare Improvement, delineates policy implications for improving population health, the healthcare experience, and per capita cost. The Quadruple Aim adds a fourth policy implication, for example, addressing the needs of the healthcare provider. Advanced practice registered nurses are key in carrying out the goals of the ACA and achieving the Triple and Quadruple Aims, via the formation of interprofessional teams. This article offers insight into these policy implications and identifies filters through which related nursing policy will be developed.

The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes

“…However, the results offer a glimpse into patient experiences with acute care in the region. The experience of care professionals also plays an important role and addressing the needs of this group adds a fourth policy aspect, leading to our referencing as 'Quadruple Aim' [39]. Regarding current satisfaction, the care professionals were generally fairly satisfied with cooperation to date.…”

Social Network Analysis of Alzheimer’s Teams: A Clinical Review and Applications in Psychiatry to Explore Interprofessional Care

“…Besides, the current study also captured a small number of reciprocal ties/edges between all healthcare professionals in geriatric care and the creation of centralized cliques (senior psychogeriatric professionals) to the detriment of decentralization and peer-support and knowledge sharing. In the United States, a report commissioned by The National Academy found that the bulk of healthcare errors are not the result of human irresponsibility but rather are the result of flawed programs, procedures, and circumstances that cause individuals to make errors or neglect to avoid them [80]. Despite evidence-based policies that support interprofessional cooperation and treatment, human factors often impede successful implementation; policy aspects of interprofessional collaboration include providing a voice to all team participants and promoting discussion based on diverse experiences and opinions [80].…”

“…In the United States, a report commissioned by The National Academy found that the bulk of healthcare errors are not the result of human irresponsibility but rather are the result of flawed programs, procedures, and circumstances that cause individuals to make errors or neglect to avoid them [80]. Despite evidence-based policies that support interprofessional cooperation and treatment, human factors often impede successful implementation; policy aspects of interprofessional collaboration include providing a voice to all team participants and promoting discussion based on diverse experiences and opinions [80]. Reduced interprofessional practice jeopardizes evidence-based medicine where each professional's action is instead guided by reciprocal sharing of knowledge with colleagues; this process will accrue the personal and collective bank of information about patients and deliver holistic and coordinated care [81].…”

On Evolutions and Revolutions in Emergency Care: Commemorating the Emergency Nurses Association’s 50th Anniversary

“…Emergency nurses have a consistent and expert voice in shaping health care building on the strengths of (1) our professional organizations, (2) improved teamwork training (like TeamSTEPPS), and (3) the crucial role of nursing in advancing the Quadruple aim (patient experience, population health, reducing costs, and care team wellbeing). [7][8][9] Last, Dr Anast uses traditional gender stereotypes to apply female pronouns to nurses and male pronouns to physicians. Fortunately, the health care professions and our specialty are actively tackling adequate gender representation and equality.…”