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Triple Aim in Canada: developing capacity to lead to better health, care and cost
- Source :
- International Journal for Quality in Health Care
- Publication Year :
- 2016
- Publisher :
- Oxford University Press (OUP), 2016.
-
Abstract
- Quality problem Many modern health systems strive for ‘Triple Aim’ (TA)—better health for populations, improved experience of care for patients and lower costs of the system, but note challenges in implementation. Outcomes of applying TA as a quality improvement framework (QI) have started to be realized with early lessons as to why some systems make progress while others do not. Initial assessment Limited evidence is available as to how organizations create the capacity and infrastructure required to design, implement, evaluate and sustain TA systems. Choice of solution To support embedding TA across Canada, the Canadian Foundation for Healthcare Improvement supported enrolment of nine Canadian teams to participate in the Institute for Healthcare Improvement's TA Improvement Community. Implementation Structured support for TA design, implementation, evaluation and sustainability was addressed in a collaborative programme of webinars and action periods. Teams were coached to undertake and test small-scale improvements before attempting to scale. Evaluation A summative evaluation of the Canadian cohort was undertaken to assess site progress in building TA infrastructure across various healthcare settings. The evaluation explored the process of change, experiences and challenges and strategies for continuous QI. Lessons learned Delivering TA requires a sustained and coordinated effort supported by strong leadership and governance, continuous QI, engaged interdisciplinary teams and partnering within and beyond the healthcare sector.
- Subjects :
- Program evaluation
Canada
Triple Aim
Quality management
Process management
Cost Control
Quality Assurance, Health Care
media_common.quotation_subject
03 medical and health sciences
0302 clinical medicine
Outcome Assessment, Health Care
Health care
Humans
Medicine
Quality (business)
Operations management
030212 general & internal medicine
integrated care
media_common
Delivery of Health Care, Integrated
business.industry
030503 health policy & services
Health Policy
Public Health, Environmental and Occupational Health
General Medicine
Quality Improvement
Integrated care
Leadership
Summative assessment
population management
Scale (social sciences)
Quality in Practice
Sustainability
0305 other medical science
business
Program Evaluation
Subjects
Details
- ISSN :
- 14643677 and 13534505
- Database :
- OpenAIRE
- Journal :
- International Journal for Quality in Health Care
- Accession number :
- edsair.doi.dedup.....d9625352f5bf0e98c9569fdd7759da68