{"id":271,"date":"2014-03-03T08:43:22","date_gmt":"2014-03-03T13:43:22","guid":{"rendered":"http:\/\/n2value.com\/blog\/?p=271"},"modified":"2018-02-02T06:58:29","modified_gmt":"2018-02-02T11:58:29","slug":"triple-aim-how-about-the-quad-win","status":"publish","type":"post","link":"https:\/\/n2value.com\/blog\/triple-aim-how-about-the-quad-win\/","title":{"rendered":"The Quadruple Aim"},"content":{"rendered":"<p><span style=\"font: 13.0px Arial;\">I\u2019ve heard a lot about the Triple Aim lately &#8211; the goal of:<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Improving patient experience through both quality and satisfaction.<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Improving population health (care)<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Reducing the per capita cost of healthcare<\/span><\/p>\n<p><span style=\"font: 13.0px Arial;\">Well, I think we should be thinking more inclusively, and for that I propose the Quadruple Aim:<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Better Patient Satisfaction<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Better Patient Outcomes<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Better Provider Satisfaction<\/span><br \/>\n&#8211;<span style=\"font: 13.0px Arial;\">Reduced Cost<\/span><\/p>\n<p><span style=\"font: 13.0px Arial;\">The difference is in structuring meeting the Triple Aim to include Provider Satisfaction.\u00a0<\/span><\/p>\n<p><span style=\"font: 13.0px Arial;\">It is beyond the scope of this discussion, but the chatter from physicians is more negative than usual. \u00a0Granted, a lot of physicians are \u2018glass half-empty\u2019 types, but even so, the pervasive uncertainty about the future of their careers is widespread and palpable. \u00a0A number of articles about physician \u2018burnout\u2019 have been hitting the rounds lately, even from venerable sources like the New York Times. (1) \u00a0How does a profession that prides itself on hard work and a single-minded devotion to their patients go from discussion of exciting new medical cures to 50% burnout rates, even starting in medical school? \u00a0I find that difficult to understand &#8211; on a personal level, I couldn\u2019t wait to get to work when I was in medical school on the wards &#8211; it was just so exciting and interesting! \u00a0So how did we get from there to this?<\/span><\/p>\n<p><span style=\"font: 13.0px Arial;\">Perhaps mandating the triple aim without including physician well-being (provider satisfaction) has something to do with it?<\/span><\/p>\n<p><span style=\"font: 13.0px Arial;\">1.<\/span><span style=\"font: 13.0px Arial; color: #042eee;\"><span style=\"text-decoration: underline;\">http:\/\/well.blogs.nytimes.com\/2012\/08\/23\/the-widespread-problem-of-doctor-burnout\/<\/span><\/span><\/p>\n<div data-test='contact-form' id='contact-form-271' class='wp-block-jetpack-contact-form-container '>\n<form action='https:\/\/n2value.com\/blog\/triple-aim-how-about-the-quad-win\/#contact-form-271' method='post' class='contact-form commentsblock' aria-label=\"The Quadruple Aim\" novalidate>\n\n<div style=\"\" class='grunion-field-name-wrap grunion-field-wrap'  >\n<label\n\t\t\t\tfor='g271-name'\n\t\t\t\tclass='grunion-field-label name'>Name<span class=\"grunion-label-required\" aria-hidden=\"true\">(required)<\/span><\/label>\n<input\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='g271-name'\n\t\t\t\t\tid='g271-name'\n\t\t\t\t\tvalue=''\n\t\t\t\t\tclass='name  grunion-field' \n\t\t\t\t\trequired aria-required='true' \/>\n\t<\/div>\n\n<div style=\"\" class='grunion-field-email-wrap grunion-field-wrap'  >\n<label\n\t\t\t\tfor='g271-email'\n\t\t\t\tclass='grunion-field-label email'>Email<span class=\"grunion-label-required\" aria-hidden=\"true\">(required)<\/span><\/label>\n<input\n\t\t\t\t\ttype='email'\n\t\t\t\t\tname='g271-email'\n\t\t\t\t\tid='g271-email'\n\t\t\t\t\tvalue=''\n\t\t\t\t\tclass='email  grunion-field' \n\t\t\t\t\trequired aria-required='true' \/>\n\t<\/div>\n\n<div style=\"\" class='grunion-field-url-wrap grunion-field-wrap'  >\n<label\n\t\t\t\tfor='g271-website'\n\t\t\t\tclass='grunion-field-label url'>Website<\/label>\n<input\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='g271-website'\n\t\t\t\t\tid='g271-website'\n\t\t\t\t\tvalue=''\n\t\t\t\t\tclass='url  grunion-field' \n\t\t\t\t\ttitle=\"Please enter a valid URL - https:\/\/www.example.com\" oninvalid=\"setCustomValidity(&quot;Please enter a valid URL - https:\/\/www.example.com&quot;)\" oninput=\"setCustomValidity(&quot;&quot;)\" pattern=\"(([:\\\/a-zA-Z0-9_\\-]+)?(\\.[a-zA-Z0-9_\\-\\\/]+)+)\" data-type-override=\"url\"  \/>\n\t<\/div>\n\n<div style=\"\" class='grunion-field-textarea-wrap grunion-field-wrap'  >\n<label\n\t\t\t\tfor='contact-form-comment-g271-comment'\n\t\t\t\tclass='grunion-field-label textarea'>Comment<span class=\"grunion-label-required\" aria-hidden=\"true\">(required)<\/span><\/label>\n<textarea\n\t\t                style=''\n\t\t                name='g271-comment'\n\t\t                id='contact-form-comment-g271-comment'\n\t\t                rows='20' class='textarea  grunion-field'  required aria-required='true'><\/textarea>\n\t<\/div>\n\t<p class='contact-submit'>\n\t\t<button type='submit' class='pushbutton-wide'>Submit<\/button>\t\t<input type='hidden' name='contact-form-id' value='271' \/>\n\t\t<input type='hidden' name='action' value='grunion-contact-form' \/>\n\t\t<input type='hidden' name='contact-form-hash' value='5dc8f6d16bcc473507165d1f0120fe26a1d2f6bc' \/>\n\t<\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"77\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>I\u2019ve heard a lot about the Triple Aim lately &#8211; the goal of: &#8211;Improving patient experience through both quality and satisfaction. &#8211;Improving population health (care) &#8211;Reducing the per capita cost of healthcare Well, I think we should be thinking more inclusively, and for that I propose the Quadruple Aim: &#8211;Better Patient Satisfaction &#8211;Better Patient Outcomes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"New Monday Post : Triple Aim?  How about the Quad Win!","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[2,3],"tags":[],"class_list":["post-271","post","type-post","status-publish","format-standard","hentry","category-healthcare","category-physician-executives"],"jetpack_publicize_connections":[],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4mtfP-4n","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/posts\/271","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/comments?post=271"}],"version-history":[{"count":4,"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/posts\/271\/revisions"}],"predecessor-version":[{"id":13634,"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/posts\/271\/revisions\/13634"}],"wp:attachment":[{"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/media?parent=271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/categories?post=271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/n2value.com\/blog\/wp-json\/wp\/v2\/tags?post=271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}