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Pursuing the Triple Aim: The First 7 Years

The Milbank quarterly, 2015-06, Vol.93 (2), p.263-300 [Peer Reviewed Journal]

2015 Milbank Memorial Fund ;2015 Milbank Memorial Fund. ;2015 Milbank Memorial Fund 2015 ;ISSN: 0887-378X ;EISSN: 1468-0009 ;DOI: 10.1111/1468-0009.12122 ;PMID: 26044630 ;CODEN: MIQUES

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Title:
Pursuing the Triple Aim: The First 7 Years
Author: WHITTINGTON, JOHN W. ; NOLAN, KEVIN ; LEWIS, NINON ; TORRES, TRISSA
Subjects: Communities ; Community associations ; Community-Institutional Relations ; Cost ; Cost Control - legislation & jurisprudence ; Cost Control - methods ; Cost Control - standards ; Delivery of Health Care, Integrated - economics ; Delivery of Health Care, Integrated - organization & administration ; Delivery of Health Care, Integrated - standards ; Depopulation ; Diabetes ; Health Benefit Plans, Employee - economics ; Health Benefit Plans, Employee - organization & administration ; Health Benefit Plans, Employee - standards ; Health care costs ; Health care organizations ; Health Plan Implementation - economics ; Health Plan Implementation - methods ; Health Plan Implementation - organization & administration ; Health policy ; Hospitals ; Humans ; Legislation ; Medical service ; Needs Assessment ; Organizational Case Studies ; Original Investigations ; Outcome Assessment, Health Care - methods ; Outcome Assessment, Health Care - statistics & numerical data ; Patient Protection and Affordable Care Act ; Patient Satisfaction ; Patients ; Population ; Population dynamics ; Population health ; population management ; Population planning ; Population trends ; populations ; Public health ; Public Health - economics ; Public Health - legislation & jurisprudence ; Public Health - standards ; Quality Assurance, Health Care - economics ; Quality Assurance, Health Care - legislation & jurisprudence ; Quality Assurance, Health Care - standards ; Social service ; Triple Aim ; United States ; United States Indian Health Service - economics ; United States Indian Health Service - organization & administration ; United States Indian Health Service - standards ; Wisconsin
Is Part Of: The Milbank quarterly, 2015-06, Vol.93 (2), p.263-300
Description: Context: In 2008, researchers at the Institute for Healthcare Improvement (IHI) described the Triple Aim as simultaneously "improving the individual experience of care; improving the health of populations; and reducing the per capita costs of care for populations." IHI and its close colleagues had determined that both individual and societal changes were needed. Methods: In 2007, IHI began recruiting organizations from around the world to participate in a collaborative to implement what became known as the Triple Aim. The 141 participating organizations included health care systems, hospitals, health care insurance companies, and others closely tied to health care. In addition, key groups outside the health care system were represented, such as public health agencies, social services groups, and community coalitions. This collaborative provided a structure for observational research. By noting the contrasts between the contexts and structures of those sites in the collaborative that progressed and those that did not, we were able to develop an ex post theory of what is needed for an organization or community to successfully pursue the Triple Aim. Findings: Drawing on our 7 years of experience, we describe the 3 major principles that guided the organizations and communities working on the Triple Aim: creating the right foundation for population management, managing services at scale for the population, and establishing a learning system to drive and sustain the work over time. Conclusions: The concept of the Triple Aim is now widely used, because of IHI's work with many organizations and also because of the adoption of the Triple Aim as part of the national strategy for US health care, developed during the implementation of the Patient Protection and Affordable Care Act of 2010. Even those organizations working on the Triple Aim before IHI coined the term found our concept to be useful because it helped them think about all 3 dimensions at once and organize their work around them.
Publisher: United States: Blackwell Publishing Ltd
Language: English
Identifier: ISSN: 0887-378X
EISSN: 1468-0009
DOI: 10.1111/1468-0009.12122
PMID: 26044630
CODEN: MIQUES
Source: Open Access: PubMed Central
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
Alma/SFX Local Collection

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Pursuing the Triple Aim: The First 7 Years

2015 Milbank Memorial Fund ;2015 Milbank Memorial Fund. ;2015 Milbank Memorial Fund 2015 ;ISSN: 0887-378X ;EISSN: 1468-0009 ;DOI: 10.1111/1468-0009.12122 ;PMID: 26044630 ;CODEN: MIQUES

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