#Quadruple aim how to#

I agree that it's important to seek both higher levels of joy in work and meaningful progress on securing health equity. Some would argue that it’s important to add health equity or joy in work to the Triple Aim to rightfully elevate their significance.

#Quadruple aim how to#

Since I rarely hear anyone complain about measuring too few things, be mindful of limitations on your staff’s bandwidth, and use deliberation and consideration to determine what data you really need, and how to collect and analyze it. If you pursue a Quadruple Aim, you’ll need to reconsider your measurement strategy as a whole. Make sure you respond truthfully to a hard question: Will we spread ourselves too thin if we pursue more than three aims?

No organization has unlimited resources, so we must deploy what we have in an intentional, purposeful way. Don’t let a fourth aim turn your organization’s capacities and capabilities away from optimal delivery of the Triple Aim. We haven’t done enough to improve health care quality while reducing costs. We miss too many opportunities to improve the care experience. There are still gaps in the health of the populations that we serve. In almost every organization I’ve seen, and in almost every environment that I can think of, we still have a long way to go to achieve Triple Aim outcomes. We haven’t finished pursuing the original Triple Aim.Any modifications to the original Triple Aim should not take us away from our highest priority. Triple Aim outcome measures put patients at the center of care. At its core, the focus of the Triple Aim is to improve the lives of our patients. Remember that the Triple Aim is about patients.If you do, I urge you to keep four points in mind: IHI fully supports other organizations prioritizing these worthy efforts if pursuing a Quadruple Aim helps you to deliver on your organizational strategy. The Military Health System, for example, has added readiness as their fourth aim. Some organizations highlight other priorities. Others have done it, turning IHI’s Triple Aim - improving the health of populations, enhancing the experience of care for individuals, and reducing the per capita cost of health care - into the “Quadruple Aim.” For many organizations, the fourth aim is attaining joy in work. Over the last few years, people from all over the world have often asked me the same question: Why doesn’t IHI add a fourth component to the Triple Aim?