Aligning emergency care with the triple aim: Opportunities and future directions after healthcare reform

Agrawal, Shantanu; Conway, Patrick H.

doi:10.1016/j.hjdsi.2014.05.005

Cited by 11 publications

(3 citation statements)

References 31 publications

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“…Healthcare organizations are constantly looking for innovative ways to achieve a more efficient, effective, and sustainable system. A wide range of metrics and concepts have been created to evaluate the performance of healthcare systems [ 9–11 ]. One commonly used framework is the Triple Aim by the Institute for Healthcare Improvement (IHI) [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Vainio,

Soininen,

Castrén

et al. 2023

Scandinavian Journal of Primary Health Care

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Objective This article aims to summarize performance indicators used in telephone triage services research, and make recommendations for the selection of valid indicators to measure the performance of telephone triage. We describe what kind of frameworks, performance indicators, or variables have been used for evaluating telephone triage performance by systematically mapping the telephone triage performance measurement. The objective was to find measures for each Triple Aim dimension. Design A scoping review method was used following Joanna Briggs Institute guidelines. Using this method, we defined indicators to measure the performance of telephone triage. We used the Triple Aim framework to identify indicators to measure the overall performance of telephone triage. The Triple Aim framework consists of improving the patient experience of care, improving the health of populations, and reducing cost per capita. Setting The scoping review was performed using CINAHL, Medline, EBSCOhost, and PubMed electronic databases. The eligibility criterion was research published in English between 2015 and 2023. The inclusion focused on the use and performance of telephone triage services and system-focused studies. Results A total of 1098 papers were screened for inclusion, with 57 papers included in our review. We identified 13 performance indicators covering all Triple Aim dimensions: waiting times, access, patient satisfaction, the accuracy of triage decision, severity and urgency of the symptoms, triage response, patient compliance with the advice given, follow-up healthcare service use, and running costs of service. We didn’t find any earlier framework covering all Triple Aim dimensions properly. Conclusions Measuring the performance of telephone triage requires an extensive and comprehensive approach. We presented performance indicators that may be included in the framework for measuring the performance of telephone triage to support overall performance measurements of telephone triage.

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Section: Introductionmentioning

confidence: 99%

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Vainio,

Soininen,

Castrén

et al. 2023

Scandinavian Journal of Primary Health Care

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“…[4][5][6][7] The use of the Triple Aim framework also showed an improvement in health outcomes in many common cases. 8 The Saudi Ministry of Health is using the Value-based Healthcare (VBHC) approach to improve the delivery of its healthcare services. However, research illustrated that the Triple Aim framework led to better outcomes.…”

Section: Introductionmentioning

confidence: 99%

<p>Adopting the Triple Aim Framework in the Saudi Healthcare System: A Delphi Study</p>

Jasser

Almoajel

2020

RMHP

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Helping healthcare systems to optimize performance using particular metrics through objective monitoring will positively impact an organization's progress toward strategic goals and objectives. The Institute of Healthcare Improvement introduced the Triple Aim framework for guiding new or transforming health systems, concurrently improving population health and patients' care experience, and reducing per capita cost. Consensus to determine applicable and appropriate measures to monitor this transformation within the scope of the three objectives is required. Thus, the study aimed to adopt the Triple Aim measures and reach a consensus among experts in healthcare systems on the applicability of the measures in the health system of Saudi Arabia. Methods: A two-round Delphi study was conducted with 17 invited experts who were knowledgeable and experienced in healthcare systems and administration, quality improvement, and strategic planning. These rounds were based on the measures of the three objectives, where they were introduced as statements and grouped under each respective aim. The experts were instructed to score each measure using a 5-point Likert scale and were invited to formulate new measures related to the same aim. Statements reaching a consensus level of 80% were considered applicable measures for the Saudi health system. Results: A total of 17 measures were circulated among experts; out of which, 16 measures reached a consensus. The 16 measures represent the three main domains of the Triple Aim model, ie, population health, experience of care, and cost per capita. The measure that failed to reach a consensus was the predictive model scores because it requires medical knowledge, where the majority of the experts were non-physicians. Conclusion: A Delphi study was used to reach consensus among experts on the Triple Aim measures as a first step to building a solid foundation for the population management required to implement these initiatives in the future.

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“…Modern healthcare organisations are increasingly looking for creative ways to redesign complex and dated systems in order to embrace effective, efficient and sustainable healthcare delivery (Agrawal & Conway, 2014;Bergevin et al, 2016;Glazman, 2017) further driven by a pressing need to balance rising costs of medical care with public expectations for delivery of high-quality care. In 2008, the Institute for Healthcare Improvement (IHI) introduced the Triple Aim framework with the primary goal of improving the value and quality of healthcare across three dimensions; the health of population, patient experience of care and per capita costs (Berwick, Nolan & Whittington, 2008).…”

Section: Introductionmentioning

confidence: 99%

The application of triple aim framework in the context of primary healthcare: A systematic literature review

et al. 2018

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The Triple Aim framework is an increasingly popular tool for designing and assessing quality improvements in the health care sector. We systematically reviewed the empirical evidence on the application of the Triple Aim framework within primary healthcare settings since its inception almost a decade ago. Results show that primary healthcare providers varied in their interpretation of the Triple Aim framework and generally struggled with a lack of guidance and an absence of composite sets of measures for performance assessment. Greater clarity around application of the Triple Aim framework in primary healthcare is needed, especially around the selection and implementation of purposeful measures from locally available data. This review highlights areas for improvement and makes recommendations intended to guide future applications of the Triple Aim in the context of primary healthcare.

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Aligning emergency care with the triple aim: Opportunities and future directions after healthcare reform

Cited by 11 publications

References 31 publications

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

<p>Adopting the Triple Aim Framework in the Saudi Healthcare System: A Delphi Study</p>

The application of triple aim framework in the context of primary healthcare: A systematic literature review

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