Today, burnout is caused by understaffing at medical facilities, unrealistic expectations from administrators and, most recently, the COVID-19 pandemic. healthcare system, and some worry Triple Aim would exacerbate it. Medical staff burnout is a common issue in the U.S. Implementing Triple Aim may increase medical staff burnout.
Here’s a look at some of the most common pitfalls healthcare organizations encounter: However, the challenges associated with implementing Triple Aim have slowed down its popularity. Triple Aim has achievable and logical goals that can reduce costs and improve experience and outcomes. Here’s a closer look at how the Triple Aim philosophy seeks to improve the healthcare system in the United States. The United States spends more on medical care per person than anywhere else in the world, and cost affects access and quality of care in many communities. Cost per capita seeks to reduce the overall per capita cost of health care.Patient experience focuses on the level of service the patient receives when they do require health care.By homing in on steps like preventive medicine and education, the population can decrease its reliance on the healthcare system. Population health focuses on the health needs of the wider community.These components are population health, patient experience and per capita cost of health care. As the name suggests, the framework consists of three main components, which together are designed to optimize the performance of the healthcare system. Suggestions for future research: Checking the TACI-list against claims data in other countries.Ĭhecking the list of Triple Aim measures with other (routine) databases.The Triple Aim philosophy is a framework designed in 2007 by the Institute for Healthcare Improvement (IHI). Limitations: This research is limited to the Belgian IMA-database.
Making good use of already available data can create important efficiency gains. Lessons learned: New data collections are not always necessary. IMA provides an extensive range of cost information (dimension 3)Ĭonclusions: Triple Aim can partially be measured through claims data, although not all dimensions to the same extent, especially the patient experience of care. There is very limited information on patient experiences (dimension 2)
IMA has health outcome information through proxies, although these need to be handled with care (dimension 1) project specific measures and incompatibilities with the Belgian health system.ĭiscussion: A rough check of what is available in the IMA-database for measuring Triple Aim, provides the following pre-analysis: This list need to be further checked, for ea. (2016), we were able to identify a list of 662 measures, including hospital admissions, disease prevalence and cost. Results: Out of the list of 865 Triple Aim measures identified by Hendrikx et al. To validate the list, we evaluated the TACI-list in the population with at least one chronic condition, compared to the total Belgian population. As such these TACI’s should be useful to evaluate healthcare for subpopulations of patients and for comparing different regions and settings. Hypothesis was that the TACI’s were able to discriminate care with high from care with low added value. In a second stage, we validated this list. The selection process was double blinded. We combined the two lists to identify the Triple Aim measures that can be calculated based on the IMA-data.
In parallel, we analysed the list of available data in the IMA-database. To do this, we used the list of Triple Aim measures from the systematic review of Hendrikx et al. Theory/Methods: In a first stage, we created a list of “Triple Aim Claims Indicators” (TACI). As such the IMA database is very useful to picture healthcare related processes and trajectories, but also to create accurate proxy parameters for a range of patient conditions (Vaes et al., 2018). This database contains all the claims for the compulsory health insurance in Belgium including doctor and hospital visits, technical interventions and drug deliveries. One of the most important routine health databases in Belgium is the Inter Mutualistic Agency (IMA) database.
To make evaluation sustainable in the long term and limit registration workload, we will evaluate if relevant Triple Aim measures can be calculated based on claims data, which are already systematically collected. Triple Aim is used as evaluation framework: improving the health of populations, patient experience of care and reducing the per capita cost of healthcare (Stiefel & Nolan, 2012). Introduction: In Belgium, 12 integrated care pilot projects (Integreo) have been started in beginning 2018.