“You have to design those experiences with marginalized communities in mind first, not last or retrofitted. “We have the opportunity with health IT to create digital experiences that can reach the unreached. According to Nundy, the power of digital is its ability to increase accessibility, an important factor in reducing inequities. Making equity an independent aim - not the byproduct of the other aims - will make clear that each aim reinforces the other.” How Can Technology Support the Quintuple Aim in Healthcare?ĭigital health is a growing field and, supported by traditional IT, can make a major difference in a healthcare organization’s ability to achieve the Quintuple Aim. Even the skeptics found over time that pursuing the aims together is how to make progress on all of them. But the breakthrough proposition of the Triple Aim was that each aim pursued simultaneously reinforced the others. “At the time, some argued that you could not work toward all three aims at the same time without trade-offs. In an IHI blog, Mate explained the thinking behind introducing new aims despite initial pushback against the original Triple Aim. Plus, with all the things happening socially within our country, it really created an opportunity to take what’s been here for decades and bring it much more to the forefront of healthcare.” “In the early days, many people saw COVID-19 as ‘the great equalizer,’ and then we very quickly realized that’s not true at all,” he says, “in terms of both who got COVID-19 and who had serious harm and death from it. While inequity has been a longstanding issue in healthcare, Nundy says it was magnified by the pandemic. “If you want to sustainably drive healthcare improvement you have to be able to also address burnout,” he says. Nundy explains that healthcare organizations began to realize that improving health and reducing costs at the expense of clinician well-being impedes progress overall. READ MORE: Learn how modern data platforms advance the Quintuple Aim. Shantanu Nundy, chief medical officer for Accolade - proposed the Quintuple Aim. Lisa Cooper, professor of medicine at Johns Hopkins University School of Medicine and founder and director of the Johns Hopkins Center for Health Equity and Dr. In January 2022, a group of healthcare leaders - Dr. However, another longstanding need was highlighted during the pandemic: health equity. The pandemic exacerbated the issue, with many healthcare workers leaving the industry due to burnout as COVID-19 put pressure on the industry, making the Quintuple Aim as important in 2020 as it was in 2014. Authors of the new aim argued that the positive engagement of the healthcare workforce “is of paramount importance in achieve the primary goal of the Triple Aim - improving population health.” Clinician burnout and staff shortages have been a concern in healthcare for years. In 2014, the Quadruple Aim added the goal of improving the healthcare provider’s work life. The Quadruple Aim and Quintuple Aim expand upon the goals spelled out in the Triple Aim. How Does the Quintuple Aim Compare to the Quadruple Aim? As organizations work toward these goals, leaders should consider how technology can help and how the organization can measure the success of these aims over time.Ĭlick the banner below to learn how a modern data analytics program can optimize care. Over the past 15 years, changes in the healthcare landscape have led to the introduction of new aims, with the Quintuple Aim being the latest iteration. The IHI intended for healthcare organizations to consider three goals simultaneously while working to optimize health system performance: improving patient experience, improving population health and reducing healthcare costs per capita. In 2008, the Institute for Healthcare Improvement developed a framework called the Triple Aim. Luckily, working toward one objective doesn’t mean the other has to fall by the wayside. Healthcare is still a business, and a health system’s leadership must consider business outcomes as well. However, patient care is not delivered in a vacuum. Healthcare organizations take on this responsibility as they strive to improve patient outcomes. As an industry, healthcare differs from most in that providers have a direct impact on a patient’s health.
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