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4-1 Discussion Quadruple Aim Bulls Eye
Course: Healthcare Delivery Systems (HCM340)
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University: Southern New Hampshire University
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In Module Three, you discussed the ways healthcare performance can be measured through
examining quality, equity, and efficiency in the healthcare system. You were introduced to the
concept of the Quadruple Aim, an extension of the Triple Aim as defined by the Institute for
Healthcare Improvement (IHI). The Quadruple Aim is focused on improving outcomes and care
for individuals, providing better care for populations, lowering per capita costs in our healthcare
system, and improving the work life of healthcare providers and staff.
In this module, you will examine some of the recent initiatives to improve performance in the
healthcare system. In 2001, the Institute of Medicine (IOM) issued the foundational report
“Crossing the Quality Chasm: A New Health System for the Twenty-First Century,” which
highlighted six key dimensions related to quality care. Healthcare should be safe, effective,
efficient, equitable, timely, and patient-centered (STEEEP). These dimensions have formed the
basis for numerous quality and payment reform strategies implemented since its release.
Furthermore, this report has led to the creation of the National Patient Safety Goals (NPSGs) and
quality measures that drive value-based purchasing programs and payment reform. It is also the
guiding force behind establishing the Triple, and now Quadruple Aim. As you complete this
module, consider the following questions:
• How can quality be measured in a meaningful way for the improvement of each STEEEP
dimension?
• Why is it important to reduce hospital readmissions?
• How do care coordination efforts improve outcomes?
• Why is access to care important?
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