Triple Aim for Populations

What is the Triple Aim? Population Health Patient Experience Cost

Triple Aim under the ACA The Triple Aim, an approach to health delivery that targets quality, cost and population health. The term “Triple Aim” refers to the simultaneous pursuit of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. It has become the organizing framework for the US National Quality Strategy, for strategies of public and private health organizations around the world, and for many other organizations.

Key Measurement Principles of The Triple Aim The need to DEFINE POPULATION The need for DATA The need for PROCESS and OUTCOME measures The need for BENCHMARKING

What is a population? The total population refers to all the residents of a geopolitical area, within which a variety of sub-populations can be defined. Sub-populations can be defined in a variety of ways, including by income, race/ethnicity, disease burden, or those served by a particular health system or in a particular workforce. Populations served by a Triple Aim initiative might be either a total population or a sub-population defined in this way; in either case, it is essential to specify the population.

Data and Outcome/ Process Measures

Drivers of Excellent Experience of Care Based on IOM Six Aims for Improvement

Cost per Capita Framework

Benchmarking

A Framework for Measuring Value The three dimensions of the Triple Aim, taken together, provide a useful framework for measuring value in health care. Cost measurement in isolation doesn’t have much value; it needs to be combined with measures of the other two dimensions of the Triple Aim.

Factor that Determine Population Health

Questions??

Reference: Stiefel M, Nolan K. A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012. (Available on www.IHI.org)