1. Triple Aim for Populations

2. What is the Triple Aim? Population Health Patient Experience Cost

3. 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.

4. 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

5. 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.

6. Data and Outcome/ Process Measures

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

8. Cost per Capita Framework

9. Benchmarking

10. 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.

11. Factor that Determine Population Health

12. Questions??

13. 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; (Available on