![]() ![]() ![]() Thus, both health behaviors and mental health disorders contribute significantly to overall costs and outcomes. In addition, the presence of such high-frequency disorders as anxiety and depression result in much higher health care costs for commonly occurring diagnoses such as diabetes or heart disease (Melek, Norris, & Paulus, 2014). We know from existing public health research that 45 percent or more of all health outcomes are due to such behaviors as sedentary behavior, poor diet, smoking, substance misuse, stress, and nonadherence to prescribed treatments (World Health Organization, 2009). These disparate studies have been compiled in a volume (see Hunter, Hunter, & Kessler, 2014) that encompasses psychological interventions in primary and specialty medical and surgical care, as well as both outpatient and inpatient care. They have also addressed the needs of entire patient panels and developed systems to improve providers’ satisfaction with their work. Psychologists have long been participating on teams that have produced positive outcomes in terms of clinical improvement and reduced costs resulting from the improved health of patients. Individual researchers and groups have addressed each of the components of these goals in a range of studies over the years. Psychology is uniquely positioned within the health professions to help the system achieve the goals of the quadruple aim. As work has proceeded on this “triple aim,” the additional goal of provider satisfaction - improving the work life of health care providers - has resulted in the quadruple aim (Bodenheimer & Sinsky, 2014). doi:10.Reorienting the health care system to achieve three interdependent goals - improved patient experience, leading to better health, resulting in lower costs, all carried out within a population-based framework focused on the health of a community - has been the subject of much research (e.g., Berwick, Nolan, & Whittington, 2008). The Quadruple Aim: Care, health, cost and meaning in work. Worldviews on Evidence-Based Nursing, 11(1), 5–15. The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Evidence-based practice step-by-step: The seven steps of evidence-based practice. Worldviews on Evidence-Based Nursing, 13(5), 340–348. Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(2), 172–175. ![]() Improving patient care through nursing engagement in evidence-based practice. Nurse educators: Leading health care to the quadruple aim sweet spot. Chapter 1, "Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry" (pp.Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Work life of healthcare providers RESOURCES: RESOURCES: Melnyk, B.Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of: To Complete: Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim. Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.Read the articles by Sikka, Morath, & Leape (2015) Crabtree, Brennan, Davis, & Coyle (2016) and Kim et al.More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers.Įach of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs. Evidence-Based Practice and the Quadruple Aim Healthcare organizations continually seek to optimize healthcare performance. ![]()
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