M1-PR-320

In your response posts, discuss how your peers' logic compares to your own. Reference specific concepts introduced in the module readings to support your response.

PEER 1-AK

I’m a 34-year-old single mom from Delaware. I’ve been working in the healthcare field since I was 19 and I am currently working as a surgical coordinator for a large dermatology practice. My overall goal from taking this course and furthering my education is to make advancements in my current occupation within my dermatology practice.

Triple aim framework and improving the patient experience of care, improving the health of the populations and reduce the per capita cost of health care. US health care system is costly due to the aging population, increased chronic health problems, global challenges and demand in social services. To address the triple aim framework, it needs to change the process of targeted populations. To innovate the triple aim concept, I think that it is important to strengthen our health care management, focus on individuals and families, cost control, system integration and execution, redesign of primary care services. Stabilizing per capita cost of care makes less pressure for public and publicly funded health care budget, accountable care organization, innovation in finance, a new model of primary care, patient-centered medical homes, avoiding readmission, innovation in technology can help achieve and strengthen the triple aim thinking.

http://www.ihi.org/Topics/TripleAim/Pages/default.aspx

PEER 2-MG

I live in the historical district of downtown Aurora, IL. Just over 40 miles to the southwest of Chicago. I was owner operator of a dog rescue facility in NC for 20 years, and after moving to IL ten years ago, I was a research consultant for a pet website. I now volunteer with a free non-profit pet food pantry, managing their website and social media. I am pursuing my BS in Healthcare Administration with a minor in Psychology, with plans to further my education in a masters degree program. I am hoping to gain some insight into the various government programs in healthcare, as well as identifying some of the inequities, and searching to find solutions, in this course. I enjoy spending time with my dogs in my free time, reading a good book, or watching fun and exciting movies with lots of popcorn.

With regard to this week’s topic, I find that healthcare today is shifting from a volume-based formula of care to a value-based quality of care. By doing so there are really two aspects of care to consider. In watching the video, An Overview of the IHI Triple Aim, within the Institute for Healthcare Improvement website article, it states that there is a standard in place (Six Aims in the individual experience of care) for those in need of immediate healthcare. These “six dimensions of need” (Aims for Improvement) are Safe, Effective, Patient-centered, Timely, Efficient, and Equitable, as laid out in the institute of Medicine Report, Crossing the Quality Chasm. And this is what the patient in need should receive. Whereas, within the Triple Aim idea of healthcare, developed in 2006 by Dr. John Whittington, MD and Dr. Tom Nolan, PhD, it is really a more proactive approach. There are three elements within this framework. Experience of Care, which is looking at the causes of healthcare, asking the “why” questions, in this instance, why did you require your appendix removed, why did you develop diabetes, and so on; Population Health, which looks at what society needs from healthcare professionals to keep them/help them to stay healthy; and Per Capita Cost, reducing per capita cost as a society that has always had other needs. For example, the means with which to provide for other resources, as we see in the news the need for funds for new infrastructure, corporate America must now use more incentives to hire staff to come back into the office, and so forth.

It is difficult to select just one of these three critical tenets to focus on in achieving the goal of healthcare delivery optimization. I think that I would step back to the “six dimensions of need” as discussed in the Institute of Medicine Report, Crossing the Quality Chasm, aims for improvement. Safe, Effective, Patient-centered, Timely, Efficient, and Equitable, grouping these together in the second part of the Triple Aim, Population Health. What does society need from the healthcare community to satisfy those six aims of improvement? From a preventative perspective, how can the healthcare professional provide timely help, that is efficient and equitable, to effectively and safely deliver patient-centered incentives to stay healthy. The Covid-19 vaccine is a perfect example of this. The healthcare community has come together to deliver all six of these benchmarks to promote Population Health.

Source Cited:

Institute for Healthcare Improvement. (2021). Triple Aim for Populations. Retrieved (2021 June 27). http://www.ihi.org/Topics/TripleAim/Pages/default.aspx