This paper addresses the Triple aim as it relates to population health management and delivery models, discusses current trends in health care delivery models, and describes how quality and safety impact delivery models in health care.
Delivery Models in Healthcare
The four main models for health care systems are Beveridge, Bismarck, National Health Insurance, and the out-of-pocket model. Different factors, such as age, employment, and military service, determine the preferred model of delivery. Presently, the triple aim provides a framework that guides healthcare organizations to meet the needs of their communities and populations. The framework entails improving the experience of care, improving the health of populations, and reducing per capita costs of health care. This paper’s discourse is based on the triple aim correlation with population health management and delivery models, the present trend in health care models, and how they are impacted by quality and safety in the healthcare system.
Triple Aim As It Relates To Population Health Management and Delivery Models
The introduction of the Triple Aim framework by the Institute for Healthcare Improvement (IHI) had a primary goal of enhancing patient care experience, improving the healthy population, and lowering the per capita costs (Whittington et al., 2015). The integrated framework captures these three dimensions, guiding logical improvement initiatives associated with high-quality healthcare services. The premise of the triple aim is to foster sustainable, practical, and efficient healthcare delivery. According to Berwick, Nolan & Whittington (2015), it is imperative to balance the escalating medical care cost with the public’s expectations for high-quality care delivery.
In order to accomplish the Triple Aim, the IHA also developed five components. These components focus on both the individual and the families, redesign of primary care services and structures, population health management cost-control platform, and system integration and execution. Leaders in healthcare, healthcare providers, employers, the public, and policymakers all acknowledge that the United States’ health care costs are high and call for the measures to address the rising costs. Triple aim offers a framework for addressing discrepancies in the delivery of healthcare through the provision of a holistic, multifaceted approach. The framework followed Obamacare, currently known as the Affordable Care Act (ACA) in 2010, and the subsequent adoption of Triple Aim as the National Strategy for healthcare’s Quality improvements (Whittington et al., 2015). In particular, Triple aim has empowered and strengthened several healthcare reforms such as bundled payments, Accountable Care Organizations (ACOs), and other innovative financings, new primary care models, avoidable events sanctions, and information technology integration. Besides creating more sustainable approaches to health care delivery, the triple aim provides a framework that guides reform and improvements within the healthcare continuum.
The triple aim is site-specific and focuses care on individuals. In the implementation of the Triple aim, the healthcare organizations have to understand the unique needs of the community and identify at-risk populations, define the organization and system-specific goals, and measure, track and demonstrate progress. Upon implementation, the organizations deliver equitable healthcare frameworks that acknowledge and address the healthcare needs of the populations. In addition to the decreased burden of illness, patients can also expect more coordinated care. According to Whittington (2015), the population’s reduced per capita cost allows the business to get an opportunity to be more competitive to reduce the pressure on healthcare budgets. As Christianson (2016) notes, the triple aim guides care delivery policies within healthcare organizations and the public by underlining the need for population health considerations in health policy formulation and the effective integration of medical and social services. Triple aim as it relates to population health management
The health care construct is Triple Aim roots for enhanced population health, better patient experience, and control of cost as being mutually reinforcing, but some tend to overemphasize cost reduction (Wilkinson et al., 2017). In contemporary healthcare, providers, payers, as well as regulators have to speed up the incorporation of community health workers (CHWs) into both care teams and care delivery models in order to capitalize on the consensus of the emerging roles and skills of CHWs. Triple aim as it relates to population health management.
Current Trends in Health Care Delivery Models
The U.S.’s health system is transforming from volume-based delivery to a value-based system. The health systems, medical groups, and other current stakeholders also have difficulties and opportunities, such as pressure to lesser costs during this critical transformation. While addressing these changes, the stakeholders must ensure that costs are lowered as access and quality are managed, improved, or maintained. Despite the prices of healthcare in the U.S. being higher than the healthcare prices in the industrialized world, ACOs aim at driving the transformation of healthcare to a model of patient-centered care that enhances access, wellness, prevention, and coordination in a financial model that is risk-based. Healthcare providers still participate in different value-based care models that incorporate financial risk-based on the enactment and drive clinical integration. In their wellbeing and health, patients are also integrated as active participants by the patient-centered medical homes (PCMH). The PCMH models also provide extended access, public and preventive health services, community links, and patient self-management support. These models have proven to be successful in many settings.
Impact of Quality and Safety on Delivery Models in Health Care
Stakeholders within healthcare acknowledge that the U.S. healthcare system encounters several challenges, including but are not limited to rising healthcare costs, inefficiencies and disparities in healthcare access, its quality, and results achieved. Martinez et al. (2016) opine that a reformed system would not only improve quality at reduced costs but would also address healthcare disparities that exist between organizations and from one community to another. Promoting patient safety and improved healthcare would be realized through the prevention of medication errors. In modern healthcare delivery models that put the patient first, optimal benefits emerge. Suffice it to say that a patient-focused system lets practitioners work as a multidisciplinary care team, which helps the patient to access crucial information, understand the treatment options and medications available and get service that is as responsive as it is compassionate.
In their study, Martinez et al. (2016) cite the example of the Arkansas Health Care Independence that demands Qualified Health Plans to take part in the Arkansas Payment Improvement Initiative, a collaborative strategy seeking to reform the state’s payment system.
Whereas health information technology systems potentially improve patients’ safety and help ensure high–quality healthcare, they may also lead to unintended risks. With the more integration of health information technology in healthcare delivery and monitoring safety and quality, the providers’ interactions and the health I.T. systems will be increasingly important. However, poorly applied or designed health I.T. may result in miscommunication, distraction, delay, or even confusion. Besides, variances in health I.T. capabilities impact the success of health systems and hospitals in taking part in care delivery models that emphasized improved safety and patient quality. The capability to collect and use electronic data to support health I.T. systems to advance the delivery of care and safety is a critical part of the models that directly affect payment and participation. Patient outcomes improve as a result of the increased use of health I.T.
In conclusion, it is essential to acknowledge the fact that in healthcare systems of the 2020s and beyond, the question should not be whether the Triple Aim is the reach of the U.S.; rather, it should be how soon. Experiments conducted in the U.S. and other countries demonstrate that Triple Aim is a feasible, evidence-based delivery model and healthcare system design that helps realize all three aims of care, health, and cost simultaneously. Healthcare experts also have a consensus the most significant obstacles to Triple Aim are not technical but political, meaning that the national, state, and local leaders should craft policies that reinforce the enormous advantages that integrated delivery models would offer.
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Allen, S. (2019). Global health care outlook. Shaping the future. Deloitte Touche Tohmatsu Limited, 7.
Martinez, J. C., King, M. P., & Cauchi, R. (2016). Improving the health care system: seven-state strategies. National Conference of State Legislatures.
Sheet, F. (2016). The U.S. healthcare system: An international perspective. 2016.
Whittington, J. W., Nolan, K., Lewis, N., & Torres, T. (2015). Pursuing the triple aim: the first seven years. The Milbank Quarterly, 93(2), 263-300.
Wilkinson, G. W., Sager, A., Selig, S., Antonelli, R., Morton, S., Hirsch, G., … & Acuff, C. (2017). No equity, no triple aim: strategic proposals to advance health equity in a volatile policy environment. American journal of public health, 107(S3), S223-S228.
World Health Organization. (, 2018). Delivering quality health services: a global imperative for universal health coverage.
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delivery models essay instructions
Write a 1,250-1,500-word essay about delivery models in health care. Include the following in your essay:
- Address the triple aim as it relates to population health management and delivery models.
- Discuss current trends in health care delivery models.
- Describe how quality and safety impact delivery models in health care.
Include at least three peer-reviewed/academic references in your essay, including the HealthyPeople website.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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