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Triple Aim Outcome Measures
NURS FPX 6612 Assessment 1 Healthcare improvement is known to have come up with what is known as the Triple Aim Framework, which broadly refers to a strategy relating to three realms of healthcare process enhancement for the purpose of imparting positive changes to population health and experience of patients as well as per capita costs. The three central themes of Triple Aim are to optimize health for individuals and groups and seek to contain costs by redesigning how care is provided and how the functions of these processes are accomplished. For care coordinators, it is essential to acquire the so-called Triple Aim. It could assist in providing excellent and aggressive care to patients, particularly to rural community residents in Sacred Hart Hospital. As we reflect on the subtleties of care coordination in our rural hospital, it is crucial to pay attention to the Triple Aim model and, as a result, strive to succeed in making the best outcome for the rural population.
Triple Aim Contribution to Population Health
According to the IHI, the concept of enhancing the health system in coordination, the framework of the Triple Aim, is referred to as a complex and multiple-goal strategy (Institute for Healthcare Improvement [IHI], n. d. ). The Triple Aim Model seeks to attain value-based health for an entire population, which has shifted focus from healing the sick to health promotion, early intervention, and management of root causes of ill health. Disease prevention programs and community health initiatives are some of the population health strategies; through awareness campaigns for healthy lifestyles, increment in the health of communities can be enhanced by healthcare organizations.
NURS FPX 6612 Assessment 1 General HealthCare of People
Activities like vaccination and screening campaigns, together with health education activities decrease disease incidence and improve the general health of people, implying that people’s health status becomes better. Population health is also part of the Triple Aim, which brings another of its core components into focus – the patient experience (IHI [Institute for Healthcare Improvement], n. d. ). This is done through patient-centered care, medical communication, and the provision of seamless integrated care. As a result of patient participation, hearing patients’ concerns providing quick responses, and helping to participate in making decisions alongside patients, healthcare organizations may enhance patient satisfaction. For instance, the expansion of a care coordination mechanism that incorporates a care transition program and also patient-centered medical homes enhances the smooth care transition and the formation of a caring plan, which leads to improved patient satisfaction.
Relationships Between Various Current and Emerging Health Care Models
First of all, in the PCMH model, patient-centered whole-person and well-coordinated care are emphasized, and these elements align well with the Triple Aim objectives of enhancing the patient experience of care (Golnik & Scal, 2020). As a result of 24/7 healthcare access and coordination, PMCs contribute to patient satisfaction and engagement and, more importantly, better health outcomes because they reduce the costly use of health services that are otherwise unnecessary. NURS FPX 6612 Assessment 1 PCMHs include preventive care and chronic disease management in their approach because all sorts of population health implementation strategies need to address the fundamental health issues before escalating into an all-out crisis (Golnik & Scal, 2020).
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Also, transitional care models are oriented to minimizing the JBN noise between the analyzed facilities, such as hospitals, skilled nursing facilities, and home care, which contributes to the Triple Aim work on decreasing expenses in the sphere of healthcare and increasing patients’ satisfaction with the provided services. Integrated transitions that are paved with smooth and continuous transitional care plans reduce the likelihood of hospital readmissions and consequently lower healthcare expenses and boost the satisfaction rating given by the patient (Golnik & Scal, 2020). That is why transitional care programs typically include elements such as patient education, medication reconciliation, and help with follow-up, as many of the patients have multiple co-morbidities and increased health state, as well as a reduction in healthcare consumption, is achieved.
NURS FPX 6612 Assessment 1 Structure of Particular Health Care Models
Initially, the Patient-Centered Medical Home model is concerned with how to process patient data systematically on patients on the basis of comprehensive health assessments, electronic health records (EHRs), and patient registries (Golnik & Scala, 2020). PCMHs aggregate a patient’s records and give the patient access to healthcare practitioners who will assess her/ his improvement, the practitioners who will identify non-compliance, and areas of intervention. Besides this, the PCMH model enhances the constant enhancement of quality by measurement of the performance and the comparison of the results with the benchmarks in the form of guidelines, which ensure that the programs of the treatment is evidence-based (Golnik & Scal, 2020). In other words, transition care models plan for the transfer of information from one healthcare setting to another thereby there is no fragmentation, mainly through the improvement of care continuity. By the process of putting into practice the standardized communication protocols and care coordination mechanisms, the transitional care programs assist the healthcare providers in getting vital patient data during the transition period as well. Therapeutic and Caregiver participation methods also increase the reliability of the data derived under evidence-based medicine since the patient-perceived results form part of the databases.
Evidence-Based Data Shapes the Care Coordination Process in Nursing
It is impossible to overestimate the importance of data with evidence base in the process of coordinating care in the field of nursing. For the ‘other’ healthcare team members, it offers a broad perspective on which the best decisions can be made while also empowering patients to participate in the planning of their health outcomes. An example of a more informal type of communication and care coordination in a clinical area of nursing is peer-to-peer utilizing evidence-based data for care planning in writing nursing notes specific to patient preferences. Firstly, gathering evidential data becomes the majority or quorum in the assessment phase of the total process of care coordination that will furnish nurses with medical histories as well as other healthcare needs of specific patients in the recent past (Swanson et al. , 2020). Being particular, purposively collecting and reviewing the required data, nurses may easily filter out the patients who were under critical conditions, priority care interventions, and individualized plans, which, in turn, are ideally tailored to patients’ diseases and preferences. To illustrate, NURS FPX 6612 Assessment 1 researchers have provided nursing research-based guidelines and reference frameworks, which the nurses apply to assess every patient for features symptomatic of other diseases, screen the patient for any other disease, and recommend a treatment plan that is amenable to each patient; all the while, avoiding unnecessary hikes in our taxes.
Government-Regulated Initiatives and Outcome Measures
The government’s own efforts in control and auditing playing make sure that policy intercessions are tracking the intentions behind them. Otherwise, the notion of care coordination and the changes that emanate from it are being observed in the population. Some significant actions and measures consist of the following: quality, accessible, and patient-sensitive care for the enhancement of the NURS FPX 6612 Assessment 1 population’s health, improved patient interactions, and decreased costs of healthcare. I agree with the statement, and the government has done much through value-based payment models, such as ACOs and bundled payment models. CMS in 2020 is one such example of an organization that released a guideline (CMS, 2020). ACOs have members who are health provider organizations instead of individuals; they come together to provide coordinated care to a particular patient population in a bid to improve the quality of care and reduce costs.
NURS FPX 6612 Assessment 1 Bundle Payment arrangement
The bundled payment arrangement is the type that is applied to facilitate providers to be paid a fixed amount for a specific process that in the past has been linked with hospitalization, where all the players have an interest in the process efficiency and value delivery from all the healthcare touch points. It provides a kind of motivation to healthcare providers to engage in care coordination, which is being charged for high quality, low cost, and good health outcomes (CMS, 2020). Another segment of regulation is centered on the encouragement of interoperability and data sharing by enacting laws such as the Health Information Technology Act and the 21st Century Cures Act (ONC, 2020). These systems’ goal is to improve care coordination by sharing patient information between any healthcare provider without regard to where the care is given, or which system of EHR (Electronic Health Record) is employed. This is one of the significant reasons that interoperability helps to draw attention to the full spectrum of patient data, leading to the encouragement of care coordination mechanisms that not only discourage duplicate services but also make the system safer and more continuous for the patients.
Improvement Recommendations to a Stakeholder Group
Of course, the session with stakeholders starts with framing and providing an understanding and an introduction to the scope of unique care coordination featuring the care coordination process at Sacred Health Care Hospital as outlined by Smith et al. (2020). NURS FPX 6612 Assessment 1 The purpose of this paragraph, however, is to indicate that it is not concurrent and related problems that should be attributed to the absence of hospital psychological services but the very essence of the issues to point at the need for the developments already initiated within the sphere of the noted problems and goals of the hospital. Stressing the need to establish care coordination as a way of pursuing the three-fold goal – health of people, patient satisfaction, and reduced health care costs, provides a straightforward logic of actions and places them in the complicated system of the organization (Jones & Lee, 2019). Dealing with stakeholders and forming a proper perception of the outcomes expected for better and worse as a result of the changes to be made comprise the central procedure in the formation of constructive collaboration and cooperation in the subsequent period.
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As a continuation, specific and concrete improvement recommendations toward this end; these are the ways through which care coordination can be improved in hospitals are also provided. These may be developed to recommend the use of care pathways and protocols for care that can be put in place to reduce variation in healthcare, optimum communication and information sharing amongst team healthcare, involvement of patients and their caregivers in care planning and decision making, and, use of performance data to measure and improve care coordination efficiency (Davis & White, 2020). All have their unique point that will display the estimations of the consequences of enhanced quality of care, patient satisfaction, and effective resource utilization. Therefore, the part that needs more attention is the proper definition of the outcomes that the recommendations are expected to have since, in this way, the efficacy of these solutions will stand behind the comprehension of the audience. The enhancement of patient care will be apparent.
Conclusion
Therefore, the NURS FPX 6612 Assessment 1 Triple Aim strikes as the foundation for the healthcare entities that aim to enhance patient health, the quality, and, efficiency of the delivery of services, and a decrease of costs as a final goal. Through the integration of the patient-centered medical home, transitional care, patient self-management, and guided care, the healthcare providers can sufficiently meet the diverse needs of the patient. Governmental legislation and the introduction of the measures (for example, value-based payment models, interoperability, and performance) can be used as tools to achieve coordinated care worthy of objects of Triple Aim. Those positive outcomes can spell out the organizational attitude and some of the actions of that organization. It is moving as it goes that the stakeholders will have another session of coming together and putting their minds together to know the way out and the way to enhance the healthcare coordination processes.
References
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