The Triple Aim: Spotlight on quality

This is the second piece in our series that discusses the Triple Aim.

In our last blog post, we provided an overview of the Triple Aim: the framework for optimizing health system performance that was developed by the Institute for Healthcare Improvement (IHI) in 2007. As with many accountable care organizations (ACO) across the country, MultiCare Connected Care is focused on the Triple Aim in order to improve our patients‘ care experience, improve the health of our population and reduce the cost of care for both patients and providers.

Achieving these goals requires us to adhere to the three Triple Aim pillars:

  • Quality (Improving population health)
  • Service (Improving patient experience of care)
  • Cost (Reducing the per capita cost of health care)

In this post, we'll dive deeper into the Quality pillar and explore how this guiding principle helps MultiCare Connected Care improve the health of the populations we serve.

Population Health Management is the key to quality

Quality, in Triple Aim parlance, targets improving population health. This, in turn, has led to the rise of the practice of population health management. But what does this really mean?

Whereas “population health” refers to the overall well-being of a defined group of people, population health management or population-based care refers to the coordinated use of tools, evidence-based practice standards, and tactics that we, as a network, employ to achieve population health.

Check out this great example of coordinated population-based care.

One way MultiCare Connected Care accomplishes population-based care is through Clinical Collaboratives: physician-led teams that share responsibility and accountability to better streamline care.

Improving patient health through coordinated care

These Clinical Collaboratives are establishing evidence-based care pathways and guidelines that address the health issues that have the greatest impact on the well-being of the populations we serve.

By designing thoughtful standards that inform how we collectively and consistently manage health concerns, and through data applications that measure our adoption of these standards, we can accelerate clinical care improvements and patient outcomes – in part by knowing where to best focus efforts to eliminate variations in care that don‘t add value.

What patient populations do we serve?

Examples of patients (and their families) who receive care and services from MultiCare Connected Care include:

  • High-risk patients
  • Pediatric patients
  • People with diabetes
  • Pregnant women

Creating measurable performance excellence

Since it began, MultiCare Connected Care has contributed to improved clinical care outcomes in many areas through activities like the Clinical Collaboratives. Here are some examples:

Reduction in mortality:

65 percent reduction in sepsis mortality rate.

Reduction in readmissions:

  • 37 percent reduction in pneumonia readmissions.
  • 25 percent better than national average for HF readmissions at two hospitals.
  • 18.8 percent reduction below target in readmission rates for elective colon surgery patients.
  • 50 percent reduction below target in readmission rates for total joint surgery patients.

Reduction in length of stay (LOS):

  • 21.8 percent reduction in median LOS for elective colon surgery.
  • Elimination of vaginal deliveries with LOS greater than 4 days.
  • 71 percent reduction in C-section deliveries with LOS greater than 6 days.

Through better coordination and aligned efforts, MultiCare Connected Care providers are able to improve the health of the populations they serve, meeting the Quality portion of the Triple Aim, and bringing us closer to achieving our Triple Aim goals.

Up Next

In our next blog post, we'll focus on the Service pillar of the Triple Aim, and explore how MultiCare Connected Care strives to improve the patient experience.

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