Enhancing healthcare efficiency to achieve the Quadruple Aim: an exploratory study
| Autor: | Judith E. Arnetz, Fredric Reyelts, Courtney M. Goetz, John vanSchagen, Kyle Piersma, Sukhesh Sudan, Bengt B. Arnetz |
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| Rok vydání: | 2020 |
| Předmět: |
Quality management
Cost-Benefit Analysis Exploratory research lcsh:Medicine Pilot Projects Efficiency Population health 030204 cardiovascular system & hematology Team-based care General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Nursing Surveys and Questionnaires Patient experience Health care Humans Quadruple Aim 030212 general & internal medicine Quality improvement lcsh:Science (General) lcsh:QH301-705.5 Productivity Reference group Patient Care Team Licensure business.industry lcsh:R General Medicine Research Note lcsh:Biology (General) business Psychology Delivery of Health Care lcsh:Q1-390 |
| Zdroj: | BMC Research Notes BMC Research Notes, Vol 13, Iss 1, Pp 1-6 (2020) |
| ISSN: | 1756-0500 |
| DOI: | 10.1186/s13104-020-05199-8 |
| Popis: | Objective Healthcare is battling a conflict between the Quadruple Aims—reducing costs; improving population health, patient experience, and team well-being—and productivity. This quasi-experimental pilot study tested a 2 week intervention aimed to address the Quadruple Aims while improving productivity. Participants were 25 employees and their patients in a primary care clinic. One provider and their team implemented an efficiency-focused intervention that modified work roles and processes focused on utilizing all team members’ skills as allowable by applicable licensure restrictions. The five remaining providers and their teams comprised the reference group, who continued patient care as usual. Study outcomes were measured via provider/staff and patient surveys and administrative data. Results In total, 46 team surveys and 156 patient surveys were collected. Clinic output data were retrieved for 467 visits. Compared to the reference team, the intervention team performed better in all Quadruple Aims and productivity measures. The intervention group offered 48% more patient slots than the average reference team. These preliminary results support the feasibility of introducing substantial process changes that show promising improvement in both the Quadruple Aims and productivity. A larger-scale study over a longer time period is needed to confirm findings and examine feasibility and cost-effectiveness. |
| Databáze: | OpenAIRE |
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