The 141 sites in the collaborative are summarized in Table Table1 1. We noted the contrasts in the contexts and structures of those sites that made progress and those that did not. 6 Progress here was defined as showing at least some improvement in process measures related to a site's design or in outcome measures related to the Triple Aim. The case control study approach that we used was based on the different sites’ progress. Accordingly, IHI supported organizations in a series of collaboratives to adapt and refine the Triple Aim small theory. 3– 5 Such collaborative efforts provide a structure for observational research. This process should lead to improvement, and transparently measuring the progress of high-performing teams provides further motivation. The IHI Breakthrough Series Collaborative model, first developed by IHI in the 1990s, provides a forum for multiple sites with the common aim of working collaboratively and exchanging successful and unsuccessful approaches in real time. In 2007 IHI established a collaborative to begin testing and refining our Triple Aim small theory. Øvretveit and colleagues refer to such principles as “small theory” and propose that a small theory be tested and refined across numerous sites and in different contexts so that it can be adapted and refined. The researchers also set out the principles forming the foundation of the work to achieve the Triple Aim: the simultaneous pursuit of the Triple Aim, identification of a population of concern, and designation of an “integrator” with specific roles and functions. I n an article published in 2008, researchers from the Institute for Healthcare Improvement (IHI) posited that, in order to improve US health care, it was necessary to pursue a system of linked goals called the Triple Aim: “improving the individual experience of care improving the health of populations and reducing the per capita costs of care for populations.” 1 Drawing on our 7 years of experience, we describe 3 major principles that guided the organizations and communities working on this endeavor: creating the right foundation for population management, managing services at scale for the population, and establishing a learning system to drive and sustain the work over time. Since that time, IHI and others have worked together to determine how the implementation of the Triple Aim has progressed.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |