Joy in Work and Reducing Nurse Burnout: From Triple Aim to Quadruple Aim

The Quadruple Aim: care, health, cost and meaning in work.

To cite: Sikka R, Morath JM, Leape L. BMJ Qual Saf 2015;24:608–610. In 2008, Donald Berwick and colleagues provided a framework for the delivery of high value care in the USA, the Triple Aim, that is centred around three overarching goals: improving the individual experience of care; improving the health of populations; and reducing the per capita cost of healthcare. The intent is that the Trip...

From triple to quadruple aim: care of the patient requires care of the provider.

The Triple Aim-enhancing patient experience, improving population health, and reducing costs-is widely accepted as a compass to optimize health system performance. Yet physicians and other members of the health care workforce report widespread burnout and dissatisfaction. Burnout is associated with lower patient satisfaction, reduced health outcomes, and it may increase costs. Burnout thus impe...

The triple aim: care, health, and cost.

Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsi...

The AAN and the triple aim.

The Triple Aim Journey: Improving Population Health and Patients' Experience of Care, While Reducing Costs [OVERVIEW]

Case studies of three organizations participating in the Institute for Healthcare Improvement’s Triple Aim initiative shed light on how they are partnering with providers and organizing care to improve the health of a population and patients’ experience of care while lowering—or at least reducing the rate of increase in—the per capita cost of care. The organizations—CareOregon, a nonprofit mana...