Toward the 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...

'Aim High': Toward an Analytical Schema for Visual Rhetoric by

the foreign policy of russia toward caucasus 2000-2008

after the soviet union dissolution, a chaotic period was begun in the russia. russia lost its glory and felt disgrace. the first group of elites came to power under yeltsin; they tried to re-define russia’s identity as a european country and build a foreign policy on this baseline. therefore russia tried to become closer with the west especially with the u.s. according to their view the sovie...

JPEG : the quadruple object

The thesis, together with its practice-research works, presents an objectoriented perspective on the JPEG standard. Using the object-oriented philosophy of Graham Harman as a theoretical and also practical starting point, the thesis looks to provide an account of the JPEG digital object and its enfolding within the governmental scopic regime. The thesis looks to move beyond accounts of digital ...