UNLABELLED POLICY POINTS: In 2008, researchers at the Institute for Healthcare Improvement (IHI) proposed the Triple Aim, strategic organizing principles for health care organizations and geographic communities that seek, simultaneously, to improve the individual experience of care and the health of populations and to reduce the per capita costs of care for populations. In 2010, the Triple Aim ...

At the end of a particularly busy shift, you meet Mary, a 24 year-old female with no past medical history, who presents with six hours of crampy, intermittent, periumbilical abdominal pain but no associated fever, nausea, vomiting, diarrhea or anorexia. Her vital signs are normal and her abdominal and gynecological exams are notable only for mild, diffuse abdominal tenderness without rebound or...

BACKGROUND AND OBJECTIVES Without adequate support, adolescents transitioning from the pediatric to the adult health care system are at increased risk for poor health outcomes. Numerous interventions attempt to improve this transition, yet few comprehensively evaluate efficacy. To advance evaluation methods and ultimately the quality of transition services, it is necessary to understand the cur...

PURPOSE This study sought to apply a Triple Aim framework to the measurement and evaluation of primary healthcare (PHC) team performance. METHODS Triple Aim components were populated with 10 dimensions derived from survey and health administrative data for 17 Family Health Teams (FHTs) in Ontario, Canada. Bivariate analyses and rankings of sites examined the relationships among dimensions and...