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SOLVED! Write a brief analysis (no longer than 2 pages)

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Articles for this paper include:

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Assignment Rubric:

Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:·   Patient experience ·   Population health ·   Costs ·   Work life of healthcare providers

Excellent 77 (77%) – 85 (85%)

Good 68 (68%) – 76 (76%)

Fair 60 (60%) – 67 (67%)

Poor 0 (0%) – 59 (59%)

Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

Excellent 5 (5%) – 5 (5%)

Good 4 (4%) – 4 (4%)

Fair 3.5 (3.5%) – 3.5 (3.5%)

Poor 0 (0%) – 3 (3%)

Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.

Excellent 5 (5%) – 5 (5%)

Good 4 (4%) – 4 (4%)

Fair 3.5 (3.5%) – 3.5 (3.5%)

Poor 0 (0%) – 3 (3%)

Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.

Excellent 5 (5%) – 5 (5%)

Good 4 (4%) – 4 (4%)

Fair 3.5 (3.5%) – 3.5 (3.5%)

Poor 0 (0%) – 3 (3%)

EXPERT ANSWER AND EXPLATION

The use of EBP in nursing practice has been a concept that has been embraced by many healthcare organizations. EBP involves the use of scientifically proven methods or information in the delivery of care to patients. However, its adoption from an organizational perspective requires a holistic approach involving both personal and organizational change of culture to succeed (Melnyk et al., 2014). With proper utilization of EBP, a positive outcome can be realized in enhancing the Quadruple Aim model of improving the overall performance in health care delivery.

Patient Experience

            One of the key components of that Quadruple Aim model uses to improve healthcare performance is the patient experience. The initial approach of healthcare delivery was mainly focused on improving the health outcomes of patients from a diseased state to a neutral or positive state. This was done without necessarily focusing on whether the patients were satisfied with the services or not. Currently, with the privatization of many health institutions and the resultant market-led competition in the industry, a lot of emphasis has been placed on ensuring patients are satisfied with the healthcare services they receive. EBP allows the access to current information and methodology on how to handle patients with diverse characteristics and lays focus on core issues such as cultural competence in healthcare, which aims at enhancing patient satisfaction (Crabtree et al., 2016).

Population Health

            The scope of healthcare delivery is not limited to only improving the health status of established patients, but to also ensure that the entire surrounding community embraces good health practices for better health outcomes. EBP, by providing current and relevant information on good health practices, and sensitizing the population on current healthcare issues, then, a positive change in the health continuum of the population is expected. EBP also helps to inform the strategies to be used in health promotion activities such as advocacy, community health education, etc., with the aim of improving the health outcome of a given population group.

Healthcare costs

            The issue of high medical costs has been a major impediment in the provision of health care services. Many patients have succumbed to their illnesses due to this issue. That is why institutions, both governmental and non-governmental, involved in the provision of healthcare services, are trying to find ways of reducing the heavy cost burden on patients. EBP can play an instrumental role in the reduction of healthcare costs through proposal of alternative methods of delivering healthcare services. EBP offers proactive approaches to improving the health status of patients, thus reducing the overall costs spent on healthcare in the long run. EBP also emphasizes on modern healthcare trends like the use of current technology in the delivery of health services. This, in the long run, reduces the medical errors and translates to a reduction in costs spent on healthcare by both the patients and the hospital (reduction of litigation costs due to preventable medical errors).

Better Working Environment for Healthcare Providers

The wellbeing and satisfaction of patients to a great extent depends on the motivation of the healthcare providers to deliver the healthcare services (Sikka, Morath & Leape, 2015). EBP calls for the adoption of modern healthcare practices, which at times necessitates improvement of skills through training, equipment upgrade, and promoting organizational change to be more conducive to the healthcare workers, through benchmarking on best practices used by other healthcare institutions. This ultimately has a positive impact on employee motivation

References

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence‐Based Nursing, 11(1), 5-15.

Alternative Answer

Impact of EBP on Quadruple Aim

The increased emphasis on using evidence as the framework for guiding decisions in health care stems from the current studies which link research-based knowledge to the cost-management, improved quality of care, as well as patient and caregiver experience. This implies that the efforts and emphasis focused on improving the use of the evidence seek to realize quadruple aim which touch on the aforementioned key dimensions. This is a shift from the focus on the triple aim which only sought to improve population health and patient experience, and effectively lower costs (Melnyk et al., 2017). Thus, it is imperative to explore the impact of the evidence based practice (EBP) on the four dimensions.

Effect on the Patient’s Experience

As the recipients of clinical services, patients can benefit from the existing quality-improvement initiatives. The use of the evidence is an example of these initiatives considering that it enhances the delivery of the holistic care. Other than physiological needs, patients tend to struggle with negative emotions as well as stress, and these negative emotions could worsen if these patients do not receive comprehensive care (Sikka,  Morath, & Leape, 2015). The use of the evidence seeks to address these issues by taking into consideration all the concerns of the patients when developing an intervention program. This results to patient satisfaction.

Effects on Population Health

The EBP is characterized by the utilization of the current evidence to deliver quality-based care, and this can translate to improved population health. For caregivers, dealing with a larger group of patients can be a challenge, and as they address clinical incidences, these caregivers gain insights into the clinical interventions which are likely to improve health care outcomes. Thus, they can use this clinical knowledge as the standard for addressing similar needs which various population groups may have (Sikka et al., 2015).

Effects on Costs

Costs and quality of medical services, can in some instances, intertwine in the sense that poor quality of care can increase the exposure of the patient to the risk of developing adverse health events. When a patient receives substandard care, their risk of hospitalization can increases. The EBP seeks to prevent these adverse clinical events by making it possible for patients to access quality-based care. With the EBP, patients receive individualized care, and this ensures that they receive optimal care. This minimizes the chance of hospitalization, and saves on health care resources as well as costs.

Effects on Work-life

In clinical environments, myriad factors can be contributors to the burnout, and when a caregiver finds their work unfulfilling, for instance, they may experience this burnout. When an intervention fails to translate to improved clinical outcomes, the caregiver may experience frustration and demotivation, leading to mental exhaustion. Evidence demonstrates the essence of a particular form of intervention as well as the procedures involved in applying this intervention (Bodenheimer, & Sinsky, 2014). This enhances the chance of improving the intervention outcomes, and consequently improves the caregiver experience.

Conclusion

In overview, the use of the evidence is inherently important not only to patients but to caregivers as well, and the importance of this evidence largely reflects on the costs and quality. Because the EBP is based on the use of what worked elsewhere, it minimize the issues related to error. This improves quality, and effectively minimizes the costs because patients are less likely to become hospitalized. On their part, nursing professionals experience satisfaction because their workload reduces because of reduced risk of occurrence of adverse events.

References

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. Annals of family medicine12(6), 573–576. doi:10.1370/afm.1713.

Melnyk, B. M., Gallagher-Ford, L., Fineout-Overholt, E., & Sigma Theta Tau International,. (2017). Implementing the evidence-based practice (EBP) competencies in healthcare: A practical guide to improving quality, safety, and outcomes. Indianapolis: Sigma Theta Tau International.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. Doi:10.1136/bmjqs-2015-004160. 

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