Assignment: Evidence-Based Practice and the Quadruple Aim
Evidence-Based Practice and the Quadruple Aim
Evidence-based practice relies heavily on use of available scientific evidence to formulate policies and improve nursing practice. EBP involves incorporating clinical expertise, the best research evidence available, patient values/preferences, and best practices into patient care and clinical decision making. Using EBP strategies, healthcare professionals and providers can interpret the research findings into clinical practices that will enhance the quality of care offered and improve patient outcomes (Sikka et al., 2015). EBP encourages researchers to improve their skills in collecting the best evidence and literature Assignment: Evidence-Based Practice and the Quadruple Aim. Therefore, healthcare providers can utilize their researching skills to apply existing scientific knowledge when making care plans for their patients and in their daily practice to maximize the quality of care offered to patients. Healthcare professionals often make health- related decisions for patients in their practice with a bid to improve the quality of life. These decisions should be based on current research and modern treatment options. EBP aims to improve patient-provider engagement by improving inter-professional collaboration and emphasizing on shared decision making. In addition, healthcare providers are expected to embrace a positive attitude towards EBP and acquire the necessary skills for its adoption into clinical practice (Sikka et al., 2015) Assignment: Evidence-Based Practice and the Quadruple Aim.
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Evidence based practice (EBP) is a systematic approach used by organizations to achieve quadruple aim in healthcare. The quadruple aim has four major goals which include reduction of healthcare costs, improvement of patient experience, and improvement of population health and work-life of healthcare professionals (Crabtree et al., 2016). Quadruple aim plans to achieve the four goals through redesigning and restructuring of healthcare facilities. Assignment: Evidence-Based Practice and the Quadruple Aim Through quadruple aim, organizations aim to achieve health equity by providing patient centric care, utilizing organization’s capacities and capabilities to deliver optimal care, and mitigating errors that limit patient engagement and healthcare delivery. Achievement of quadruple aim goals has faced setbacks in improving population health and reducing healthcare related costs which in turn affects effectiveness and efficiency in healthcare delivery. EBP may have an impact on the factors influencing quadruple aim (patient experience, population health, costs, and work life of healthcare providers). When organizations adopt EBP to improve quality of services and value of care patients receive in clinical settings (Jacobs et al., 2018). Similarly, EBP has a direct impact on patient experience, cost of healthcare, and the work life of healthcare providers as explained in the section below.
How EBP influences the Four Goals of Quadruple Aim
Patient experience
Patient experience involves enhancing the quality of services offered to patients and reducing errors in patient care. Healthcare providers can utilize strategies used in EBP to translate research findings into clinical practice based on individual patient needs (Sikka et al., 2015). Assignment: Evidence-Based Practice and the Quadruple Aim This will help the care providers to offer patient-centric care which will improve the quality and safety of care received. Organizations are adopting EBP to solve clinical issues that impact patient care leading to improved patient care. EBP obligates healthcare providers to formulate intervention based on scientific research and comprehend effectiveness or risks of a diagnostic treatment. EBP allows patients to have a proactive role in their treatment and raise concerns.
Population Health
It aims at providing populations with information that help them to determine their health status, limitations of particular treatments and cultural practices, and benefits of individual procedures and practices. In addition, identification of population health needs help policy makers in ensuring efficient and equitable distribution of resources (Crabtree et al., 2016). Populations are classified based on their needs which help in addressing the identified needs and shaping healthcare patterns based on the subgroups. Improving population health relies heavily on EBP as healthcare professionals use it to determine prevailing conditions such as obesity in particular communities, their causes, and how to reduce their prevalence (Jacobs et al., 2018). EBP allows access to higher quality information and best practices that help in promoting the success of quality improvement programs Assignment: Evidence-Based Practice and the Quadruple Aim.
Costs
Patients spend a substantial amount when not receiving the highest quality of care from health providers. Rate of readmissions increase as a result of low quality of care and in turn increases treatment cost as patients have to pay for services they would not need to if they had received the appropriate treatment. Healthcare organizations have to deal with the challenge of providing quality health services at lower costs while remaining afloat in the market. EBP has helped these organizations to embrace latest healthcare technologies which improve efficiency and quality of care (Crabtree et al., 2016). The organizations experience an increase in capital costs while investing in the modern equipment in the short run. In the long run, the cost of treatment decreases as the quality of care increases and rates of readmission are lowered.
The work-life of healthcare providers
Healthcare providers require a conducive environment that supports inter-professional collaboration and nurtures career growth and development. EBP practices promotes collaboration, patient-provider engagement, patient outcomes, reduce employee burnout, and promotes staff productivity (Crabtree et al., 2016). EBP also promotes the formulation of policies that support employee welfare and engages staff in active decision making which ensures that employees are well motivated. Knowledge retrieved from EBP guides the healthcare providers in settling for the right interventions based on patient needs which reduces workload (Jacobs et al., 2018) Assignment: Evidence-Based Practice and the Quadruple Aim. For instance, the introduction of electronic health records have made work easier by replacing tedious paperwork.
In summary, EBP has a positive impact on quadruple aim elements by enhancing quality of care which in turn promotes patient experiences and outcomes. For healthcare providers to provide quality and safe services to patients, they need to be very productive, motivated, and knowledgeable. In addition, the healthcare workers will require a conducive and nurturing environment to remain productive. The healthcare services need to be cost-effective to ensure patients can afford them and the organization offering the services will remain afloat.
References
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.
Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing administration quarterly, 42(3), 231-245 Assignment: Evidence-Based Practice and the
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost and meaning in work. BMJ quality & safety, 24(10), 608-610 Assignment: Evidence-Based Practice 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
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| 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 |
77 (77%) – 85 (85%)
The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim.
The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim. The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples. |
68 (68%) – 76 (76%)
The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim.
The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. The analysis provides an accurate synthesis of at least one outside resource reviewed on the four measures supporting or not supporting the Quadruple Aim. The response integrates at least 1 outside resource and two or three course-specific resources that may support the analysis provided and may include some detailed examples. |
60 (60%) – 67 (67%)
The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim.
The analysis inaccurately or vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. The analysis provides an inaccurate or vague analysis of the four measures supporting or not supporting the Quadruple Aim with a vague or inaccurate analysis of outside resources. The response minimally integrates resources that may support the analysis provided and may include vague or inaccurate examples. |
0 (0%) – 59 (59%)
The analysis inaccurately and vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim or is missing.
The analysis inaccurately and vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim or is missing. The analysis provides a vague and inaccurate analysis of the four measures supporting or not supporting the Quadruple Aim with a vague and inaccurate analysis of outside resources. The response fails to integrate any resources to support the analysis provided or is missing. |
| 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. |
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. |
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive. |
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic Assignment: Evidence-Based Practice and the Quadruple Aim. |
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
No purpose statement, introduction, or conclusion was provided. |
| Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation. |
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
|
4 (4%) – 4 (4%)
Contains a few (one or two) grammar, spelling, and punctuation errors.
|
3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) grammar, spelling, and punctuation errors.
|
0 (0%) – 3 (3%)
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
|
| 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. |
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
|
4 (4%) – 4 (4%)
Contains a few (one or two) APA format errors.
|
3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) APA format errors.
|
0 (0%) – 3 (3%)
Contains many (five or more) APA format errors.
|
| Total Points: 100 Assignment: Evidence-Based Practice and the Quadruple Aim |
|---|
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