Purpose

The purpose of this presentation is to aware the leadership of Sacred Heart Hospital to gain a better understanding of the care coordination process and align their practices to achieve the Triple Aim with the hospital’s rural population. Also, this presentation will help them understand the models that support Triple Aim and make them able to compare those models. I have chosen two models for the presentation, i.e., Patient-Centered Medical Home (PCMH) and Transitional care.

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures

Triple Aim

The concept of Triple Aim entails a set of objectives focused on enhancing healthcare quality services. A better patient experience, healthier populations, and lower healthcare costs are the objectives. Efficient care coordination plays a crucial role in achieving Triple Aim objectives. The subsequent sections elaborate on how the Triple Aim contributes to community health boosts the patient care experience, and reduces healthcare costs

Patient Experience of Care

One of the primary goals of the Triple Aim is to improve patient experience, which is attainable through several means. These include minimizing waiting times, enhancing communication, and engaging patients in treatment plans. Patient satisfaction is paramount since it affects patient adherence to treatment, care engagement, and general health outcomes. Improving patient experience leads to better health outcomes, as patients are more likely to comply with treatment plans, attend follow-up appointments, and report any issues.

Enhancing Community or Population Health

The Triple Aim aims to boost community health by recognizing and addressing their health requirements. Healthcare providers must evaluate population data and formulate plans to enhance health outcomes to achieve this objective. Care coordination is crucial in this process as care coordinators can identify high-risk patients and ensure they get appropriate care. Healthcare organizations can collaborate with community partners to address social determinants of health and execute preventive measures like immunization and health screenings.

Reducing Per Capita Costs

The Triple Aim aims to decrease per capita healthcare costs by improving care quality and minimizing waste. Efficient care coordination can contribute to cost savings by reducing hospital stays, unnecessary procedures and tests and preventing readmissions. Healthcare providers can reduce chronic disease management costs by collaborating with community partners and addressing social determinants of health. Populace health management programs that promote preventive care can also decrease healthcare costs by addressing health issues before they become severe and costly to treat.

It can be said that Triple Aim objectives necessitate healthcare providers to improve patient experience and community health and minimize healthcare costs. Effective care coordination plays a critical role in achieving these goals since it helps to identify high-risk patients, minimize waste, and promote preventive care. Healthcare providers can achieve Triple Aim objectives and enhance patient care quality by assessing population data, working with community partners, and implementing evidence-based strategies. 

Analyze the Relationships Health Model and Triple Aim

The Patient-centered medical home (PCMH) and Transitional Care are two healthcare models that have gained popularity in recent years due to their potential to improve patient outcomes and support the Triple Aim, which includes improving patient experience, enhancing population health, and reducing healthcare costs.

The PCMH model is based on the philosophy of providing comprehensive, coordinated, and patient-centered care that is accessible, continuous, and team-based. It aims to empower patients to become active partners in their own care, while also improving care coordination among healthcare providers. The model has evolved over time to incorporate technology, patient engagement tools, and quality metrics to improve patient outcomes and reduce healthcare costs (Kaufman et al., 2018).

On the other hand, Transitional Care is a model designed to support patients during transitions of care, such as from hospital to home or from one healthcare provider to another (Shahsavari et al., 2019). The rationale behind this model is to prevent adverse events, such as readmissions or medication errors that can occur during these transitions. The model involves a team-based approach that includes a care coordinator who works with the patient and their family to ensure a smooth transition and follow-up care. The model has incorporated technology like telehealth to enha


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