![]() Jeannie is the clinical lead for the Health Care Homes Readiness Project, a NWMPHN initiative. People there are already noting significant drop-offs in emergency department presentations and hospital admissions in practices which have adopted the PCMH model.ĭr Jeannie Knapp is a practicing GP and practice owner working in Richmond, Melbourne. There is some interesting information coming out of the New Zealand whole-of-practice Health Care Home transformation about improved health worker – including GP – experience. Worldwide evidence shows that providing care in a whole-of-practice way using the Person-Centred Medical Home (PCMH) model, underpinned by Bodenheimer’s 10 building blocks, achieves these outcomes much more effectively than our current fee-for-service and isolationist model. Let’s help them thrive.The Quadruple Aim is the ultimate outcome we are all striving for in health care – improved patient and population outcomes and experience, and improved care team worker experience, for lower overall cost. The patient experience would be much better if their family physician didn’t have to spend a third of their time documenting the care they give, and patients would be healthier if their doctor had a few more minutes to spend coaching them on healthy living or managing their diabetes.Īs we endeavor to build a better healthcare system, let’s not just remember the people who provide the care. The quadruple aim is an expansion of the triple aim, which incorporated only the first three goals. ![]() ![]() Our doctors would be much happier doing what they love and building those relationships. Primary Care 2.0 is based on a health care industry goal known as the quadruple aim, which consists of improving quality of care, cost savings, the patient experience and physician and staff well-being. Policymakers, healthcare leaders and health service organizations should value the work life of our providers as a primary objective, rather than as an afterthought or secondary outcome. Which is why we should refashion our thinking toward the Quadruple Aim. ![]() How can we expect a healthcare system to work when half of the people on the frontlines of primary care are exhausted, overworked, and encounter countless obstacles to spending more time with their patients where they can genuinely build relationships? A Medscape survey conducted in January of this year found that half of all family physicians are experiencing some level of burnout, among the highest of any specialty. With growing rates of physician burnout and job dissatisfaction, we need a fundamental shift to ensure the work life of Family Physicians, and all providers and staff, is front-and-center in our vision for a better healthcare system in Colorado. The foundation to improve the patient experience, improve health outcomes, and lower costs rests upon our healthcare providers. In 2014 Bodenheimer and Sinsky 1 proposed to expand the Triple Aim concept, and add a fourth dimension to it: improving the work life of professionals. Thomas Bodenheimer, MD and Christine Sinsky, MD make the case in their article that the Triple Aim approach is incomplete. Christine Sinsky, has become a clarion call to address the well-being needs of healthcare providers and staff. That’s the term coined in an article in the Annals of Family Medicine last year to refocus our attention on the most important resource in our healthcare system – providers. A 2014 article in the Annals of Family Medicine, titled From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider by Dr. I thought it might be worth focusing my first CAFP blog on an emerging idea that can sustain the joy of family medicine, and help restore it for those who have become increasingly frustrated or may already be burnt out. Many challenges face family medicine – payment reform, electronic health records, growing administrative headaches, cost-of-care headwinds, oh, and keeping up to date on your medical knowledge. We have to preserve that bond that is so vital to the joy of family medicine. 1 The primary Triple Aim goal is to improve the health of. Every Family Physician I’ve talked to has consistently highlighted one part of family medicine that makes it truly special – the relationships you build with your patients. The Triple Aim is an approach to optimizing health system performance, proposing that health care institutions simultaneously pursue 3 dimensions of performance: improving the health of populations, enhancing the patient experience of care, and reducing the per capita cost of health care.
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