Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources
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
- Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
- Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Expert Answer and Explanation
EBP v. Quadruple Aim
The practice grounded in the use of evidence to inform clinical decisions, is contributing to advancement of clinical objectives such as optimizing the quality of health services. This kind of practice in which providers utilize evidence with focus on improving the quality of care is known as Evidence-Based Practice (EBP). The EBP exhibits certain characteristics that are consistent with the Quadruple Aim, which represents an extension of the Triple Aim that focused on minimizing the cost of care, optimizing population health, and enriching patients’ experience of care (Arnetz et al., 2020). The Quadruple Aim covers these three areas in addition to supporting providers to improve their work-life balance.
Patient Experience
The consistency between EBP and the quadruple aim is noticeable in the patient experience considering that EBP is grounded in the idea of using evidence or research-based findings to inform providers’ decisions. With providers having and using evidence, the risk of medical errors is low, which is likely to translate into improved patient experience. The EBP also supports the delivery of patient-centered care by allowing providers to tailor evidence to align with the patient’s needs.
This helps ensure that the treatment the patient receive adequately addresses various aspects of the patient’s needs including their cultural needs (Kim et al., 2016). Because the evidence addresses quality issues that may result to the re-hospitalization of the patient, it has the potential of enhancing patient satisfaction which determines the level of the patient’s experience.
Population Health
EBP matches the quadruple aim in terms of how it contributes to the advancement of the objectives of optimizing population health. The use of the findings generated through scientific research in the advancement of the clinical objectives translates to positive health outcomes, reducing exposure of populations to the risk of infections. If a patient receives a clinical treatment for treating an infectious disease like Tuberculosis backed up by clinical research, the risk of the patient transmitting the infection to the people they come into contact with reduces.
This means that EBP can help improve population health outcomes (Kim et al., 2016). Similarly, EBP reduces medical errors, reducing the amount of resources that healthcare organizations use to manage clinical cases. In a scenario in which cases of clinical errors are prevalent, hospitals may divert resources to treat medical complications, which pose the risk of poor population health outcomes.
Costs
EBP has various implications on the access to quality care, which affects the cost of care. Cases of medical errors cause adverse health events that are costly to manage and treat. Considering EBP intervention in which providers use a catheterization approach that is demonstrated to reduce Catheter-Associated Infections (CAUTIs), adopting this intervention is likely to minimize the risk of complications. With reduced number of medical complications, hospitals and providers in general would reduce expenses linked to managing and treating the infections (Kawar et al., 2023). Given that the lack of effective use of healthcare resources is one of the factors that drive up costs, using interventions that encourage judicious use of resources is likely to help reduce costs.
Providers’ Work-Life
When it comes to providers’ work-life balance, choosing interventions that are likely to work make it possible for the providers to reduce the workload. This in turn allow providers to find balance between work and social life (Sikk, Morath, & Leape, 2015).
To conclude, the quality of care that comes from the EBP is consistent with the different elements of the quadruple aim. This is because the delivery of safe and error-free care improves patient’s satisfaction, reduces costs spent on issues like medical errors, and reduces workload for providers.
References
Arnetz, B. B., Goetz, C. M., Arnetz, J. E., Sudan, S., vanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the Quadruple Aim: an exploratory study. BMC research notes, 13(1), 362. https://doi.org/10.1186/s13104-020-05199-8.
Kawar, L. N., Aquino-Maneja, E. M., Failla, K. R., Flores, S. L., & Squier, V. R. (2023). Research, Evidence-Based Practice, and Quality Improvement Simplified. Journal of continuing education in nursing, 54(1), 40–48. https://doi.org/10.3928/00220124-20221207-09.
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160.
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