ETSU Achieving the Triple Aim through Civility Nursing Essay

  

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Paper submitted to dropbox You will write on the topic outlined below and put it in a WORD document. Do not paste the questions into the document. You may use headings, but keep the headings short, less than one line. This is a paper, not a list of answers to a list of questions. Think about an area of your practice in need of change. Explain what needs to be changed. How could this change impact the Triple Aim? Identify at least one specific measurement (tool) that could be used to evaluate the effectiveness of this type of change. The web resources in your texbook may be helpful in identifying measurement tools. This paper should be three pages, with at least one scholarly reference in addition to your assigned readings (the additional readings list may be used as sources). Include reflection on application to your own practice. Please refer to the rubric for specific guidelines.

* RUBRIC IS. THE SAME AS THE PREVIOUS PAPERS

1
Austin Peay State University
NURS 4370
Leadership for RNs
Module 3 Assignments
Module 3
Discussion Board
Click on the link to the discussion board for the description of the discussion
assignment. Your main post is always due Wednesdays before midnight the week
the module opens. Your responses to other students are due before the module
ends, but expected earlier. Remember include references in responses to other
students.
Paper submitted to dropbox
You will write on the topic outlined below and put it in a WORD document. Do not
paste the questions into the document. You may use headings, but keep the
headings short, less than one line. This is a paper, not a list of answers to a list of
questions.
Think about an area of your practice in need of change. Explain what needs to be
changed.
How could this change impact the Triple Aim? Identify at least one specific
measurement (tool) that could be used to evaluate the effectiveness of this type
of change.
The web resources in your texbook may be helpful in identifying measurement
tools. This paper should be three pages, with at least one scholarly reference in
addition to your assigned readings (the additional readings list may be used as
sources). Include reflection on application to your own practice. Please refer to
the rubric for specific guidelines.
TOOL IDEAS
IHI website Triple Aim
Tools: http://www.ihi.org/resources/Pages/Tools/default.aspx
Example Metrics: Textbook pg 315-316, pg 330-331
Austin Peay State University
NURS 4370
Leadership for RNs
Module 3 Lecture
Module 3 Leading & Managing for Healthcare Improvement
Topics
Conflict
Measures of effectiveness
Readings
Read chapters 4 and 5 of your text
Some additional resources for you to use (you do not have to read each article.
Some are websites designed for you to peruse to find specific information):
Institute for Healthcare Improvement
IHI Triple Aim Initiative
IHI Triple Aim Concept Design
IHI Triple Aim Model
The Triple Aim: Care, Health, and Cost
The Network Secrets of Great Change Agents
Engaging Patients and Their Families in Health Care
Guide to Patient and Family Engagement in Hospital Quality and Safety
Advancing Patient Safety
Video(s)
Linked in the module lecture content.
Notes
Conflict is inevitable. But there are benefits you might not expect:
Increased understanding. Going through the process of resolving conflict
expands people’s awareness, and gives them an insight into how they can
achieve their goals without undermining others.
Better group cohesion. When you resolve conflict effectively, team
members can develop stronger mutual respect, and a renewed faith in their
ability to work together.
Improved self-knowledge. Conflict pushes individuals to examine their
goals and expectations closely, helping them to understand the things that
are most important to them, sharpening their focus, and enhancing their
effectiveness.
(https://www.mindtools.com/pages/article/newLDR_81.htm)
A Primer on Defining the Triple Aim
This primer on Triple Aim terminology was written by Niñon Lewis, MS, Director of IHI’s Triple Aim
for Populations Focus Area.
When IHI first developed the Triple Aim framework in 2007, the idea of trying to improve the patient care
experience, improve the health of a population, and reduce per capita health care costs at the same time
was considered somewhat radical. It took years for such an ambitious concept, and the words used to
describe it, to enter the health care mainstream. Fast forward to 2014 and type the words “Triple Aim”
into a Google search, and you’ll get 32,100,000 results.
The words Triple Aim, however, and the terms that are part of its lexicon, are often misused. We recently
offered practical guidance on how to make sense of and use population-focused terminology. Similarly, we
hope the following primer on Triple Aim terminology (including “Triple Aim,” “IHI Triple Aim,” and “IHI
Triple Aim Initiative”) is helpful.
What Do the Different Terms Mean?
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Triple Aim: The term “Triple Aim” refers to the simultaneous pursuit of improving the patient
experience of care, improving the health of populations, and reducing the per capita cost of health
care. Note that the Triple Aim is a single aim with three dimensions. Through our work, IHI has
developed a set of high-level measures that operationally define each dimension of the Triple Aim.
Pursuing the Triple Aim is an extremely ambitious purpose that will not be achievable through minor
modifications of the status quo.
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IHI Triple Aim framework: The “IHI Triple Aim framework” was developed in 2007 by IHI in a
series of 90-day Research & Development projects, IHI’s method for quickly researching innovative
ideas and assessing their potential for advancing quality improvement. Note that IHI prefers that the
term “framework” be used to describe the IHI Triple Aim, as opposed to “model” or “concept.” The
IHI Triple Aim framework is used by organizations and coalitions to implement the Triple Aim for the
populations they serce.
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IHI Triple Aim Initiative: The “IHI Triple Aim Initiative” refers to IHI’s multi-year effort to pilottest the IHI Triple Aim framework, which has included the IHI Triple Aim Prototyping Initiative and
the IHI Triple Aim Improvement Community. The effort began in 2007 with a group of 15
organizations in the US, England, and Sweden that focused on implementing the Triple Aim. The
effort continued through 2014, and has involved more than 150 organizations to date from the US,
Canada, England, Scotland, Spain, Sweden, Australia, New Zealand, and Singapore. More information
about IHI’s continued Triple Aim-related programming is available on ihi.org.
Incorrect Modifications of Triple Aim Terminology
As the Triple Aim has become a familiar term, its meaning has sometimes been modified in ways that
diminish the ambition of the concept, and lessen the degree of system change needed to attain it.
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Some modifications focus primarily on patient satisfaction, rather than the intended
scope of patient experience as defined by the six Institute of Medicine dimensions (safe, effective,
patient-centered, timely, efficient, and equitable).
Some modifications leave out the population health dimension altogether, focusing
instead on quality, satisfaction, and costs, often in acute care settings. True Triple Aim
improvement cannot be realized by health care systems acting alone, nor by solely delivering highquality care at lower costs. Improving health is a challenge that requires the engagement of partners
across the community to address the broader determinants of health.
Some modifications focus solely on reducing the growth in health care costs. The Triple
Aim is intended to reduce costs on a per capita basis. Simply slowing unsustainable growth in
costs is not good enough; we must find ways to reduce per capita costs and allow society to use these
resources in other ways. For those organizations and communities in resource-limited settings around
the world, or those managing fixed health care budgets such as the United Kingdom, it may be more
appropriate to focus on value for money invested, rather than cost reduction.
Do I Need Permission to Use These Terms?
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Any individual or entity is encouraged to use the terms “Triple Aim,” “IHI Triple Aim framework,” or
“IHI Triple Aim Initiative,” as defined above.
When an individual or entity uses the term “Triple Aim,” IHI requests (but does not require) that they
note that “The IHI Triple Aim framework was developed by the Institute for Healthcare Improvement
in Cambridge, Massachusetts (www.ihi.org).”
Use of the terms “Triple Aim,” “IHI Triple Aim framework,” or “IHI Triple Aim Initiative” must not
imply that IHI has endorsed any for-profit entity or product, as laid out in IHI’s Principles for
Accepting Commercial Support.
Use of the terms “Triple Aim,” “IHI Triple Aim framework,” or “IHI Triple Aim Initiative” must not
imply that IHI has approved, reviewed, or certified that any entity or collection of entities is working
toward, is close to achieving, or has achieved the Triple Aim, unless IHI has granted permission
(request permission at info@ihi.org).
Looking Ahead
The IHI Triple Aim framework often functions as a statement of purpose for health care system
transformation that will better meet the needs of people and patients. Its successful implementation will
result in fundamentally new systems contributing to the overall health of populations while reducing the
cost to society. IHI developed the IHI Triple Aim framework over seven years of intensive testing with
over 150 organizations, coalitions, and governments around the world. We continue to test its meaning in
IHI’s ongoing work in partnership with health organizations and communities who want to build the
infrastructural set-up to work on the Triple Aim for the populations they serve.
As more and more communities and regions begin to use the IHI Triple Aim framework to galvanize
large-scale health improvement, IHI will continue to broaden its understanding of the Triple Aim and its
meaning beyond the health care system: to population and community health, the experience of care and
health for the individual, and per capita cost of care paired with a focus on the economic vitality of the
community.
TOOL IDEAS
IHI website Triple Aim
Tools: http://www.ihi.org/resources/Pages/Tools/default.aspx
Example Metrics: Textbook pg 315-316, pg 330-331
Helpful links/notes

https://nursingcentered.sigmanursing.org/features/morefeatures/Vol36_1_why-civility-matters
https://www.myamericannurse.com/carefronting-an-innovative-approach-tomanaging-conflict/

=en

https://www.youtube.com/watch?v=pLg4LQinDxU
TOOL IDEAS
IHI website Triple Aim
Tools: http://www.ihi.org/resources/Pages/Tools/default.aspx
Example Metrics: Textbook pg 315-316, pg 330-331
Helpful links/notes

https://nursingcentered.sigmanursing.org/features/morefeatures/Vol36_1_why-civility-matters
https://www.myamericannurse.com/carefronting-an-innovative-approach-tomanaging-conflict/

=en

https://www.youtube.com/watch?v=pLg4LQinDxU

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