Evidence-Based Practice and the Quadruple Aim Paper

Evidence-Based Practice and the Quadruple Aim Paper

Evidence-Based Practice and the Quadruple Aim Paper

EBP and the Quadruple Aim

The deployment of evidence-based practice (EBP) interventions as a problem-mitigation strategy to enhance quality of care is founded on utilization of best research findings, patient preferences and values, and clinician’s abilities to make decisions on patient care (Beckett & Melnyk, 2018). On its part, the four-thronged Quadruple Aim framework has four primary goals that include improving patient outcomes, population health, reducing the cost of care and improving the welfare of healthcare providers. The framework attains these goals through redesigning healthcare facilities (Bowles et al., 2018).As such, this paper discusses the relationship between EBP and Quadruple Aim framework and addresses the impact of EBP on four goals of the framework

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Association Between EBP and Quadruple Aim

The establishment and deployment of EBP by healthcare providers is focused on enhancing the quality of care services that patients get by integrating their preferences and values in clinical settings. EBP is patient-centered approach that implores providers to leverage best evidence from research studies and incorporate their clinical expertise to improve overall care delivery and patient experience (Jacobs et al., 2018). As such, EBP is highly connected to the Quadruple Aim since healthcare providers can only attain better outcomes when they focus on patients’ preferences and values while ensuring that they possess efficient skills to deliver quality care (Bowles et al., 2018). Healthcare systems and organizations’ primary purpose is to ensure that the life of patients and that of their staff or providers is enhanced to achieve their goals and objectives. The implication is that there is a strong association between EBP model and the Quadruple Aim in healthcare provision.

Patient Experience

The EBP core aspect is translation of research findings into clinical practice to enhance patient care. Through effective deployment of research evidence in their practice, healthcare providers like nurses and physicians can improve the quality of care services that patients receive leading to better patient experiences (Beckett & Melnyk, 2018). The implication is that healthcare facilities are increasing leveraging EBP interventions to improve clinical outcomes and enhance experience for patients and the health populations they serve.

Population Health

Evidence-based practices aim at educating health populations concerning aspects like social determinants of health, benefits and limitations of certain interventions, and effects of embracing cultural competence by healthcare providers. Through the integration of EBP in clinical practice, providers purpose to attain equity in resource distribution to attain set healthcare goals (Crabtree et al., 2016). As such, EBP interventions focus on addressing individuals needs which affect the overall population health as they adopt best practices in primary care to enhance their quality of life.

Costs

Healthcare costs drive strategic decisions from all levels of care provision, right from individuals to even federal government level. Strategies to improve care efficiency and effectiveness live value-based models are founded through the implementation of EBP in clinical settings. EBP reduces cost of care by assisting the attainment of six aspects of healthcare quality that include timelines, safety, patient-centeredness, efficiency and equity as well as effectiveness (Kim et al., 2016). The implication EBP interventions help to lower the cost of healthcare by providing a foundation for getting the required resources in clinical practice.

Enhancing the Work-Life of Healthcare Providers

EBP was the foundation of attaining the Triple Aim goals. Now, with the addition of a fourth goal on this framework, providers and entities are leveraging it to enhance the work-life balance among healthcare workers. EBP supports the creation of a culture and environment that allows providers to thrive and collaborate by integrating their expertise in patient care (Bowles et al., 2018). Providers can use EBP interventions to counter possible burnouts. Using EBP in delivering care leads to better patient outcomes which translate to improved work-life balance of the providers.

Conclusion

It is evident that EBP is an essential aspect of attaining better healthcare outcomes and helping providers to make care decisions and use interventions that meet the Quadruple Aims framework. Providers, especially nurses, have a duty to support the implementation of EBP to enhance care provision for their patients.

References

Beckett, C. D., & Melnyk, B. M. (2018). Evidence‐Based Practice Competencies and the New

EBP‐C Credential: Keys to Achieving the Quadruple Aim in Health Care.Worldview Evidence-Based Nursing, 15(6):412-413. https://doi.org/10.1111/wvn.12335

Bowles, J. R., Adams, J. M., Batcheller, J., Zimmermann, D., & Pappas, S. (2018). The role of

the nurse leader in advancing the Quadruple Aim. Nurse Leader, 16(4), 244-248.

https://doi.org/10.1097/NAQ.0000000000000342.

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. https://doi.org/10.1111/wvn.12126

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. https://doi.org/10.1097/NAQ.0000000000000303.

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 participants. Worldviews on Evidence-

Based Nursing, 13(5), 340–348. https://doi.org/10.1111/wvn.12171

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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