Evidence-Based Practice and the Quadruple Aim
The Quadruple Aim is a framework for augmenting or improving healthcare performance with efforts centered on enhanced population health, advanced experiences for healthcare providers, reduced healthcare costs, and better-quality patient experience.
The achievement of the quadruple aim necessitates highly productive healthcare organizations with engaged and productive employees. EBP promotes quality care, improves patient outcomes, reduces healthcare costs, and increases employee morale, impacting the Quadruple Aim.
How EBP Might Impact the Quadruple Aim in Healthcare
There is a close connection between the Quadruple Aim and EBP: EBP influences the Quadruple Aim in healthcare. EBP results in advanced quality care, reduced costs, enhanced patient results, and increased nurse satisfaction (Mazurek et al., 2010). EBP impacts the Quadruple Aim measures: improving healthcare givers’ experiences, reducing costs, advancing population health, and improving the patient experience.
EBP is a problem-solving method for healthcare provision. EBP incorporates superlative evidence from well-planned studies and patient care information and integrates it with nurse proficiency, patient values, and partialities (Mazurek et al., 2010). EBP promotes the Quadruple Aim measures by enhancing healthcare dependability and quality, reducing costs, and improving patient outcomes.
How EBP Might Help Reach the Quadruple Aim Measures
Patient Experience
EBP improves patient experiences by incorporating scientific evidence with patient values and partialities and a physician’s expertise. The scientific evidence encompasses internal evidence collected from patient information. EBP’s seven stages begin with cultivating an inquiry spirit where healthcare providers regularly ask clinical queries and search for scientific evidence (Melnyk et al., 2014). EBP leads to optimum clinical decisions that improve patient results and satisfaction, promoting a better-quality patient experience.
Population Health
The evidence-based practice seeks to offer the most operative and available care to enhance patient results. The EBP approach to population health has many direct and indirect advantages. The approach promotes entree to more and better-quality statistics and an increased propensity for operative prevention guidelines and programs (Mazurek et al., 2010). EBP also leads to improved employee performance and better use of private and public resources, impacting population health.
Healthcare Costs
Evidence-based practice alleviates healthcare costs by streamlining and standardizing care. Standardized treatment plans ensure that caregivers do not recommend inessential therapies or medications that might not help patients. EBP reduces the likelihood of unnecessary processes and medical errors that might incur extra costs. EBP provides the groundwork for obtaining necessary resources in clinical practice (Walewska-Zielecka et al., 2021). EBP decreases pointless medical processes, reducing healthcare costs.
Work-Life of Healthcare Providers
EBP improves healthcare providers’ experiences as it allows them to assess the research to comprehend the efficiency and risks of diagnostic treatments and tests. Work injuries are more common in healthcare than in other occupations (Sikka et al., 2015). Hours are wasted on occupational injury and disease in healthcare than in construction, mining, or machinery manufacturing (Sikka et al., 2015).
Implementing the EBP competencies as a device to develop and uphold attainment of EBP familiarity, adopt a positive outlook towards EBP, and progress EBP skills to sponsor best practices improves healthcare providers’ experiences (Melnyk et al., 2014). EBP mentorship and culture are crucial variables that positively influence job gratification and will to stay among nurses (Melnyk et al., 2021). EBP simplifies clinical judgments and advanced quality care, improving the work life of healthcare providers.
Conclusion
Evidence-based practice impacts the Quadruple Aim (facilitating physician experiences, reducing costs, progressing population health, and improving the patient experience). EBP integrates scientific evidence with patient values and partialities and a physician’s expertise, enhancing patient experiences. EBP also improves employee performance and population health and alleviates healthcare costs. Evidence-based practice provides the most effective, available care, boosts patient outcomes, decreases healthcare costs, and increases employee optimism, impacting the Quadruple Aim.
References
Mazurek Melnyk, B., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). The Seven Steps of Evidence-Based Practice: Following this progressive, the sequential approach will lead to improved health care and patient outcomes. The American Journal Of Nursing, 110(1), 51-53.
Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence‐Based Nursing, 11(1), 5-15. DOI 10.1111/wvn.12021
Melnyk, B. M., Tan, A., Hsieh, A. P., & Gallagher‐Ford, L. (2021). Evidence‐based practice culture and mentorship predict EBP implementation, nurse job satisfaction, and intent to stay: support for the ARCC© Model. Worldviews on Evidence‐Based Nursing, 18(4), 272-281. https://doi.org/10.1111/wvn.12524
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost, and meaning in work. BMJ Quality & Safety, 24(10), 608-610. doi:10.1136/bmjqs-2015-004160
Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issues, 25, 23-28. DOI: 10.1016/j.vhri.2020.07.577
EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM INSTRUCTIONS
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
• 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
the analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim.
The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim.
The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples.
Rubric
This criterion is linked to a Learning Outcome
Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice 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 85 to >76.0 pts
Excellent
The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples. 76 to >67.0 pts
Good
The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides an accurate synthesis of at least one outside resource reviewed on the four measures supporting or not supporting the Quadruple Aim. The response integrates at least 1 outside resource and two or three course-specific resources that may support the analysis provided and may include some detailed examples. 67 to >59.0 pts
Fair
The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis inaccurately or vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides an inaccurate or vague analysis of the four measures supporting or not supporting the Quadruple Aim with a vague or inaccurate analysis of outside resources. The response minimally integrates resources that may support the analysis provided and may include vague or inaccurate examples. 59 to >0 pts
Poor
The analysis inaccurately and vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim or is missing. … The analysis inaccurately and vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim or is missing. … The analysis provides a vague and inaccurate analysis of the four measures supporting or not supporting the Quadruple Aim with a vague and inaccurate analysis of outside resources. The response fails to integrate any resources to support the analysis provided or is missing.
85 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. 5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 to >3.5 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive. 3.5 to >3.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic. 3 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. … No purpose statement, introduction, or conclusion was provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation. 5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 pts
Good
Contains a few (one or two) grammar, spelling, and punctuation errors. 3.5 to >3.0 pts
Fair
Contains several (three or four) grammar, spelling, and punctuation errors. 3 to >0 pts
Poor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5 to >4.0 pts
Excellent
Uses correct APA format with no errors. 4 to >3.5 pts
Good
Contains a few (one or two) APA format errors. 3.5 to >3.0 pts
Fair
Contains several (three or four) APA format errors. 3 to >0 pts
Poor
Contains many (five or more) APA format errors.
5 pts
Total Points: 100