Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 20. From triple to quadruple aim: care of the patient requires care of the provider. A larger-scale study over a longer time period is needed to confirm findings and examine feasibility and cost-effectiveness.Įfficiency Productivity Quadruple Aim Quality improvement Team-based care.īerwick DM, Nolan TW, Whittington J. These preliminary results support the feasibility of introducing substantial process changes that show promising improvement in both the Quadruple Aims and productivity. The intervention group offered 48% more patient slots than the average reference team. Compared to the reference team, the intervention team performed better in all Quadruple Aims and productivity measures. Clinic output data were retrieved for 467 visits. In total, 46 team surveys and 156 patient surveys were collected.
Study outcomes were measured via provider/staff and patient surveys and administrative data. The five remaining providers and their teams comprised the reference group, who continued patient care as usual.
One provider and their team implemented an efficiency-focused intervention that modified work roles and processes focused on utilizing all team members' skills as allowable by applicable licensure restrictions. Participants were 25 employees and their patients in a primary care clinic. This quasi-experimental pilot study tested a 2 week intervention aimed to address the Quadruple Aims while improving productivity. Phil, The Doctors, and CBS This Morning.Healthcare is battling a conflict between the Quadruple Aims-reducing costs improving population health, patient experience, and team well-being-and productivity. She frequently serves as a healthcare broadcast media expert and is regularly featured on top shows including Good Morning America, Rachael Ray, Dr. She currently chairs the Telemedicine and Technology Taskforce for The American American College of Allergy Asthma and Immunology, and is a mentor for Stanford University's Masters in Clinical Informatics Management Program. In 2019, she was named Medical Marketing and Media's (MM+M) Top 40 Healthcare Transformers. Elliott embraced telemedicine first as a physician, and then as Medical Director of Doctor on Demand, developing the nation's first fully employed, nationwide "Virtualist" physician workforce. Previously, she served as a clinical solutions medical director at Aetna, a CVS company, supporting development of the telemedicine, women's health, and cardiovascular disease portfolios and as Chief Medical Officer of EHE, a 106-year-old nationwide preventive health and wellness company, where she developed a novel, evidence-based preventive care model that leveraged a suite of digital engagement solutions to keep employees productive, healthy, and up-to-date on age and risk-factor based preventive screenings.ĭual board certified in Internal Medicine and Allergy and Clinical Immunology, Dr. Ascension is one of the largest healthcare systems in the country with 150,000 associates and 40,000 providers at 2600 sites, including 150 hospitals in 20 states. She is currently Chief Medical Officer of Virtual Care at Ascension, advancing adoption of virtual visits and remote patient monitoring across the care continuum. Passionate about the quadruple aim, she creates solutions to improve quality, efficiencies, access, and patient and care team experiences. Tania Elliott, MD, FAAAAI, FACAAI, is an expert in telemedicine and digital health, leveraging connected care technologies to bring care to patients, wherever they are.
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