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NURS 6052 Walden University Evidence Based Practice and The Quadruple Aim Paper

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

REQUIRED RESOURCE:

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. doi:10.1111/wvn.12126

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

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. doi:10.1111/wvn.12171

Assignment_Rubric

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—

77 (77%) – 85 (85%)

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.

68 (68%) – 76 (76%)

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.

60 (60%) – 67 (67%)

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.

0 (0%) – 59 (59%)

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.

Written 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 (5%) – 5 (5%)

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 (4%) – 4 (4%)

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 (3.5%) – 3.5 (3.5%)

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.

0 (0%) – 3 (3%)

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.

Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.—

5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (one or two) grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (three or four) grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)

Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written 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 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

Contains a few (one or two) APA format errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (three or four) APA format errors.

0 (0%) – 3 (3%)

Contains many (five or more) APA format errors.

Expert Solution Preview

Introduction:

The Quadruple Aim is a recent approach to healthcare optimization, which includes improving population health, enhancing the patient experience, lowering healthcare costs, and improving the work life of healthcare providers. Evidence-based practice (EBP) is becoming an increasingly important approach for healthcare organizations to justify decision-making. In this analysis, we will explore the connection between EBP and the Quadruple Aim, focusing on how EBP can impact or not impact each of the four measures.

Analysis:

EBP can significantly help healthcare organizations reach the Quadruple Aim, as each of the four measures can be impacted by the practice. First, EBP can help healthcare providers enhance patient experience by implementing the latest research to improve patient care. For example, implementing clinical guidelines can improve patient outcomes and satisfaction. EBP can also support population health by providing healthcare providers with evidence-based preventive strategies to address health issues in the community, reducing healthcare costs by preventing more severe health conditions in the future.

Second, EBP can provide useful insights into ways to reduce healthcare costs. By identifying evidence-based best practices in healthcare delivery, organizations can avoid unnecessary treatments and incentives that can escalate costs.

Finally, EBP can also improve the work-life of healthcare providers, reducing the number of preventable medical errors which, in turn, eliminates any conflicts in healthcare delivery. By providing healthcare providers with evidence-based up-to-date guidelines, they can streamline their work processes and stay focused on delivering high-quality care to their patients in a timely fashion.

Conclusion:

Evidence-based practice has a significant impact on healthcare providers’ ability to reach the Quadruple Aim. By providing healthcare professionals with the latest research and information in healthcare delivery, organizations can deliver high-quality care, enhance patient experience, promote population health, reduce healthcare costs, and improve the overall work-life of healthcare providers. Healthcare organizations need to continue to make EBP an integral component of their management strategies to achieve the Quadruple Aim.

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