In an interview available on the IHI.org website, he
describes the societal role of the Triple Aim. Here, we share part of that
insightful interview:
What were the origins of the
Triple Aim?
The Triple Aim was the
brainchild of two of IHI’s faculty, John Whittington and Tom Nolan, who came up
with it in about 2006. It was a real breakthrough.
The goal they had in mind was to
articulate, in a very cogent way, the aims of health care from the viewpoint of
the society it serves. You can’t define or pursue quality if you don’t know
your aims. The proper way to think about goals is that they’re external to the
organization, external to the industry. They lie in the world of the people we
help, the customer, the patient, the consumer. So, what would society say it’s
hiring health care to do? That’s the key initial question in quality.
Up until that time, the best
answer would have referenced the Institute of Medicine Crossing the Quality
Chasm report which had laid out six dimensions of need they called Aims for
Improvement. Most people in the field now know them:
Safety — Don’t hurt me;
Effectiveness — Promise me science;
Patient-centeredness — Honor me as an
individual;
Timeliness — Let’s have no delays that
aren’t instrumental;
Equity — Close racial and socioeconomic
gaps in health; and
Efficiency — Don’t waste money, space, or
any other resources.
Learn why the Triple Aim continues to surprise Dr. Berwick
today; find this interview online, "The
Triple Aim: Why We Still Have a Long Way to Go."
As the opening keynote speaker
for LAC 2020, Dr. Berwick will be drawing on the so-called “Radical
Redesign Principles” for a new health care system from the Institute for
Healthcare Improvement’s Leadership Alliance. He will explain especially the
first of those principles: “Change the Balance of Power,” with specific
illustrations of how patients, families, and communities can take over their
own care and better pursue their own health.
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Learn more about the educational
offerings at LAC 2020 or download the conference
brochure (PDF). Register by March 2,
2020, to secure advance registration rates.
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