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Home > Accountable Care Organizations
Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs
Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs
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Written by the President and CEO of the Institute for Healthcare Improvement (IHI) and a leading healthcare journalist, this groundbreaking book examines how leading organizations in the United States are pursuing the "Triple Aim": improving the individual experience of care, improving the health of populations, and reducing the per capita cost of care.

Even with major steps forward, including the Affordable Care Act and the creation of the Center for Medicare and Medicaid Innovation, the national healthcare debate is too often poisoned by negativity. A quieter, more thoughtful, and vastly more constructive conversation continues among healthcare leaders and professionals throughout the country. Innovative solutions are being designed and implemented at the local level, and countless healthcare organizations are demonstrating breakthrough remedies to some of the toughest and most expensive challenges in health care.

Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs shares compelling stories that are emerging in locations ranging from Pittsburgh to Seattle, from Boston to Oakland, focused on topics including improving quality and lowering costs in primary care; setting challenging goals to control chronic disease with notable outcomes; leveraging employer buying power to improve quality, reduce waste, and drive down cost; paying for care under an innovative contract that compensates for quality rather than quantity; and much more. The authors describe these innovations in detail, and show the way toward a healthcare system for the nation that improves the experience and quality of care while at the same time controlling costs.

As the "Triple Aim" moves from being largely an aspirational framework to something that communities all across the U.S. can implement and learn from, its potential to become a touchstone for the work ahead has never been greater. Pursuing the "Triple Aim" lays out the vision, the interventions, and promising examples of success.

The organizations featured in Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs include the following:

  • HealthPartners:
    (Bloomington, MN)
  • Intel and Virginia Mason Medical Center:
    (Seattle, WA and Portland, OR)
  • CareOregon and Affiliated Clinics:
    (Portland, OR)
  • Atrius Health and Mount Auburn Hospital (and affiliated physicians)
    (Boston, MA)
  • Bellin Health:
    (Green Bay, WI)
  • University of Pittsburgh Medical Center:
    (Pittsburgh, PA)
  • Kaiser Permanente:
    (Oakland, CA)

Table of Contents

  • Preface
  • Acknowledgments
  • The authors
  • HealthPartners
    • Care Model Process and Continuous Healing Relationships
  • Intel and Virginia Mason Medical Center
    • Marketplace Collaboratives for Better, Faster, More Affordable Care
  • CareOregon and Affiliated Clinics
    • Producing Health, Changing Lives
  • The Alternative Quality Contract
    • A Payment Method Supporting the Triple Aim
  • Bellin Health
    • Improving Population Health with the Right Care at the Right Place and the Right Cost
  • The Patient and Family Centered Care Methodology and Practice
    • Improving Patient Experience and Clinical Outcomes
  • Kaiser Permanente
    • Embedding Improvement Capacity into Organizational DNA
  • No Excuses
    • Effective Leadership to Achieve the Triple Aim
  • Epilogue Innovation Everywhere
  • References
  • Index

About the Authors

Maureen Bisognano is president and CEO of the Institute for Healthcare Improvement. She teaches at the Harvard School of Public Health and is an elected member of the Institute of Medicine.

Charles Kenney is the author of The Best Practice: How the New Quality Movement Is Transforming Medicine, and was awarded the 2012 Shingo Research and Professional Publication Award for Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience.

Publication Date: May 2012
Number of Pages: 352
ISBN 13: 978-1-1182-0572-3
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