The Connection Between EBP And The Quadruple Aim Assignment Paper

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. The Connection Between EBP And The Quadruple Aim Assignment Paper

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

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Patient experience
Population health
Costs
Work life of healthcare providers

The Quadruple Aim is a framework proposed to improve the performance of healthcare systems. The Quadruple Aim framework encompasses improving patient experience, improving the health of populations, reducing costs, and improving the well-being of the healthcare team (Arnetz et al., 2020). Implementation of Evidence-based practice (EBP) is essential for healthcare systems to achieve the Quadruple Aim. EBP is integral to the provision of care that is of high quality and cost-effective and high-quality care and it operationalizes the Quadruple Aim framework.   Cardoso et al. (2021) define EBP as making clinical decisions that take into consideration the best accessible evidence, the context of the delivery of care, the health professional’s professional judgment, and patient preference. Clinicians are recommended to implement EBP as it has been shown to improve patient health outcomes and experience, promote high-value care, and reduce costs of health care. The Connection Between EBP And The Quadruple Aim Assignment Paper

How EBP might (or might not) help reach the four measures of Quadruple Aim

Patient experience

Evidence-based strategies such as shared decision-making through effective communication and patient-reported outcome measures (PROMS) can promote patient experience. According to Ndugbu and Agi (2024), PROMS are defined as questionnaires that a patient completes that are of importance to the patient, such as the burden of symptoms and quality of life. PROMS can offer healthcare providers useful information about how the patient experiences their health condition and care/ treatment, which can assist providers in designing care that fulfills the needs of individual patients. Numerous studies have demonstrated that the utilization of PROMS has the potential to make patients more satisfied with care and have better outcomes. Shared making entails the patient and clinician working jointly in making decisions about treatment based on the best accessible evidence and the values and preferences of the patient.  Shared decision-making is effective in improving patient satisfaction and outcomes. The Connection Between EBP And The Quadruple Aim Assignment Paper

 Population health

Population health can improve through the implementation of population health interventions that are informed by evidence. Movsisyan et al. (2021) posit that population health interventions are programs and policies in health services research and the public aimed at changing the distribution of risk in populations.   Rather than developing new interventions, implementing population health interventions that are informed by evidence, that is, interventions that have been evaluated for effectiveness, in new contexts might improve population health and save human and financial resources.

Costs

There has been a constant increase in healthcare costs globally.  Yet, effective healthcare systems are required to reduce costs while at the same time improving patient outcomes and experience of care. EBP can lead to a reduction in per-capita costs by preventing prevention of unnecessary treatments.  Evidence-based care and adherence to evidence-based practice guidelines reduce healthcare costs by reducing unnecessary services such as imaging laboratory tests and patient visits.  Unnecessary and expensive imaging studies and laboratory tests are done more regularly without justification (Walewska-Zielecka et al., 2021). The Connection Between EBP And The Quadruple Aim Assignment Paper

Work-life of healthcare providers

EBP interventions that create a healthy work environment for nurses and other healthcare providers can improve the work life of providers. According to Mabona et al. (2022), a healthy work environment is created by leadership. Effective leadership along with decision-making are key components in the achievement of a healthy work environment and help in the development of policies and evidence-based practice, which guides nurses. Strong leadership is required at all levels, including bedside practice, the establishment of teamwork and intra-professional collaborations, and offering a safe environment through the identification and control of psychological hazards in the place of work. The Connection Between EBP And The Quadruple Aim Assignment Paper

References

Arnetz, B. B., Goetz, G. M., Arnetz, J. E., Sudan, S., vanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the Quadruple Aim: an exploratory study. BMC Research Notes, 13, 362. doi: 10.1186/s13104-020-05199-8.

 Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., Coutinho, V., Pinto, D., Ramis, M. A., Rodrigues, M. A., & Apostolo, J. (2021). The Effectiveness of an Evidence-Based Practice (EBP) Educational Program on Undergraduate Nursing Students’ EBP Knowledge and Skills: A Cluster Randomized Control Trial. International Journal of Environmental Research and Public Health, 18(1),293. doi: 10.3390/ijerph18010293

 Mabona, J. F., van Rooyen, D., & Ham-Baloyi, W. (2022). Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA, 27, 1788. doi: 10.4102/hsag.v27i0.1788

Ndugbu, K. U., & Agi, L. (2024). Re-tooling for effective patient-centered care: the need for evidence-based strategies. World Journal of Advance Healthcare Research, 8(2), 122.

Walewska-Zielecka, B., Religioni, U., Soszynski, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issue, 25, 23-28. https://doi.org/10.1016/j.vhri.2020.07.577

Movsisyan, A., Arnold, L., Copeland, L., Evans, R., Littlecott, H., Moore, G., O’Cathain, A., Pfadenhauer, L., Segrott, J., & Rehfuess, E. (2021). Adapting evidence-informed population health interventions for new contexts: a scoping review of current practice. Health Research Policy and Systems, 19, 13.