Assignment; Evidence-based Practice and the Quadruple Aim Essay

Assignment; Evidence-based Practice and the Quadruple Aim Essay

Assignment; Evidence-based Practice and the Quadruple Aim Essay

Evidence-based practice is practice decisions based on critical thinking, experience, and the best available evidence, which enhances effectiveness and quality of care outcomes. On the other hand, the quadruple aim is a framework that guides the purpose of healthcare delivery and the desired outcomes including reducing costs, enhancing patient experience, improving population health, and attaining work-life balance for the healthcare providers (Sikka et al., 2015). The Quadruple Aim guides healthcare activities as it seeks to optimize care through continuous quality improvement. Moreover, the framework focuses on the overall improvement of populations through the adoption of preventive measures. Achieving these aims requires the integration of best practices and quality evidence to support system improvements. The purpose of this paper is to demonstrate the relationship between the four elements of the Quadruple Aim and evidence-based practice.

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Evidence-based Practice and Connection with the Quadruple Aim

Evidence-based practice is a tool for meeting the aim of enhancing patient experience because it informs practice decisions that improve patient outcomes. The healthcare environment experiences many problems that compromise the safety of patients and the quality of care. To solve these issues, nurses and other healthcare workers integrate their practice experience, critical decision-making, and search for evidence to support the identified solutions, leading to evidence-based practice (Melnyk & Raderstorf, 2019). For example, using quality improvement initiatives, a nurse can develop an inquiry into a particular problem affecting patient outcomes in the clinical environment. They would then research sources for the best available evidence to support the quality improvement initiative. The ultimate outcome is quality improvement, leading to a better patient experience.

Similarly, evidence-based practice is the basis of population health improvement through activities that support prevention and positive outcomes for populations. For example, attaining population health and well-being of people requires making changes and taking actions such as patient education to teach populations about measures that support preventive health. Similarly, actions that improve population health outcomes and well-being involve policy changes to address the social determinants of health causing negative health outcomes (Arnetz et al., 2020). The integration of evidence-based practice provides the best practice approach to support the rationale for policy changes and shows that policy approaches have the potential to create the desired change.

Evidence-based practice also has a link with cost-effectiveness in healthcare. For example, healthcare providers develop programs that promote cost-effectiveness. These programs are validated by the best available evidence that supports efficient and effective procedures and systems, while still maintaining quality and ensuring patient safety (Arnetz et al., 2020). One such program that a facility can implement is the use of health information technology such as electronic prescribing that reduces errors, which in turn reduces the risk of long hospital stays, and saves patients and the health systems. Finally, the best evidence combined with experience and expertise is used to identify approaches that promote staff engagement, motivation, and health improvement practices.

Conclusion

The quadruple aim supports quality improvement practices that enhance patient experience and focus on overall positive outcomes for populations. Additionally, the framework seeks to promote cost-effectiveness and health improvement for the healthcare staff. The evidence-based practice supports these aims by acting as the tool and basis for achieving the objectives of the Quadruple Aim.

References

Arnetz, B., Goetz, C., Arnetz, J., Sudan, S., vanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the Quadruple Aim: an exploratory study. BMC Res Notes, 13(1):362. https://doi.10.1186/s13104-020-05199-8.

Melnyk, B. M., & Raderstorf, T. (2019). Evidence-Based Leadership, Innovation, and Entrepreneurship in Nursing and Healthcare: A Practical Guide to Success. Springer.

Sikka, R., Morath, J., & Leape, L. (2015). The Quadruple Aim: care, health, cost and meaning in work. BMJ Qual Saf., 24(10):608-10. doi: 10.1136/bmjqs-2015-004160.

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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

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Criteria	Ratings				Pts
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	85 to >76.0 pts Excellent 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.	76 to >67.0 pts Good 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.	67 to >59.0 pts Fair 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.	59 to >0 pts Poor 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.	85 pts

Criteria			Ratin		gs					Pts
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 to >4.0 pts Excellent 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 to >3.5 pts Good 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 to >3.0 pts Fair 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.			3 to >0 pts Poor 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.	5 pts
Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.	4 to >3.5 pts Good Contains a few (one or two) grammar, spelling, and punctuation errors.		3.5 to >3.0 pts Fair Contains several (three or four) grammar, spelling, and punctuation errors.			3 to >0 pts Poor Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.			5 pts

Criteria	Ratings				Pts
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 to >4.0 pts Excellent Uses correct APA format with no errors.	4 to >3.5 pts Good Contains a few (one or two) APA format errors.	3.5 to >3.0 pts Fair Contains several (three or four) APA format errors.	3 to >0 pts Poor Contains many (five or more) APA format errors.	5 pts
Total Points: 100