![]() ![]() The recent study completed earlier this year with Research Triangle Institute (RTI) International and Dispensary of Hope helped to show that there is a significant incentive by reducing healthcare costs and preventing further rehospitalizations as shown below.6įigure 2: Results of the 2022 Study Completed by RTI International and DOH 5 Another measure would be to look at social needs such as housing stability and food security. A great way to measure the equity being provided is to gather data regarding race, gender, language, income, geographical location, and other parameters. Your partnership is helping to provide health equity by providing healthcare access to those who are not eligible for other assistance and allowing individuals to receive medications free of charge. Sites that are in network with Dispensary of Hope have a great opportunity to implement each of these steps in their local communities. Incentivize the achievement of healthcare equity. Invest in equity measurement, meaning we determine whether the care being provided is equitable or not. Identify the disparities in our communities.ĭesign and implement evidence-based interventions to reduce them. In the latest JAMA Viewpoint article, the authors discussed how to address health inequities.5 The following steps were listed: This has propelled the idea of expanding to the Quintuple Aim, to create equity for all people and particularly those who are the most vulnerable. It has been shown across the country that groups of people who have been socially marginalized including racial and ethnic minority groups, the elderly, the disabled, and those in poverty have all experienced higher rates of COVID-19.4 These individuals face greater morbidity and mortality from infection and receive less preventative and chronic care. Care team well-being has brought about things like mindfulness and meditation activities and other personal/professional development initiatives. This requires optimally using our resources to provide the best care. ![]() New healthcare technologies are being developed every day but with that comes a labor and financial cost. To reduce healthcare costs, we have to look for efficacy improvements. We can ask questions about the pain he/she may be experiencing, whether the communication provided was acceptable, or even to see if they feel respected by the providers and the staff. The patient experience is a much more subjective parameter that is self-reported. We look at things like whether a patient died or not, how often is the patient being readmitted for the same diagnosis, is a patient’s blood pressure controlled, etc. Improving population health is looking at the observable outcomes such as whether a patient received the best possible quality of care. This introduced what is now called the Quintuple Aim. Earlier this year, the idea of advancing healthcare equity was proposed as a fifth aim. Hospitals and other healthcare facilities were losing employees and found that the environment didn’t support overall well-being well enough. Therefore, workforce well-being and safety became a new component of the aims. It was in 2014, that a fourth aim was added to address the issue of healthcare provider burnout. The goals they proposed were to improve the population’s health, enhance the patient’s experience, and reduce healthcare costs.1 The goal of the Triple Aim was to articulate in an efficient way the aims of healthcare. ![]() Recent events, including Covid-19 and provider burnout, have expanded the IHI Triple Aim to a Quintuple Aim. The Institute for Healthcare Improvement (IHI) is a not-for-profit organization promoting health improvement by advancing the quality and value of healthcare in America. Cory Rogers, PharmD Candidate 2023, University of Mississippi School of Pharmacy ![]()
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