Care Coordination Model: Achieving Triple Aim Goals in Healthcare - Essay Sample

Introduction

The development of a care coordination model that acts as guidance for managing patients in healthcare is an essential feature in the achievement of the Triple Aim goals. These goals include population health improvements, healthcare costs reduction, and the general enhancement of patient care outcomes ('Guide to Goals,' 2019). The adoption of such accountable care approaches has triggered a need for shifting away from treatment interventions to the preventative measures. Prevention of a disease has been linked to the cost-effectiveness of the health care offered to patients. Care coordination fits in the Triple Aim by creating a framework that will influence patient healthcare and their lifestyle choices.

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Definition of Target Populations

When the characteristics of a target population are clearly defined, it becomes easier to consider initiatives that have been tailored to ensure cost-effective use of resources (Strekalova, Hawkins, Drusbosky & Cogle, 2018). Therefore, populations can be categorized based on their risk factors, diagnoses or even locations. The necessary resources will then be assigned to this particular group of patients.

Prioritize Community Partnerships

To achieve the desired patient outcomes, a well-integrated continuum of care is needed. This, in turn, depends on the choice of partnership all of whom will be required to contribute in terms of resources. The partnerships will ensure that positive patient outcomes are experienced due to the availability of abundant resources.

Establish the Right Governance Structure

The stakeholders need to be able to communicate effectively and maintain accountability at all times. Therefore, an integrated governance structure is required to ensure that strong leadership support is garnered, that roles and responsibilities are set, and that measures for success are created among many other activities ('Guide to Goals,' 2019). Therefore, whenever a specific activity needs to be changed to improve patient satisfaction, the governance structure will ensure a smooth transition.

IT and Care Management Workflows

Moving towards a paperless workplace is an important change that is being experienced in healthcare. The move may lead to higher costs when the IT software is not used effectively. However, with the right training and implementation, errors will be avoided. The results will ensure that efficient workflows that are capable of positively influencing the needs of patients are considered (Strekalova et al., 2018).

Integrated Clinical Data and Analytics

A major factor that influences patient outcomes is decision making. Decisions must be made based on facts rather than assumptions. The IT platforms need to be made accessible by healthcare providers across the whole organization. Thus, identifying gaps in patient care will be easy, thereby leading to an identification of the right intervention.

Influencing Patient Engagement

To ensure that a patient is satisfied with the care services offered, it is important to have them engaged in the healthcare delivery process. Thus, it is important to consider the use of communication tools that will keep the patient engaged, thereby triggering behavioral change (Strekalova et al., 2018). That will be promoted by the ability to understand their patient records and note a difference in health status.

Using Realistic Measures

The Triple Aims can include a variety of metrics that can be used to measure progress towards the achievement of the set goals ('Guide to Goals,' 2019). The use of appropriate timelines is important as it ensures realistic expectations that will also promote the feelings of satisfaction that patients experience. The right metrics will also have to be determined.

Conclusion

All the factors discussed above contribute to the Triple Aims. However, each population will have unique expectations, which is why alterations must be made to ensure the best outcomes. The result is that healthcare services will be improved while the associated costs decline. That will lead to enhanced patient satisfaction.

References

Guide To Goals: A novel care coordination tool for children with type two diabetes (T2D). (2019). Case Medical Research. doi: 10.31525/ct1-nct03926598

Strekalova, Y., Hawkins, K., Drusbosky, L., & Cogle, C. (2018). Using social media to assess care coordination goals and plans for leukemia patients and survivors. Translational Behavioral Medicine, 8(3), 481-491. doi: 10.1093/tbm/ibx075