Caregiver Experience Should Make it ‘Quadruple Aim’

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Raymond Belles By Raymond Belles 
Clinical Product Manager, McKesson
Caregiver Experience Should Make it ‘Quadruple Aim’

How satisfied and content are your clinicians, therapists and aides? And does it affect the quality of care they provide to patients?

Three heavy hitters from the healthcare industry, including the founding chairman of the National Patient Safety Foundation, believe that engaged employees provide better care and propose the Triple Aim become the Quadruple Aim.

The three are Lucian Leape, MD, a professor at the Harvard School of Public Health and NPSF founding chairman; Rishi Sikka, MD, senior vice president of Clinical Transformation at Advocate Health Care; and Julianne M. Morath, RN, MS, a recognized expert in healthcare quality and patient safety who serves as president and CEO at the Hospital Quality Institute.

In an editorial in BMJ Quality & Safety, the trio argue that “improving the experience of providing care” should be added to the Triple Aim of improving individual health and population health in a cost-effective manner. They believe achieving the Triple Aim requires highly effective healthcare organizations, which, in turn, requires an engaged and productive workforce.

BMJ Quality & Safety is an international peer-reviewed publication that focuses on healthcare quality and safety, and the editorial points to disturbing trends in nurse and physician satisfaction in both the United States and England. A 2013 survey of RNs in the United States showed that more than half believed that work was affecting their health and one-third considered resigning from their current job. Rates of nursing dissatisfaction across Europe range as high as 56%. Physician dissatisfaction was similar.

“An organisation focused on enabling joy and meaning in work and pursuit of the Triple Aim needs to embody shared core values of mutual respect and civility, transparency and truth telling and the safety of the workforce,” the authors write. “It recognises the work and accomplishments of the workforce regularly and with high visibility.”

What are you doing to enable joy and meaning within your organization and among your employees? Organizational culture certainly plays a role, as does the effective use of home care software to let your workers focus more on patients and less on documentation.

But I’m sure that each of us can do a better job of engaging our subordinates, our peers and our superiors. Those people will thank you – and your patients will, too.

Learn how a strength-based approach to management can help you engage your employees and ultimately improve their performance in this blog post.

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