![]() Now, in 2022, the fifth point on the star is born, with a focus on advancing health equity. Health Equity Is At The Core Of A Vibrant And Prosperous Nation To optimize health system performance, mending the clinician experience is an ethical and business imperative. These levels of burnout crippled the Quadruple Aim. Forty-six percent of psychologists reported feeling burned out, with 47% reporting stress levels higher than 7 on a 1–10 scale. In 2021, 61% of providers reported feeling burned out. With one in five healthcare workers leaving medicine since February 2020, the provider experience must be prioritized. After all, a healthcare system performs optimally when the clinician’s health is valued just as much as the patient’s. In a post-pandemic future of work, there is still much work to do. This goal strives to amend the clinical experience by championing provider wellness. The Quadruple Aim recognized the backbone of the system: our providers. With exhausted providers, the patient experience plummeted, population health suffered, and the overall cost of healthcare ballooned. This was shown to adversely impact the health of our providers by putting them at increased risk of cardiovascular disease and high cholesterol, as well as suffering from headaches and musculoskeletal pain. The rate of burnout among nurses and physicians eclipsed 45% and 54% in the US, respectively. While the Triple Aim set the stage for healthcare reformation/rehabilitation, clinician burnout was running rampant throughout the system. Without The Health And Well-Being Of Our Providers, The Healthcare Ecosystem Will Fail This broader approach was meant to incentivize healthcare leaders to promote the health and wellness of their communities, not just those residing within their brick-and-mortar walls. The Triple Aim focused on boosting the patient experience, ameliorating population health, and driving down healthcare spend spiraling out of control. With these principles, the Triple Aim was conceived. To truly improve health outcomes, we needed to incorporate empathy and engagement at every touchpoint. These elements focused solely on what transpired during care and ignored the root causes of most illness: what occurs outside of the exam room. While well intentioned, there was still a missing piece to the puzzle. ![]() Prior to 2008, the focus on improving healthcare was focused on six elements: safety, effectiveness, patient-centeredness, timeliness, equity, and efficiency. The Patient Experience Encompasses Every Touchpoint Now, seven years later, the “Quintuple Aim” is taking healthcare by storm, with a focus on health equity as a fifth equal pillar. Theoretically, achieving these goals would alleviate the burden experienced by the healthcare ecosystem and increase the quality of healthcare for all patients. This daunting ambition was given hope with the proposal of accomplishing three goals equally in 2008 and the addition of a fourth in 2014. JAMA Neurol 2020 77:927‒8.The Triple/Quadruple Aim has long been recognized as a framework to optimize the US healthcare system. The coronavirus disease 2019 crisis as catalyst for telemedicine for chronic neurological disorders. Integrated and patient-centred management of Parkinson’s disease: a network model for reshaping chronic neurological care. 2 The model proposed by these authors can be adapted and applied to a range of other chronic neurological diseases. Digital channels can be rapidly implemented to help provide accessible, effective and frequent care, individualized disease awareness and prognostic information, as demonstrated during the COVID-19 pandemic. The authors highlight the power of telemedicine and digital engagement. These factors are in line with the aims and recommendations of Think Brain Health. Solutions to achieve this include population health management, personalized care, and the empowerment of patients, caregivers and healthcare providers through education and training. This ‘quadruple aim’ concept, published in Lancet Neurology, 1 brings together considerations of population health, patient experience, healthcare provider wellbeing and costs, using evidence-based healthcare approaches to support the model. Professor Bastiaan Bloem and an international group of experts have described a model of integrated, patient-centred care in Parkinson’s disease. Taking quadruple aim at Parkinson’s disease: a model for integrated care.
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