Evidence-based practice and the quadruple aim

Evidence-based practice and the quadruple aim

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

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
  • Evidence-based practice and the quadruple aim

Evidence-based practice and the quadruple aim

Using evidence-based practice means making decisions about patient care based on the best available scientific evidence. It’s seen as the best way to do things in healthcare. Bringing in evidence-based practice (EBP) in nursing and other healthcare areas is really important for making care better and helping patients more (Kim et al., 2016). Another model called the quadruple aim was made to make healthcare systems work better. It’s meant to fight the high cost of healthcare, make patients’ experiences better, and stop healthcare workers from getting burnt out (Arnetz et al., 2020). This paper talks about how EBP might help a healthcare group hit the quadruple aim.

How EBP Helps Patients Feel Better

One part of the quadruple aim is about making patients’ experiences better. Using evidence-based practice is key to making patients better and giving them good care (Kim et al., 2016). When care is better and patients get better, they feel better about their experience. In a study, they used EBP methods like checking on patients regularly, giving updates about tests and what’s happening, and being polite. They found that doing these things made patients in the emergency room happier. After they started using these methods, 60% of patients said they had an excellent experience, and the emergency room’s rating went up a lot (Skaggs et al., 2018). Using EBP makes patients feel better.

Head, Eyes, Ears, Nose, and Throat (HEENT) Documentation

How EBP Helps Whole Communities

Using evidence-based practice lets doctors and nurses use research in a better way, which helps whole communities stay healthier. Over the years, research has taught us a lot, and using that in healthcare has made people live longer (Lhachimi, 2016). Groups like the Centers for Disease Control and Prevention (CDC) give out research and ways to use it to help prevent and treat diseases and make people healthier (CDC, 2021). Evidence-based practice is important for reaching the quadruple aim.

How EBP Saves Money

Using evidence-based practice means there are fewer problems for patients, like infections they get in hospitals, which can make them sicker and cost more money. When EBP is used, it stops unnecessary medical tests and treatments, which saves money for hospitals and helps them reach the quadruple aim. In a study, they found that using EBP made bad medical events go down by a lot, and it saved 18% on each patient’s healthcare costs while making patients happier (Walewska-Zielecka, 2021).

How EBP Helps Healthcare Workers

Using evidence-based practice at work doesn’t just make patients better and save money for hospitals. It also makes healthcare workers feel better about their jobs (Kim et al., 2016). Even though it might mean learning new things, it helps doctors and nurses feel more in control, happier at work, and less likely to get burnt out (American Association of Nurse Practitioners, 2021).

In Conclusion

Using evidence-based practice is really important for reaching the quadruple aim in healthcare groups. It makes care better and safer, helps people get healthier, saves money for patients, and can make healthcare workers happier. Evidence-based practice is a big part of reaching the quadruple aim (Melnyk & Gallagher-Ford, 2019).

Evidence-based practice and the quadruple aim

Evidence-based practice requires making patient care decisions based on the best available scientific evidence and is widely accepted as the best standard in practice. Adopting and implementing EBP in nursing and other healthcare practices is crucial to improving the quality of care and patient outcomes (Kim et al., 2016). Another model known as the quadruple aim was established to improve the performance of healthcare systems by combating the rising cost of healthcare, improving the patient care experience, and reducing burnout among healthcare workers (Arnetz et al., 2020). This paper addresses how EBP may help an organization reach the quadruple aim.

The Effects of EBP on Patient Experience

One of the foci of the quadruple aim is to improve the patient experience. Evidence-based practice is essential to improving patient outcomes and quality of care (Kim et al.,2016). Improved quality of care and patient outcome leads to improved patient experience. In a recent study, evidence-based strategies such as hourly rounding, bedside shift report including updates of test results and events, and AIDET were implemented as a nursing bundle as part of a quality improvement initiative. The nursing bundle led to an increase in positive patient experiences in the emergency room. Following the implementation of the nursing bundle, 60% of patients rated their overall experience as excellent, propelling the emergency room’s ranking to the 85th percentile. (Skaggs et al., 2018). Implementation of EBP leads to improved patient experience.

The Effects of EBP on Population Health

Evidence-based practice allows clinicians to utilize research more effectively, promoting population health. Much notable knowledge has been gained from research over the last century and implementing this knowledge in clinical practice has increased life expectancy (Lhachimi, 2016). Organizations like the Centers for Disease Control and Prevention (CDC) provide scientific research data which are easily accessible with implementation strategies to help the population with the prevention and treatment of disease to improve population health (CDC, 2021) Evidence-based practice and the quadruple aim.

The Effects of EBP on Costs

Evidence-based practice reduces patient complications such as healthcare-acquired infections and other health issues, leading to poor patient outcomes, increased hospital stay, and healthcare costs. Implementing EBP helps eliminate unnecessary medical procedures and costs, allowing health organizations to achieve the quadruple aim. In a study, evidence-based practice recommendations led to a 31-37% decrease in adverse medical events and an 18% reduction in healthcare cost per patient while improving patient satisfaction (Walewska-Zielecka,2021).

The Effects of EBP on the Work Life of Healthcare Providers

Utilization of EBP in an organization setting not only leads to better patient outcomes and decreased hospital costs. Improved patient outcomes also benefit healthcare providers by promoting increased job satisfaction (Kim et al., 2016). Although implementing EBP may require some additional skillset, it empowers clinicians, improves job satisfaction, and decreases burnout (American Association of Nurse Practitioners, 2021).

Conclusion

 EBP is key to achieving the quadruple aim in a healthcare organization. EBP leads to enhanced quality of care and safety, improved health outcomes, eliminates unnecessary health costs for patients, and can improve job satisfaction for the healthcare team. EBP is an essential ingredient needed to achieve the quadruple aim (Melnyk & Gallagher-Ford, 2019).

References

American Association of Nurse Practitioners. (2021, April 1). Why choose evidence-based practice? Retrieved December 4, 2022, from https://www.aanp.org/news-feed/why-choose-evidence-based-practice

Arnetz, B. B., Goetz, C. M., Arnetz, J. E., Sudan, S., vanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the Quadruple Aim: an exploratory study. BMC research notes13(1), 362. https://doi.org/10.1186/s13104-020-05199-8

Centers for Disease Control and Prevention. (2021, July 13). Division of Population Health at a glance. Retrieved December 4, 2022, from https://www.cdc.gov/chronicdisease/resources/publications/aag/population-health.htm

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016). Predictors of Evidence-Based Practice Implementation, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants. Worldviews on Evidence-Based Nursing13(5), 340–348. https://doi.org/10.1111/wvn.12171

Lhachimi, S. K., Bala, M. M., & Vanagas, G. (2016). Evidence-Based Public Health. BioMed research international2016, 5681409. https://doi.org/10.1155/2016/5681409

Melnyk, B. M., & Gallagher-Ford, L. (2019). Achieving the quadruple aim in healthcare with evidence-based practice: A necessary leadership strategy for improving quality, safety, patient outcomes, and cost reductions. Evidence-Based Leadership, Innovation, and Entrepreneurship in Nursing and Healthcare. https://doi.org/10.1891/9780826196255.0008 Evidence-based practice and the quadruple aim

Skaggs, M. K. D., Daniels, J. F., Hodge, A. J., & DeCamp, V. L. (2018). Using the Evidence-Based Practice Service Nursing Bundle to Increase Patient Satisfaction. Journal of emergency nursing44(1), 37–45. https://doi.org/10.1016/j.jen.2017.10.011

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in health regional issues25, 23–28. https://doi.org/10.1016/j.vhri.2020.07.577 Evidence-based practice and the quadruple aim