The Quadruple Aim in Nursing and Healthcare

Improving Care, Lowering Costs, Serving Populations, Elevating Work Life


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About the Book

In times of ever-changing healthcare policy, many organizations have developed methods for reforming and optimizing healthcare systems. One prevailing healthcare approach is the Quadruple Aim, which incorporates four different goals: improving population health; improving experience of care; lowering healthcare costs; and improving provider work life (team vitality). Created by the Institute for Healthcare Improvement, the Quadruple Aim method is not nursing-specific, but its framework for optimizing health system performance is coherent with the nursing profession today. This book argues that the widespread adoption of the Quadruple Aim could help create a sustainable healthcare system. Using the work and legacy of nursing pioneer Florence Nightingale, this book provides an early example of successful, holistic healthcare that balances cost-effectiveness with quality of care for both patients and nurses.

About the Author(s)

Sue Johnson, PhD, RN, FAAN, is the author of three books relating Florence Nightingale’s achievements to current and future healthcare issues. She is the founder and principal of RN Innovations LLC, a leadership development company in Fort Wayne, Indiana.

Bibliographic Details

Sue Johnson
Format: softcover (6 x 9)
Pages: 234
Bibliographic Info: appendices, bibliography, index
Copyright Date: 2020
pISBN: 978-1-4766-8108-5
eISBN: 978-1-4766-4062-4
Imprint: McFarland

Table of Contents

Acknowledgments v

Preface 1

Introduction 5

​1. ​Nightingale’s View of Nursing’s Future 7

​2. ​IHI’s Triple (Now Quadruple) Aim Initiative 23

​3. ​Today’s Nurse Leaders and the Quadruple Aim 38

​4. ​Quadruple Aim Goal 1: Improving the Experience of Care for Individuals 54

​5. ​Quadruple Aim Goal 2: Improving the Health of Populations 65

​6. ​Quadruple Aim Goal 3: Reducing Per Capita Costs of Healthcare 74

​7. ​Quadruple Aim Goal 4: Improvement of Provider Work Life (Team Vitality) 84

​8. ​Quadruple Aim: Nurses Leading the Way 90

​9. ​The Path to Success 99

10. ​The Journey Continues 105

11. ​Population Health: Goals and Considerations for the Future 114

12. ​Improving the Individual Experience of Care: Future Implications 123

13. ​Reducing Per Capita Cost of Healthcare Without Compromising Quality 139

14. ​Improving Provider Work Life (Team Vitality): Where Do We Go from Here? 149

15. ​Preparing Future Nurse Leaders to Address the Quadruple Aim 158

Afterword 209

Appendix A. Nurses’ Influence Survey 211

Appendix B. Consent Information 213

References 215

Index 223