Online Program

Health and health care partnerships to achieve the triple aim: Better health, better care, at lower cost to the community

Monday, November 4, 2013 : 11:24 a.m. - 11:42 a.m.

Robert Kahn, MD, MPH, Associate Director, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center., Cincinnati, OH
Ninon Lewis, MS, Institute for Healthcare Improvement, Cambridge, MA
The Triple Aim of simultaneously improving population health, improving the patient experience of care, and reducing per capita cost was introduced by the Institute of Healthcare Improvement (IHI) in 2008 as statement of purpose for fundamentally new health systems that contribute to the overall health of populations while reducing costs. Achieving the Triple Aim within a community or region requires the identification, collaboration, and activation of stakeholders within and outside of healthcare. Cincinnati Children's Hospital Medical Center (CCHMC) has partnered with IHI since 2006 to test Triple Aim-focused strategies to achieve better health, better care, and lower per capita costs for the children of Hamilton County, OH. Using the Triple Aim as its guiding framework, CCHMC's James L. Anderson Center for Health Systems Excellence has partnered with cross-community stakeholders to measurably improve the health of local children and reduce disparities in targeted populations. Together stakeholders have mapped targeted health issues across identified neighborhoods to better understand the causes and draw on the most effective and innovative ideas within the community to improve health. The collaboration's current portfolio of community health improvement initiatives focuses on the areas of infant mortality, childhood obesity, childhood injury prevention, and asthma morbidity. Interventions being tested relate to access to care and community services; self-management, including patient and family engagement in the work; risk segmentation of the population; care coordination across multiple providers to link patients with needed medical and community services; and engaged community leaders with a shared vision to improve the health of communities.

Learning Areas:

Assessment of individual and community needs for health education
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Define each dimension of the Triple Aim as a guiding framework for health system transformation. Identify and discuss the unique challenges and opportunities for community-wide collaboration between clinical providers and community based organizations and services to meet the needs of populations. Draw lessons and strategies from the CCHMC team on achieving collective impact through interdisciplinary and interagency partnerships.

Keyword(s): Collaboration, Community Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I currently serve as the faculty lead for the community and population health improvement initiatives within the Anderson Center for Health Systems Excellence at the Cincinnati Children's Hospital Medical Center which leads this portfolio of work. In addition, I am a general pediatrician and child health researcher focused on the intersection of poverty, women's health and child health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.