Expert Analysis and Recommendations
IHI’s Population Health (Triple Aim) Onsite Diagnostic is intended for organizations seeking a comprehensive approach to improving the health of populations and the patient experience of care, while reducing costs of care — the IHI Triple Aim.
Our team of experts will come to your organization to understand current assets, performance, and capability, and facilitate the process of beginning to build the foundations and plans for pursuing successful transformation. We then work with your organization to develop a plan for a prototype and rapid scale-up of an initiative aimed at improving health outcomes for the targeted population.
This diagnostic may be tailored to the needs and priorities of your system.
At the end of the diagnostic, leaders will be able to:
- Make sense of the organization’s current needs, assets, performance, and capabilities
- Understand the core components of pursuing the Triple Aim
- Identify a priority sub-population on which to focus efforts, such as the high-cost, high-risk population
- Establish and agree on a high-level purpose and aims
- Agree on population-level metrics to measure and evaluate impact over time
- Develop governance structures to achieve the Triple Aim
- Identify and define one or two portfolio projects that can prototype the Triple Aim for the identified sub-population
- Begin to build will and alignment among key stakeholders across the region, gain a commitment and agreement on the key Triple Aim elements, and develop a plan to engage key stakeholders
The IHI Triple Aim is a comprehensive framework that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”:
- Improving the patient experience of care (including quality and satisfaction);
- Improving the health of populations; and
- Reducing the per capita cost of health care.
Building foundations for the Triple Aim work is critical for successful adoption of any new, integrative care models (see, “Pursuing the Triple Aim: The First 7 Years”). The IHI Onsite Diagnostic is intended to help organizations begin to pursue five objectives that are core to development and implementation of a new strategy built on the Triple Aim:
- Build a foundational infrastructure to catalyze concerted action toward managing populations, including: identify target populations; define population-level aims and measures; develop a strong portfolio of project work and investments that achieve system-level results; identify community-wide stakeholders and establish a governance structure to drive the work; and rapid testing and scale up that is adapted to local needs and conditions.
- Guide the structural and process changes as well as capacity development needed to drive results on the Triple Aim, including care management, data support, patient engagement and activation, specialist involvement, provision of health care and social services in new ways, and primary care redesign.
- Achieve measurable outcomes for a population segment, which key stakeholders have a high degree of belief will achieve Triple Aim results.
- Develop a learning system at the regional or national level that fosters intentional testing and learning, feedback loops to understand progress toward specified aims and measures for the designated population, and integrates the assets of leaders and organizations as valuable contributors to improvement.
- Develop leadership capacity to collaborate with new community stakeholders and partners, and to accelerate results for your population.
An important component of the Onsite Diagnostic is the opportunity to build will and alignment among key stakeholders across the region, gain a commitment and agreement on the aforementioned diagnostic elements, and develop a plan to engage key stakeholders in implementing and sustaining the effort. Experts leading the IHI Onsite Diagnostic team will draw on their experience with leading their own organizations in facilitating alignment and aim selection with stakeholder leaders.
Below is a general overview of the sequence of steps during the diagnostic period:
- Virtual or In-Person Meeting with Leadership Teams
- Pre-Visit Data Collection and Relevant Information Gathering
- Pre-Visit Planning Call with Leadership Teams
- On-Site Visit(s) by the IHI diagnostic team to meet with key stakeholders and conduct field observations
- Findings and Recommendations presented via an in-person debrief, as well as a written report
Findings and Recommendations
The findings and recommendations provided by IHI at the conclusion of the diagnostic are intended to be actionable and help senior leaders further shape strategy and plans for executing on the strategy.
The diagnostic is often a starting point for a deeper engagement with IHI to achieve system-wide transformation. Please see Customized Services for an overview of how organizations can further engage with IHI to effect change in their systems.