Eight years ago, IHI started thinking about a framework that would enable health care organizations to improve not only the quality and safety of care delivery, but also to improve health and wellbeing, and to reduce the costs associated with health care. This became the Triple Aim, and as we began to engage organizations in improving the experience of care, improving the health of a population, and reducing per capita costs, we realized that health care can only do so much. Triple Aim has become a framework for us to think about addressing all the determinants of health. It is clear that doing so requires a broad collaboration that extends far beyond the walls of health care, and far beyond the walls of IHI.
First Step: Escape Velocity
At IHI, we wanted to take the lessons we learned in our work, and the lessons from our friends and partners, and leverage them to pursue the Triple Aim for everyone. We started with a metaphor – Escape Velocity – that described the need to break free of the gravitational pull of the status quo. As we engaged with individuals and organizations outside of health care who already were working to improve health, we realized we needed something bigger than a project, bigger than an initiative… what we needed was a movement.
Commitment: Guiding Coalition
IHI contacted existing and new partners to form an initial guiding coalition, we convened more than 200 individuals and organizations for a multi-day meeting to launch this new movement. On October 8, 2014, at 2:52pm, everyone in the room made a commitment: Together, we would help 100 million people live healthier lives by 2020.