Whittington JW, Nolan K, Lewis N, Torres T. Indian Health Service Chinle Service Unit: A Triple Aim Improvement Story. Cambridge, MA: Institute for Healthcare Improvement; November 2015.
The Chinle Service Unit is part of the Indian Health Service, a federal agency in the US Department of Health and Human Services. Chinle serves 31 Navajo communities in the central region of the Navajo Nation. This Triple Aim improvement story is an example that demonstrates how an organization funded and directed by the US government can take on the challenge of the Triple Aim for a Native American population.
This example was originally published in 2015 in The Milbank Quarterly article, "Pursuing the Triple Aim: The first seven years."