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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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Resource Overview

Patient portals, health apps, and the other various personal health information technologies provide great opportunities for increasing patient activation and engagment with their health and their ability to successfully navigate their healthcare system. Furthermore, an increasing number of studies are finding positive outcomes related to the use of these patient-centered tools. While these findings are encouraging, it is still important to assess the effectiveness and fit of these new tools and services when using them to engage a Health Center's community. Effective evaluation can help determine whether a tool is good or bad or simply not the right fit for a particular cohort of patients. In order to determine why a tool is successful or not requires an understanding of the technical, social, and clinical factors that may impact the way a patient interacts with the technology.

The evaluation tools within this resource set provide examples of different measurements that can be used to assess the value and effectiveness of electronic patient engagement tools and services.

Evaluation of Engagement and Satisfaction Resources

Patient Activation Measure

Patient Activation Measure

Methods for measuring patient activation and engagment

Patients experience difficulty in managing their health due to a multitude of reasons.  Through use of consumer health information systems and services (CHISS)  it is hoped that patient’s feelings of control over their health will increase. Once these tools have been deployed it is important to evaluate whether they are having a positive effect on consumers and patients.

The  Patient Activation Measure (PAM) utilizes a four step model that

  1. advocates for a consumer-centric approach to health management,
  2. encourages increased empowerment of the patient so that they are more likely to take action,
  3. assume that patients will then take steps to better manage their health and
  4. assist in steadying health maintenance procedures for patients. 

PAM can be used as a measure for engaging patients from vulnerable populations as well as patients suffering from chronic conditions.   A benefit in the use of PAM is that it also encourages more active relationships between doctors and patients and parallels patient engagement strategies used by HCG for their patients.  Patient activation is particularly desirable in underserved populations and implies that attention to this attribute can assist in reducing disparities in healthcare (Hibbard & Cunningham, 2008).

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This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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