Which Triple Aim related measures are being used to evaluate population management initiatives? An international comparative analysis

R.J.P. Hendrikx, H.W. Drewes, M.D. Spreeuwenberg, D. Ruwaard, J.N. Struijs, C.A. Baan

Research output: Contribution to journalArticleScientificpeer-review

12 Citations (Scopus)

Abstract

Introduction
Population management (PM) initiatives are introduced in order to create sustainable health care systems. These initiatives should focus on the continuum of health and well-being of a population by introducing interventions that integrate various services. To be successful they should pursue the Triple Aim, i.e. simultaneously improve population health and quality of care while reducing costs per capita. This study explores how PM initiatives measure the Triple Aim in practice.
Method
An exploratory search was combined with expert consultations to identify relevant PM initiatives. These were analyzed based on general characteristics, utilized measures and related selection criteria.
Results
In total 865 measures were used by 20 PM initiatives. All quality of care domains were included by at least 11 PM initiatives, while most domains of population health and costs were included by less than 7 PM initiatives. Although their goals showed substantial overlap, the measures applied showed few similarities between PM initiatives and were predominantly selected based on local priority areas and data availability.
Conclusion
Most PM initiatives do not measure the full scope of the Triple Aim. Additionally, variety between measures limits comparability between PM initiatives. Consensus on the coverage of Triple Aim domains and a set of standardized measures could further both the inclusion of the various domains as well as the comparability between PM initiatives.
Keywords: Population management, Triple Aim, Population health, Quality of care, Costs, Measures
Original languageEnglish
Pages (from-to)471-486
JournalHealth Policy
Volume120
Issue number5
DOIs
Publication statusPublished - 2016

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