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Triple Aim

Triple Aim is a framework developed by the Institute for Healthcare Improvement (IHI) to derive better health care value from the resources we invest.  IHI research shows that focusing on three critical objectives simultaneously can lead us to better models for providing health care.  These models are particularly timely because they track so closely with the goals and objectives of national health care reform.

The Triple Aims 

  • Improve the health of the population
  • Enhance the patient care experience (including quality and access)
  • Reduce the per capita cost of care


Local Evidence

There is evidence to support the need to implement the Triple Aims locally. The 2009 Community Assessment Project  shows an alarming increase in the number of Santa Cruz County residents who report using the Emergency Department as a regular source of care:  from 12.2% in 2007 to 26.8% in 2009.  Triple Aim offers an opportunity to combat the implications of this data: too many individuals are receiving emergency department services, when access to a primary care would provide higher quality of care at lower cost.

Local Triple Aim Initiative

In 2009, HIP  joined with 60 other organizations in the US, Canada and Europe to test the IHI Triple Aim framework  as a new means for designing specific actions to change our local health care system.  It is a natural extension of HIP's work to build a stronger delivery system, improve quality of care, and advance health care reform. HIP started small with an existing initiative - a Health Navigator pilot to assist uninsured patients with the transition from the hospital to primary care.  The vision of the Triple Aim framework is to design this pilot program so it can be scaled up to the wider population to achieve the broadest impact.

HIP's Triple Aims include:

Triple Aim enables HIP and its collaborators to reorganize health care improvement around the metrics that matter most:  health outcomes, quality, and cost.  

IHI Triple Aim Visit

In April 2010, John Whittington MD, senior faculty to the IHI Triple Aim Initiative visited Santa Cruz to talk about Triple Aim and Health Care Reform.

During his stay, he met with community and health care leaders, the HIP Council, and members of the local Triple Aim Site team. Dr. Whittington also visited Salud Para La Gente and the Central California Alliance for Health to learn about local achievements and challenges in achieving Triple Aims in the low income population.