Comments on: Beyond The Triple Aim: Integrating The Nonmedical Sectors http://healthaffairs.org/blog/2008/05/19/beyond-the-triple-aim-integrating-the-nonmedical-sectors/?utm_source=rss&utm_medium=rss&utm_campaign=beyond-the-triple-aim-integrating-the-nonmedical-sectors The Policy Journal of the Health Sphere Thu, 24 May 2012 07:58:29 +0000 hourly 1 By: Edward Donovan http://healthaffairs.org/blog/2008/05/19/beyond-the-triple-aim-integrating-the-nonmedical-sectors/comment-page-1/#comment-22285 Edward Donovan Fri, 13 Jun 2008 20:07:44 +0000 http://healthaffairs.org/blog/2008/05/19/beyond-the-triple-aim-integrating-the-nonmedical-sectors/#comment-22285 Hamilton County, Ohio is trying to use Triple Aim thinking to reduce infant mortality risk by improving the health of resident women of reproductive age. David Kindig’s commentary, “Beyond The Triple Aim: Integrating The Nonmedical Sectors”, reflects our experience to date. Health care providers have the resources to devote to the “integrator” function, but don’t necessarily have the required knowledge and skills. Thus, the integrator may not be able to command the necessary community will. For population health, one of the three component aims, health care providers traditionally focus on absence of disease leading to debates in Hamilton County about whether we should focus on 'infant mortality' or 'infant vitality'. To improve experience of care, a second aim, we argue about how to define the current gaps – 'the need-delivery gap' versus 'the want-delivery gap'. To meet per capita expenditure goals, the third aim, we need to agree on which spending to count. Kindig estimates that spending for health care represents from “from 10% to 50% of the multiple determinants of broad health outcomes”. Such estimates leave plenty of space between those who believe that attention should be focused on health care and those who focus on public and social determinants of health. To our community, the value of Triple Aim thinking seems to reside largely in understanding and aligning these different perspectives: prevention vs treatment, want vs need and efficient use of resources vs optimal distribution of resources. Hamilton County, Ohio is trying to use Triple Aim thinking to reduce infant mortality risk by improving the health of resident women of reproductive age. David Kindig’s commentary, “Beyond The Triple Aim: Integrating The Nonmedical Sectors”, reflects our experience to date.
Health care providers have the resources to devote to the “integrator” function, but don’t necessarily have the required knowledge and skills. Thus, the integrator may not be able to command the necessary community will. For population health, one of the three component aims, health care providers traditionally focus on absence of disease leading to debates in Hamilton County about whether we should focus on ‘infant mortality’ or ‘infant vitality’. To improve experience of care, a second aim, we argue about how to define the current gaps – ‘the need-delivery gap’ versus ‘the want-delivery gap’. To meet per capita expenditure goals, the third aim, we need to agree on which spending to count. Kindig estimates that spending for health care represents from “from 10% to 50% of the multiple determinants of broad health outcomes”. Such estimates leave plenty of space between those who believe that attention should be focused on health care and those who focus on public and social determinants of health.
To our community, the value of Triple Aim thinking seems to reside largely in understanding and aligning these different perspectives: prevention vs treatment, want vs need and efficient use of resources vs optimal distribution of resources.

]]> By: The Stop Smoking Club http://healthaffairs.org/blog/2008/05/19/beyond-the-triple-aim-integrating-the-nonmedical-sectors/comment-page-1/#comment-21907 The Stop Smoking Club Sun, 25 May 2008 13:43:05 +0000 http://healthaffairs.org/blog/2008/05/19/beyond-the-triple-aim-integrating-the-nonmedical-sectors/#comment-21907 <strong>Preventive Medicine, Here’s how</strong> In a discussion of the right emphasizes for the recovery of our health system the argument against the proposed program relates to the fact that smoking causes more sickness and death along with others behavioral reasons then the rest of the problems i... Preventive Medicine, Here’s how

In a discussion of the right emphasizes for the recovery of our health system the argument against the proposed program relates to the fact that smoking causes more sickness and death along with others behavioral reasons then the rest of the problems i…

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