Quadruple Aim: Care of the Provider


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Angkor Table by Olivier DolleBlog post by Bernadette Keefe MD and Matthew Katz MD

The classic ‘triple aim’ for healthcare is a framework developed by the Institute for Healthcare Improvement (IHI) that describes an approach to optimizing health system performance. IHI asserts that new designs must be developed to simultaneously pursue three dimensions which we call the ‘Triple Aim’:

  • Improving the patient experience of care (including quality and satisfaction)
  • Improving the health of populations, and
  • Reducing the per capita cost of health care

Numerous publications suggest that the list be expanded to a ‘Quadruple Aim’ to include: Improving the Care of and Experience of The Provider (ie MDs/other HCPs). The reasoning behind this suggestion is as follows (from a BMJ editorial):

The core of workforce engagement is the experience of joy and meaning in the work of healthcare. This is not synonymous with happiness, (but) rather that all members of the…

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