Evidence-Based Practice Integration Designed to Optimize Patient Care and Outcomes to Achieve the Triple Aim
evidence-based practice, Triple Aim
Background/Aims: Evidence-based practice (EBP) integration at Catholic Health Initiatives (CHI) is a multidisciplinary collaborative approach to optimize patient care and outcomes. The process and structure for EBP integration at CHI involves translating research-based, evidence-supported knowledge into clinical practice and process flows. In 2011, CHI founded the National EBP Advisory Council (NEBPAC) to facilitate multidisciplinary collaborative identification of and support for organizational EBP initiatives. The first organizational EBP initiative addressed by the NEBPAC was to review published EBP models for facilitated development of a custom organizational EBP model and algorithm that would align with CHI’s core values. In 2012, a five-phase custom EBP Model© and Algorithm© was deployed by the NEBPAC to guide EBP integration across the organization.
Methods: In 2013, the NEBPAC facilitated multidisciplinary development of 13 new organizational EBP toolkits with inclusion of referential hyperlinks to resources that provide data-driven decision-making and directional guidance for addressing identified organizational clinical quality improvement opportunities. Potential considerations for accurately identifying organizational clinical quality improvement opportunities include the following: a) appraisal of organizational culture and readiness for EBP integration, b) provider/clinician/staff awareness of foundational clinical practice guidelines published by national organizations and/or regulatory agencies, c) accuracy of clinical documentation with ease of electronic abstraction for analysis and regulatory reporting purposes, and d) evaluation of clinician resourcing based on patient acuity designed to improve clinical quality outcomes.
Results: Potential results associated with EBP integration include the following: a) improved patient outcomes with reduced cost of care involving complications, length of stay or mortality; b) increase in government-sponsored incentives with avoidance of penalties; and c) achievements in accreditations and designations for excellence.
Conclusion: CHI’s approach to EBP integration allows for data-driven decision-making that promotes clinical quality improvement. This approach contributes to achievement of the Triple Aim.
Hansen J, Haycock C, Evans EM. Evidence-based practice integration designed to optimize patient care and outcomes to achieve the Triple Aim. J Patient Cent Res Rev. 2016;3:221-2.