Improving the Clinician Experience
Since the creation of the “Triple Aim” approach by Don Berwick, President Emeritus, Institute for Healthcare Improvement (IHI), and colleagues in 2008, healthcare systems around the country have adopted this framework of enhancing performance. The IHI’s goal in pursuit of the Triple Aim is: “Simultaneously improving the health of the population, enhancing the experience and outcomes of the patient, and reducing per capita costof care for the benefit of communities.”
However, in the years since the formation of the Triple Aim, organizations have provided feedback pointing to a gap in the framework. This ultimately led the creation of a fourth aim—to improve the clinician experience. This new aim reflects the stressful working conditions of doctors and nurses today—professions in which the current burnout rate is as high as 46% and is exemplified by such behaviors as exhaustion, detachment from patients, and loss of enjoyment in work.