Essay on Evidence-Based Practice and the Quadruple Aim

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The Assignment: Essay on Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.


More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work-life of healthcare providers. Each of these measures is impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures:
• Patient experience
• Population health
• Costs
• Work-life of healthcare providers

By Day 7 of Week 1
Submit your analysis.

The Essay Solution: Essay on Evidence-Based Practice and the Quadruple Aim

Relation between EBP and the Quadruple Aim

In the clinical context, evidence-based practice significantly depends on the utilization of existing scientific data. Evidence-based techniques have gained traction in management, public policy development, education, and nursing practice since their official debut in the 1990s. Data-based practice, one of the most successful problem-solving approaches in clinical settings, combines the best available evidence from well-designed scientific research, patient preferences and values, and professional knowledge to make choices about patient care (Crabtree et al., 2016).

As a consequence, evidence-based providers’ primary goal is to guarantee that patients get high-quality, safe healthcare services. EBP supports an interprofessional paradigm that emphasizes collaborative decision-making for a high possibility of success. Similarly, diverse players at the state, federal, and local levels are required for evidence-based practice acceptance and implementation. Nurses have a generally favorable attitude toward evidence-based practice and its providers, according to Crabtree et al., (2016), and the majority are willing to learn the requisite skills and knowledge for its incorporation into clinical practice.

The quadruple objective includes four key goals: increasing patient experience, population health, healthcare provider work-life, and healthcare-related expenses reduction (Sakallaris et al., 2016). The quadruple objective is to restructure healthcare facilities in order to meet the aforementioned aims. However, enhancing population health while containing/reducing healthcare-related costs, which need a high degree of efficiency and effectiveness, is a key setback in accomplishing these objectives in the broader health sector (Bodenheimer & Sinsky, 2014). An efficient healthcare system requires highly productive health personnel. This is what prompted the inclusion of a fourth objective, which is to improve healthcare personnel’s work-life balance, to the triple aim.

The Influence of EBP on Factors Affecting These Quadruple Aim Elements

Evidence-based practice is being developed and used primarily to enhance the quality of healthcare services provided to patients, and it puts high importance on inpatient treatment in clinical settings. Similarly, evidence-based practice has a direct influence on the work-life of healthcare practitioners, since employees must be very productive in order to offer high-quality and safe healthcare services. Every healthcare facility exists to better the lives of patients as well as the lives of healthcare workers who provide healthcare services.

Evidence-Based Practice and the Quadruple Aim.

 Patient experience

All evidence-based practice methodologies enable healthcare clinicians to apply research results to clinical practice. Nurses and other healthcare workers may effectively integrate existing scientific information into clinical practice based on specific patient requirements by using efficient literature searching abilities and explicitly following the criteria that govern evidence to assess study results (Jacobs et al., 2018). As a consequence, the quality of healthcare services provided to patients has improved. Most healthcare organizations have recently adopted evidence-based practice to address clinical challenges that directly affect patient care, which has resulted in better patient experiences.

Population health

Evidence-based practices aim to educate people about their own health factors, the advantages and drawbacks of certain therapies, as well as cultural and healthcare practices. Those incorporating evidence-based approaches in diverse demographic contexts also want to make sure that resources are distributed fairly to accomplish specified goals (Sakallaris et al., 2016).

Populations may be categorized based on their requirements, which are determined by socioeconomic position, family support, and individual health status, promoting equality and efficiency in resource allocation and distribution for health promotion. Rather than creating healthcare patterns based on subgroups, all evidence-based processes engaged in treatment have been explicitly developed to satisfy individual patient requirements.


The assessment of per capita healthcare costs, which requires all healthcare expenditures to be collected, measurement of real costs, and indexing of prices to the healthcare market, is a significant difficulty for most healthcare institutions. Discounts and pricing are the most popular way used to estimate real costs, according to Sakallaris et al., (2016).

As a result, most healthcare facilities have significant difficulty in providing safe and high-quality treatment at reduced prices. When a facility adopts the use of cutting-edge technology to enhance efficiency and the most up-to-date treatment procedures as indicated by evidence-based practice, both the quality and cost of care naturally improve.

Evidence-Based Practice and the Quadruple Aim.

The work-life of healthcare providers

Interprofessional cooperation should be one of the main components of a healthy healthcare environment. Interprofessional teamwork has been shown to increase patient health outcomes and healthcare provider satisfaction. It also lowers provider fatigue and turnover, boosting employee productivity (William et al., 2016). The structural and policy factors, as well as actively involving the workforce in shared decision-making, are the three key components of such an environment.

Evidence-Based Practice and the Quadruple Aim

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Frequently Asked Questions (FAQs)

1. What are the 4 pillars of evidence-based practice?

Research evidence, practice evidence, patient evidence, and contextual evidence.

2. What is the quadruple aim of healthcare?

Evidence-Based Practice and the Quadruple Aim

The quadruple aim includes lowering costs, increasing population health, increasing patient experience, increasing team well-being, and productivity.

3. Who defined the quadruple aim?

Thomas Bodenheimer, MD

Additional content on the topic.


  • Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine12(6), 573-576.
  • Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing13(2), 172-175.
  • Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing administration quarterly42(3), 231-245 Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.
  • Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare. Global advances in health and medicine5(1), 51-60.
  • William Jackson Epperson Md, M. B. A., Facmpe, S. F. C., & Wilhoit, G. (2016). Provider burnout and patient engagement: the quadruple and quintuple aims. The Journal of medical practice management: MPM31(6), 359.

Evidence-Based Practice and the Quadruple Aim.

Evidence-Based Practice and the Quadruple Aim

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