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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 are 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 of:

Patient experience

Population health

Costs

Work life of healthcare providers

Sample Solution

 

Post an explanation of how EBP might impact (or not impact) the Quadruple Aim in healthcare. Then, explain how organizational leadership can use the evidence provided by EBP to positively influence patient outcomes and provider work life satisfaction.

Evidence-based practice (EBP) has the potential to improve healthcare performance across all four of the Triple/Quadruple Aim objectives: population health, patient experience, cost containment and provider satisfaction. By following guidelines created from best practices supported by research and proven results, organizations can ensure that their decision making is based on accurate data rather than gut instinct or guesswork. This will help them avoid costly mistakes and make sound decisions that result in improved outcomes for patients as well as increased job satisfaction for providers.

Sample Solution

 

Post an explanation of how EBP might impact (or not impact) the Quadruple Aim in healthcare. Then, explain how organizational leadership can use the evidence provided by EBP to positively influence patient outcomes and provider work life satisfaction.

Evidence-based practice (EBP) has the potential to improve healthcare performance across all four of the Triple/Quadruple Aim objectives: population health, patient experience, cost containment and provider satisfaction. By following guidelines created from best practices supported by research and proven results, organizations can ensure that their decision making is based on accurate data rather than gut instinct or guesswork. This will help them avoid costly mistakes and make sound decisions that result in improved outcomes for patients as well as increased job satisfaction for providers.

Laying eggs is crucial part of the life cycle for oviparous animals. “An important factor affecting the life-history of an organism is parental investment in reproduction: reproductive decisions are almost invariably costly” (Kotiaho and Paukku 2008). Our experiment is focused on pre-oviposition by measuring whether or not bean beetles prefer small or large lima beans to oviposit on. Oviposition preference is dependent on size, small or large, of a lima bean.  If bean beetles prefer large lima beans, will we see any eggs deposited on small lima beans? Or, if there is no preference, will we see near-equal numbers for both categories?

For this experiment our model organism is Callosobrachus maculatus, commonly known as the bean beetle. C. maculatus is frequently found in reproductive experiments because they are easy to maintain, adults do not require food or water and the tropical/subtropical regions they are naturally found in can be easily duplicated, and they spend their entire lifespan (around 1-2 weeks) mating and laying eggs (Beck and Blumer 2011). The reason why this organism was chosen for our experiment is because the larvae of this species exclusively feeds and develops on the seed of legumes (Beck and Blumer 2011). We believe that if a preference is shown, a greater number of eggs will be oviposited on the larger lima beans when compared to small lima beans.

Methods

To begin we gathered 3 individual petri dishes with lids and put 15 large and 15 small lima beans in each dish. All lima beans used in this experiment were gathered from the same source. Next, we obtained the beetles from a laboratory container which supplied the class for this experiment. 3 randomly chosen female and 2 randomly chosen male bean beetles were placed in each petri dish. This was done by using an aspirator to suck each beetle into a collecting vial, then releasing the beetle into its prearranged petri dish. Finally, the petri dishes were placed in a room-temperature location for 2 weeks to allow enough time for fertilization and oviposition.

After 2 weeks, each individual bean was observed under a microscope and examined for eggs. To calculate our results we used the final measurements. Our ending measurements were obtained by observing, through the microscope, which beans had eggs laid on them. We recorded our observations by numbering how many eggs were found on each bean. After observing all 90 lima beans, we returned the beans back to their original groups to determine group averages. After, all 45 small and 45 large beans were placed togethe

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