9/12/2023 0 Comments Amsn ebp impactWith growing awareness of the importance of institutional context, however, HTA is increasingly being conducted at the hospital level ( Gagnon, 2014). Often, HTA is conducted by or for national or international organizations ( Gagnon, 2014). One mechanism for addressing issues of safety, effectiveness and cost of health technologies is through the use of health technology assessment (HTA Gagnon, Desmartis, Poder, & Witteman, 2014[. These overarching strategies are used to frame health care policy in the United States and internationally (e.g., in Canada Liddy & Keely, 2018 and Australia ( Productivity Commission, 2017). Thus, the Triple Aim has expanded to become the Quadruple Aim with the inclusion of a focus on improving the work life of health care providers and staff ( Bodenheimer & Sinsky, 2014 Ruddy, Thomas-Hemak, & Meede, 2016 Sikka, Morath, & Leape, 2015). Challenges in pursuing the Triple Aim have subsequently highlighted the need to support the health care workforce. This emphasis on evidence-based care operationalizes the Triple Aim initiative, which sets three overarching goals for healthcare delivery: (a) improving population health, (b) improving the patient experience, and (c) reducing per capita cost of care ( Berwick, Nolan, & Whittington, 2008). The Institute of Medicine’s Roundtable on Evidence Based Practice recommends that, by the year 2020, 90% of clinical decisions should be evidence-based ( Institutes of Medicine, 2009). Evidence-based practice (EBP) is widely accepted as a core tenet of high-quality cost-effective patient care.
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