Introduction Study design answers to the question how a multidisciplinary team model based on open access, chronic care model and lean visual daily management affects the quadruple aim results of a primary care center.¹

Methods A multidisciplinary team model implemented in a primary care health center. Team processes are based on open access, chronic care model and lean visual daily management.^2–4 Quadruple aim is the goal framework. Benchmark controlled trial started in March 2022 between two primary care centers in Espoo, Finland. Patient cohorts are cardiovascular patients (250 each).

Results Results presented will be access to care, third available appointment, patient and personnel experience, quality of life, hospital admissions, continuity of care, patient enablement index, treatment results, costs per patient, theme interviews to both patients and personnel.⁵

Discussion Results can be utilized designing systems when achieving quadruple aim has been previously difficult to reach.

References

1. Sikka R, Morath JM, Leape L. The quadruple aim: care, health, cost, and meaning in work. BMJ Qual Saf 2015;24:608–610.

2. Institute of Medicine 2001. Crossing the Quality Chasm: A New Health System for the 21st Century.

3. Murray M, Berwick DM. Advanced access: reducing waiting and delays in primary care. JAMA 2003;289(8):1035–1040.

4. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Millbank Q 1996;74:511–44.

5. Øvretveit John. Evaluating health interventions. 1998.