Chronic care management (CCM) is at the core of the Triple Aim, a key population health approach. The Triple Aim Initiative is a framework targeted at optimizing health systems and practices. The three dimensions of Triple Aim are “to improve the patient experience of care (including quality and satisfaction), improve population health, and reduce costs per capita.”
Active patient engagement which elevates the patient experience, improves care outcomes and Quality of Life (QALY). Keeping in mind that the best practices and health systems not only meet the metrics of standards, but also lift the spirits of patients. Coordinated care, transitional care, and even tele-health can all play key roles in elevating a practice and health system's population health strategy. Perhaps most importantly consistent patient engagement enhances patient safety, quality and satisfaction.