![]() In the context of Comprehensive Primary Care, WAPHA has adopted the Quadruple Aim. The purposes of this position paper are to define primary care and to describe occupational therapy’s evolving and advancing role in primary care, including expansion of services into specialty primary care areas such as pediatric primary care and obstetrics and gynecology ( AOTA, 2018). whole person care to individuals and families in their communities. In addition, occupational therapy practitioners’ holistic and population perspectives allow them to be effective both as interprofessional health care team members and as direct care providers to support client, family, and community needs in primary care delivery models ( Leland et al., 2017). ![]() A few years later, the concept evolved to become known as the Quadruple Aim to include clinician well-being. This quasi-experimental pilot study tested a 2 week intervention aimed to address the Quadruple Aims while improving productivity. Appreciating a strong voice advocating for whole person health from the Samueli Foundation and Dr. Berwick, an early pioneer of quality improvement in health systems and healthcare, the Quadruple Aim expanded the goals of enhancing patient experience, reducing cost and optimizing population health to include improvements to the work-life and experience of clinicians and care teams that. Occupational therapy’s focus on meaningful engagement in occupations is relevant and vital to participation in individual, family, and community life ( AOTA, 2020c). In 2007, the Institute of Healthcare Improvement introduced the Triple Aim, a concept of improved patient experience, better outcomes, and lower costs as key to health care transformation. Healthcare is battling a conflict between the Quadruple Aimsreducing costs improving population health, patient experience, and team well-beingand productivity. 36 In alignment with the quadruple aim, 22, 23 sub-domains also include patient centeredness (e.g., whether patients should receive care in-person or. Building off of the Triple Aim articulated by Dr. Occupational therapy practitioners’ distinct knowledge of the significant impact that roles, habits, and routines have on health and wellness makes their contribution to primary care valuable ( AOTA, 2020b). Because of an increased focus on preventive population health and social determinants of health by health care organizations, synergy between primary care and occupational therapy is growing, with support for client-centered, 2 comprehensive whole-person care, health promotion and prevention, disease self-management, and quality of life ( Halle et al., 2018). The American Occupational Therapy Association (AOTA) affirms that occupational therapy practitioners 1 are well prepared to contribute to interprofessional collaborative care teams addressing the primary care needs of individuals across the life course.
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