Implementing the Stratified Approach
Opportunity Analysis The starting point for a health system interested in pursuing the stratified approach to the Triple Aim is to undertake a detailed analysis of where the greatest opportunities exist for improving care. Known in the strategic management literature as opportunity analysis, this process would, in the case of the Triple Aim, involve analyzing historical population data to identify Triple Fail events and gauging how responsive each such event might have been to a cost-effective preventive intervention identified from the literature.24
Once a high-opportunity subpopulation of patients has been identified in historical data, people in the population with these characteristics need to be identified prospectively to determine who should be offered an intervention. Therefore, a key requirement for the stratified approach is the ability to identify patients who are at risk of future Triple Fail events.