Stop Physician Burnout - the Quadruple Aim Prime Directive for Physician Leaders

Posted by Dike Drummond MD

Stop Physician Burnout - the Quadruple Aim Prime Directive for Physician Leaders

The modern physician burnout epidemic is a sign that doctors are at a tipping point ... as in tipping over the edge of a cliff. You think burnout is bad now ... project a future where we simply continue dumping additional responsibilities on their backs as usual.

The Quadruple Aim has the potential to turn the tide of stress and burnout, but only if we can bridge the gulf between UNDERSTANDING the Quadruple Aim and actually IMPLEMENTING it.

Let me show you a powerful way to bring the Quadruple Aim to life in your organization with a simple Prime Directive for Healthcare Leaders.

Blog Post Naturally Lousy Leaders


Tags: physician leadership, stop physician burnout, quadruple aim

The Quadruple Aim - Three Components

Posted by Dike Drummond MD

Three Key Components of the Quadruple Aim

Medicine's new Quadruple Aim is the realization that building a quality healthcare delivery system is a lot like building a house.

If you have a good foundation, you can build a solid structure. 

If your foundation is unstable, weak or inadequate - your house will be in a constant state of falling apart. You cobble things back together, just in time for the walls to start crumbling again. 

If the "house" you want to build is a high quality, cost effective healthcare system with high patient satisfaction ... this is the old Triple Aim ... the only legitimate foundation is the health and wellbeing of the workers in the system.

====================== CLICK HERE for Instant Access to our  Quadruple Aim  Blueprint Strategy FREE White Paper Download ============

The Quadruple Aim IS the foundation of quality healthcare.

Every single contact with patients, test ordered, procedure performed and drug prescribed ...  is predicated on the assumption that your people are happy and healthy and enjoying their work.

Your ability to fulfill the promises of the Triple Aim is based on the assumption that your employees are at their best. Unfortunately we know that is measureably NOT TRUE. 

If your workers are burned out - quality and satisfaction go out the window and your system lurches from one crisis to the next. 

With recent studies suggesting that 50% of doctors are burned out on any given office day, the logical question is HOW?

HOW do you install the Quadruple Aim in your organization? 


Tags: Physician burnout, quadruple aim

A Quadruple Aim Culture Eats Physician Burnout for Breakfast

Posted by Dike Drummond MD

If there is a culture that eats physician burnout for breakfast, where do you find that restaurant and who is your server?
[ quick link to the answer]

There IS a culture capable of eating burnout for breakfast.

A healthy workplace culture is more than a Unicorn - something you have heard of but never actually seen. I have experienced it personally in sports and on work teams outside of healthcare. Even in high stress, difficult situations, that culture kept us connected, supporting and caring for each other. 

Unfortunately, the typical hostile, overloaded, Triple Aim whirlwind of a workplace culture in a healthcare organization will EAT YOU and your people for breakfast instead.

New call-to-action


I invite you to put on your culture glasses for a moment. These are a lot like comic book X-ray spectacles -- only these lenses allow you to see the fabric of your workplace culture. Slide these glasses on and you can clearly see the informal attitudes and rules that govern the way we interact with each other while delivering patient care.

As you walk through your workplace, imagine your glasses can actually show you the answers to the questions below as thought bubbles above the heads of your people.


Tags: Physician burnout, quadruple aim, physician leadership retreat

Announcing the Quadruple Aim Physician Leadership Retreat - Seattle, Washington, May 7 – 10, 2017

Posted by Dike Drummond MD

Inaugural Quadruple Aim Physician Leadership Retreat launching in Seattle, Washington, May 7 – 10, 2017 [Press Release]

Learn More About the Retreat
and Secure Your Spot on the Early Bird Registration List
[ ]

Burnout is rampant among American doctors. One recent survey shows 54% of practicing physicians suffering from at least one burnout symptom (1). Burnout’s pervasive negative effects include lower quality of care, patient satisfaction, higher error rates and an organizational culture of resistance and disengagement.

One of the causes of this modern epidemic is twenty years of single-minded industry focus on the Triple Aim – Cost, Quality and Population Health. In 2015 a group of healthcare leaders finally asked the obvious question, “How can our organizations provide high quality medical care if our people are burned out?” The answer revealed healthcare’s new Quadruple Aim. (2)

In these chaotic times a focus on this fourth aim – the health and wellbeing of all the people providing the care – will make the difference. When physician leaders learn the skills to reduce burnout and build a more supportive culture – actually living the Quadruple Aim – better care and satisfaction, fewer errors and more engagement will be the result, naturally and automatically., Seattle, Washington 1/12/2017, the healthcare industry leader in burnout prevention training and coaching, announces the first Quadruple Aim Physician Leadership Retreat, May 7 – 10, 2017 in Seattle Washington.


Tags: physician leadership, quadruple aim

The Quadruple Aim Mission Statement Challenge

Posted by Dike Drummond MD

The Quadruple Aim Mission Statement Challenge

Is your organization focused on the Triple Aim or the new Quadruple Aim ... and what impact can you expect on your quality of life?

This 30 second peek at your Mission Statement will show you just how much your organization understands burnout ... and cares about you ... and what you can do about it.

The Quadruple Aim Blueprint White Paper Download
Four Steps to System-Wide Burnout Prevention
Download your Free Copy Now

Remember the old Triple Aim in Healthcare?

1) Improved population heath
2) Improved patient experience
3) Lower cost

This three pronged approach to improving healthcare delivery was first promulgated by the Institute for Healthcare Improvement (IHI) back in the 1990's.

As we look back on from our vantage point here in 2016, at the changes this initiative has brought to healthcare, there appears to be a large red flag waving frantically over the house of medicine. We know now that ... 

The Triple Aim is built of noble ideals
The Triple Aim has had ruinous unintended consequences

If all you focus on is quality, cost and patient satisfaction ... you burn out the people providing care. 

Single minded focus on the Triple Aim without acknowledging the health and well being of the physicians and staff providing care is a three lane on-ramp to the burnout highway.

We know the doctors are suffering and things are getting worse. The latest general physician burnout survey shows 54% of US doctors are experiencing at least one symptom of burnout. This is up from 45% just three years ago. There is no reason to think nurses and other staff members are any better off.

Enter Healthcare's New QUADRUPLE AIM


Tags: Physician burnout, mission statement, quadruple aim, triple aim

Quadruple Aim - is it the antidote to Physician Burnout?

Posted by Dike Drummond MD

Quadruple Aim - is it the antidote to Physician Burnout?

[related: Physician Leadership Dirty Little Secrets]

Physician Burnout is the Rodney Dangerfield of issues confronting our rapidly changing healthcare environment

It get's no respect ... at least until now.

In a dramatic mainstream journal article published in the latest issue of Annals of Family Medicine, the authors have proposed using Physician Burnout to redefine the Institute for Healthcare Improvement's Triple Aim for healthcare.

Here is the Triple Aim:

  • Enhancing the patient experience
  • Improving population health
  • Reducing costs

I hope you can see the blind spot in this three part formula

Let's listen to the authors state what should have been blatantly obvoius from the start ... 

They note:


Tags: Physician burnout, the happy md, quadruple aim

New call-to-action

Subscribe to Email Updates