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About the Indicators

26 health indicators organized by the Triple Aim framework (Berwick, Nolan, Whittington, 2008). Unlike the DRC and Bolivia dashboards which use modified versions of the framework, this US dashboard uses the original Triple Aim dimensions as designed.

The Triple Aim Framework

The Triple Aim (2008) describes three simultaneous objectives for health system performance. The US health system context — with established insurance infrastructure, patient experience surveys (CAHPS), and comprehensive cost data — allows us to use the original framework without modification:

Population Health

Mortality, NCDs, behavioral factors, and prevention — including US-specific crises (opioids, suicide)

Experience of Care

Original dimension — workforce, UHC coverage, care quality, CMS readmission and spending measures

Per Capita Cost

Original dimension — health expenditure, GDP share, out-of-pocket burden, public vs private spending

Data Sources

SourceIndicatorsDescription
World Bank WDI17World Development Indicators — comprehensive health, economic, and demographic data for 200+ countries
WHO Global Health Observatory7WHO's repository of health statistics for 194 member states, including NCD risk factors and mortality data
CMS Provider Data Catalog2Centers for Medicare & Medicaid Services — hospital quality measures, readmission rates, and spending data via Socrata API

Framework Citation

Berwick DM, Nolan TW, Whittington J. “The Triple Aim: Care, Health, and Cost.” Health Affairs. 2008 May-Jun;27(3):759-69. DOI: 10.1377/hlthaff.27.3.759.

Measurement guide: Stiefel M, Nolan K. A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2012.