The correct answer to this open question is the following.
I think the Triple Aim programs have been successful because they were planned by experts of health services in America.
Based on the success of the Triple Aim initiatives, I would recommend two strategies I would take to improve the implementation of health care quality initiatives within your organization (or an organization you are familiar with).
The first strategy would be the permanent training and continuing education programs not only in medical expertise but in human and public relations to have an excellent relationship not only with the patient but with the family of the patient that is very involved in the process of healing too.
The other strategy would be a reduction of the costs of providing health services to the community. What I would do is to ask for donations or the sponsorship of bib and medium-sized businesses in the community that could help reduce the amount of money people need to pay for medical services. Unfortunately, today, the health industry has become a lucrative one that does not think of people's needs first. In simple terms, it is a business.
The challenges I would face will be the reluctance of many companies in sponsoring this idea. They are business too and they like to get some lucrative terms that favor them.
Another challenge could be medical employees' disposition to learn new concepts on customer relationships and human relationships, thinking these are a waste of time and they are not their main role, just thinking that they have to train in their medical specialty.
However, the opportunities are big too. To change the way medical services are approached and give people a chance to get professional and good medical attention at affordable costs.
At least, that is the framework of the IHI Triple Aim Initiative: to improve the patient experience, to improve the health of the people, and to reduce the costs of the service.