“…This one-page tool was codesigned by consumers and records WMTY information like ‘Things that are important to me are…’ and ‘Quality of life is more/less important than length of life for me’ (Supplementary Appendix 1, http://links.lww.com/COSPC/A37). We have recently investigated the addition of patient-derived photographs to a routine multidimensional GA [electronic Rapid Fitness Assessment (eRFA)] [48,49]. This approach enables older adults to further express aspects of their identity and what matters to them [49].…”
Section: The 4ms In Cancer Carementioning
confidence: 99%
“…FIGURE 2. Adapting the 4Ms framework to geriatric oncology care at a regional cancer centre in Australia. eRFA, electronic Rapid Fitness Assessment [48,50]; TiM, This is me tool [47]. …”
Purpose of review
There is a growing movement towards person-centred, age-friendly healthcare in the care of older adults, including those with cancer. The Age-Friendly Health Systems (AFHS) initiative uses the 4Ms framework to enable this change. This review documents the utility and implications of 4Ms implementation across different settings, with a particular focus on cancer care.
Recent findings
The AFHS initiative 4Ms framework uses a set of core, evidence-based guidelines (focussing on What Matters, Medication, Mentation and Mobility) to improve person-centred care. The successful implementation of the 4Ms has been documented in many different healthcare settings including orthopaedics primary care, and cancer care. Implementation of the 4Ms framework into existing workflows complements the use of geriatric assessment to improve care of older adults with cancer. Models for implementation of the 4Ms within a cancer centre are described. Active engagement and education of healthcare providers is integral to success. Solutions to implementing the What Matters component are addressed.
Summary
Cancer centres can successfully implement the 4Ms framework into existing workflows through a complex change management process and development of infrastructure that engages healthcare providers, facilitating cultural change whilst employing quality improvement methodology to gradually adapt the status quo to age-friendly processes.
“…This one-page tool was codesigned by consumers and records WMTY information like ‘Things that are important to me are…’ and ‘Quality of life is more/less important than length of life for me’ (Supplementary Appendix 1, http://links.lww.com/COSPC/A37). We have recently investigated the addition of patient-derived photographs to a routine multidimensional GA [electronic Rapid Fitness Assessment (eRFA)] [48,49]. This approach enables older adults to further express aspects of their identity and what matters to them [49].…”
Section: The 4ms In Cancer Carementioning
confidence: 99%
“…FIGURE 2. Adapting the 4Ms framework to geriatric oncology care at a regional cancer centre in Australia. eRFA, electronic Rapid Fitness Assessment [48,50]; TiM, This is me tool [47]. …”
Purpose of review
There is a growing movement towards person-centred, age-friendly healthcare in the care of older adults, including those with cancer. The Age-Friendly Health Systems (AFHS) initiative uses the 4Ms framework to enable this change. This review documents the utility and implications of 4Ms implementation across different settings, with a particular focus on cancer care.
Recent findings
The AFHS initiative 4Ms framework uses a set of core, evidence-based guidelines (focussing on What Matters, Medication, Mentation and Mobility) to improve person-centred care. The successful implementation of the 4Ms has been documented in many different healthcare settings including orthopaedics primary care, and cancer care. Implementation of the 4Ms framework into existing workflows complements the use of geriatric assessment to improve care of older adults with cancer. Models for implementation of the 4Ms within a cancer centre are described. Active engagement and education of healthcare providers is integral to success. Solutions to implementing the What Matters component are addressed.
Summary
Cancer centres can successfully implement the 4Ms framework into existing workflows through a complex change management process and development of infrastructure that engages healthcare providers, facilitating cultural change whilst employing quality improvement methodology to gradually adapt the status quo to age-friendly processes.
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