Selecting implementation strategies to drive <scp>Age‐Friendly</scp> Health System Adoption

Burke, Robert E.; Brown, Rebecca T.; Kinosian, Bruce

doi:10.1111/jgs.17489

Cited by 15 publications

(23 citation statements)

References 22 publications

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“…Strategies to address the 4Ms must take into account the practice setting and fair distribution of services 12 . Patients who are unstable or are suffering with pain or discomfort may not be able to participate in screening.…”

Section: Discussionmentioning

confidence: 99%

“…36,37 Strategies to address the 4Ms must take into account the practice setting and fair distribution of services. 12 Patients who are unstable or are suffering with pain or discomfort may not be able to participate in screening. Likewise, patients who have minor acute issues may not be in the ED long enough to participate in extensive screening.…”

Section: Discussionmentioning

confidence: 99%

“…This study also supports a targeted approach to 4 M screening in the ED rather than a blanket approach. 12 Each of the 4Ms was addressed via the geriatric ED process or SCOUTS process. What matters was ascertained using an unstructured interview, chart review for the presence of advanced directives, and discussions with the caregiver to provide additional information.…”

Section: Discussionmentioning

confidence: 99%

“…VA is an ideal place to implement geriatric ED programming and promote accreditation given the high proportion of older Veterans within the system, the broad range of patient‐centered resources available, and the integration of health care across the enterprise. In addition to the geriatric ED principles promoted by accreditation, the VA is also an ideal place for large‐scale implementation of the 4 M model of Age‐Friendly Health Systems 11,12 . The 4 M Model (what Matters, Mobility, Mentation, and Medication) was developed by a partnership with the John A Hartford Foundation and the Institute for Healthcare Improvement to address the interrelated health care needs of older adults 11 .…”

Section: Introductionmentioning

confidence: 99%

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Telehealth for geriatric post‐emergency department visits to promote age‐friendly care

McQuown

Snell

Abbate

et al. 2022

Health Services Research

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Objective To describe a feasibility pilot study for older adults that addresses the digital divide, unmet health care needs, and the 4Ms of Age‐Friendly Health Systems via the emergency department (ED) follow‐up home visits supported by telehealth. Data Sources and Study Setting Data sources were a pre‐implementation site survey and pilot phase individual‐level patient data from six US Department of Veterans Affairs (VA) EDs. Study Design A pre‐implementation survey assessed existing geriatric ED processes. In the pilot called SCOUTS (Supporting Community Outpatient, Urgent care & Telehealth Services), sites identified high‐risk patients during an ED visit. After ED discharge, Intermediate Care Technicians (ICTs, former military medics), performed follow‐up telephone, or home visits. During the follow‐up visit, ICTs identified “what matters,” performed geriatric screens aligned with Age‐Friendly Health Systems, observed home safety risks, assisted with video telehealth check‐ins with ED providers, and provided care coordination. SCOUTS visit data were recorded in the patient's electronic medical record using a standardized template. Data Collection/Extraction Methods Sites were surveyed via electronic form. Administrative pilot data extracted from VA Corporate Data Warehouse, May–October 2021. Principle Findings Site surveys showed none of the EDs had a formalized way of identifying the 4 M “what matters.” During the pilot, ICT performed 56 telephone and 247 home visits. All home visits included a telehealth visit with an ED provider (n = 244) or geriatrician (n = 3). ICTs identified 44 modifiable home fall risks and 99 unmet care needs, recommended 80 pieces of medical equipment, placed 36 specialty care consults, and connected 180 patients to a Patient Aligned Care Team member for follow‐up. Conclusions A post‐ED follow‐up program in which former military medics perform geriatric screens and care coordination is feasible. Combining telehealth and home visits allows providers to address what matters and unmet care needs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Telehealth for geriatric post‐emergency department visits to promote age‐friendly care

McQuown

Snell

Abbate

et al. 2022

Health Services Research

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“…(e) is the age‐friendly practice sustainable? and (f) what is the effect of age‐friendly 4Ms care on caregiver burden and nursing home utilization? 11,28 …”

Section: Discussionmentioning

confidence: 99%

Age‐Friendly Health Systems: Improving care for older adults in the Veterans Health Administration

Church

Munro

Shaughnessy

et al. 2022

Health Services Research

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Central Nervous System-Active Prescriptions in Older Veterans: Trends in Prevalence, Prescribers, and High-risk Populations

Burke,

Pelcher,

Tjader

et al. 2023

J GEN INTERN MED

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Selecting implementation strategies to drive Age‐Friendly Health System Adoption

Cited by 15 publications

References 22 publications

Telehealth for geriatric post‐emergency department visits to promote age‐friendly care

Telehealth for geriatric post‐emergency department visits to promote age‐friendly care

Age‐Friendly Health Systems: Improving care for older adults in the Veterans Health Administration

Central Nervous System-Active Prescriptions in Older Veterans: Trends in Prevalence, Prescribers, and High-risk Populations

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