April 20, 2017, 2:00 PM ET: Creating Age-Friendly Health Systems
- Terry Fulmer, PhD, RN, FAAN, President, The John A. Hartford Foundation
- Kedar Mate, MD, Chief Innovation and Education Officer, Institute for Healthcare Improvement
- Lillian Banchero, MSN, RN, Senior Director Patient Flow/Nursing Operations/Geriatrics, Anne Arundel Medical Center
This spring, five health systems in the US are embarking on an initiative to discover how they can reliably deliver the best care to older adults. It’s not that they’re failing to provide high-quality care now – far from it. But even at exemplar institutions, best practices for older or elderly patients aren’t always top of mind, nor do practitioners always know how they might do things differently. Now, a small group of health systems is about to test some new, evidenced-based interventions that promise to model for the rest of the industry the types of changes needed. We’d like you to learn what’s in store and consider your own improvement opportunities on the April 20 WIHI: Creating Age-Friendly Health Systems.
As you’ll hear from Kedar Mate, IHI has the fortunate role of guiding this initiative for the next few years, thanks to support from The John A. Hartford Foundation. The Foundation has been pursuing ideal care for older patients for a while now, and has concluded that age-friendly health care should focus on four high-level goals: What Matters, Mobility, Medications, and Mentation – each of which encompasses specific actions. For example, under Mentation you’ll find “Engage and orient to maximize independence and dignity”; under Medications, “De-prescribe and adjust doses to be age-friendly.”
Terry Fulmer is the first to say that there’s a lot more to it besides the “4Ms,” as they’re called, including the need for health system leaders who have zero tolerance for ageism, and clinical staff who are eager to obtain the skills to engage with and treat older individuals. That hasn’t always been an easy sell, but when you hear from Lillian Banchero about what’s going on at Anne Arundel Medical Center in Maryland, there’s reason to be hopeful.
This is an exciting moment to learn about “age-friendly” care and an initiative that, in collaboration with the American Hospital Association, plans to extend to 20% of all US hospitals by 2020. Come get the scoop on the April 20 WIHI!