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Ensuring Equitable Age-Friendly Care
This article presents six steps to address inequities in the care of older adults, aligned with each step of the journey to becoming an Age-Friendly Health System.
Home-based Acute Care: Getting Started Guide
West Health Institute and the Institute for Healthcare Improvement collaborated to identify hospital-alternative care pathways for unplanned acute events for older adults, seeking the most efficient and effective ways to treat older patients in their own homes. This resource provides guidance for organizations seeking to design and implement home-based clinical and operational acute care models for older adults.
Leveraging National Nursing Home Huddles for Rapid COVID-19 Response
This article describes the use of daily 20-minute huddles with nursing home staff across the US to rapidly identify and implement best practices to reduce COVID-19-related morbidity, mortality, and transmission.
Moving Toward a Global Age-Friendly Ecosystem
This article reviews the historical evolution of age-friendly programs and describes a vision for an age-friendly ecosystem.
Virtual Learning Hour Special Series: COVID-19: Age-Friendly Care During a Pandemic
June 12, 2020 | The 4Ms Framework of an Age-Friendly Health System can be adapted and offer critical guidance to care for older adults, who are particularly vulnerable to COVID-19.
WIHI: Assessing the Value of Age-Friendly Health Care
June 13, 2019 | Are there financial benefits to being an Age-Friendly Health System? Learn about the potential to unlock cost savings and generate new revenue, all while providing safer, more appropriate care for older adults.
WIHI: Mobility Matters for Age-Friendly Care
March 22, 2018 | A new initiative wants to emphasize the physical and mental health benefits of mobility and encourage greater mobility for older patients as part of a broadening vision of age-friendly care.
WIHI: Aging in Place with a Disability and Dignity
February 22, 2018 | One of the biggest challenges facing older patients with disabilities is that the care and support services needed to function optimally at home are often fragmented — and not always obtainable.
Discharge to Assess: “Flipping” Discharge Assessment from Hospital to Home
Discharge to Assess (D2A) (also referred to as "flipped discharge") is a redesign of the care process at Sheffield Teaching Hospitals in the UK that involves assessing a patient’s needs after discharge in the patient’s own home rather than in the hospital. Activities that traditionally happen at the end of a hospital admission are instead performed successfully and safely at home, thus enabling patients who are medically ready to go home earlier and spend less time in the acute care setting.
Creating Age-Friendly Health Systems: How to Meet the Needs of a Growing Population of Older Adults
This article explains an emerging care model for older adults focused on the “4Ms” of Age-Friendly Health Systems — What Matters, Mobility, Medications, and the Mentation of older adults — that is in the testing phase at five health systems, as part of the Creating Age-Friendly Health Systems initiative led by IHI.
Postal Service “Call & Check Visits” for Isolated, Frail Elderly in the Community
This case study from the IHI/Commonwealth Fund International Program for US Health Care System Innovation describes the "Call & Check Visits” program developed by Jersey Post in Jersey, British Channel Islands, in which postal service workers check on isolated, frail elderly residents in the community, deliver prescription refills, remind clients of upcoming medical visits, and ask about their health and social needs.
The Age-Friendly Health System Imperative
The article gives an overview of how five early-adopter US health systems — working in partnership with IHI and The John A. Hartford Foundation as part of the Creating Age-Friendly Health Systems initiative — are testing prototype models for age-friendly care using continuous improvement efforts to streamline and enhance new approaches to geriatric care.
Creating Age-Friendly Health Systems: A Vision for Better Care of Older Adults
This article describes the background, evidence-based changes, and testing, scale-up, and spread strategy that are part of the design of the Creating Age-Friendly Health Systems initiative to improve care for older adults.
WIHI: Creating Age-Friendly Health Systems
April 20, 2017 | Best practices for older or elderly patients aren’t always top of mind, and practitioners don't 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.
Signature Healthcare: A Triple Aim Improvement Story
By creating a process to improve care for the frail elderly Medicare population with complex needs, and by building the supporting infrastructure in primary care, Signature Healthcare was successful in decreasing emergency department utilization and reducing acute admissions while maintaining patient satisfaction. The organization was a participant in the IHI Triple Aim Community from 2012 to 2014.
WIHI: Home for Life, Aging, and Aging in Place
May 2, 2013 | This WIHI is focused on an initiative in South Georgian Bay, a community along the Severn River in Ontario, where six organizations have come together to create a web of resources called Home for Life, focused on the growing population that’s over 65.
Author in the Room: Hearing Deficits in the Older Patient
April 2012 | A discussion with the author of the JAMA article "Hearing Deficits in the Older Patient."
Author in the Room: Elder Mistreatment
September 2011 | A discussion with the author of the JAMA article "Elder Mistreatment: 'I don't care anything about going to the doctor, to be honest...'"
Author in the Room: Finances in the Older Patient with Cognitive Impairment
June 2011 | A discussion with the author of the JAMA article "Finances in the Older Patient with Cognitive Impairment: 'He Didn't Want Me to Take Over'.”
Passport Exclusive: Minimizing Risk for Elderly Patients
In this video, Kevin Stewart, describes the key things providers should consider when caring for elderly patients in order to reduce complications, avoid readmissions, and improve patient experience.
Author in the Room: Managing Medications in Clinically Complex Elders
November 2010 | A discussion with the author of the JAMA article "Managing Medications in Clinically Complex Elders."
Author in the Room: Incontinence in Older Women
August 2010 | A discussion with the author of the JAMA article "Incontinence in Older Women."
Author in the Room: The Older Adult Driver with Cognitive Impairment
June 2010 | A discussion with the author of the JAMA article "The Older Adult Driver with Cognitive Impairment."
Author in the Room: Medical Care for the Final Years of Life
February 2010 | A discussion with the author of the JAMA article "Medical Care for the Final Years of Life."
Author in the Room: Effectiveness of Collaborative Care for Adults with Alzheimer's
June 2006 | A discussion with the author of the JAMA article "Effectiveness of Collaborative Care for Older Adults with Alzheimer Disease in Primary Care."