Creating Age-Friendly Health Systems – A vision for better care of older adults

Mate, Kedar S.; Berman, Amy; Laderman, Mara; Kabcenell, Andrea; Fulmer, Terry

doi:10.1016/j.hjdsi.2017.05.005

Cited by 123 publications

(143 citation statements)

References 14 publications

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“…families; "mobility" is highlighted throughout educational opportunities and resources; "medication" reviews and reduced pharmacologic restraints are key components of the EFC approach to care; and resources for delirium prevention, responsive behaviours, sleep support, and meaningful activities address "mentation" [5,16]. Additionally, EFC encourages decreased use of a broad range of restraints, 3 focuses on identifying and supporting frail older adults, 4 and stresses PFCC care planning and transitions for successful discharges.…”

Section: Project Details and Characteristicsmentioning

confidence: 99%

“…In 2017, the total health expenditure for older adults was $242 billion, representing 11.5% of Canada's Gross Domestic Product (GDP) [4]. With this combination of population aging and increased demand for healthcare services leading to higher healthcare spending-to-GDP ratios [5], new principles and practices of care need to be explored and adopted.…”

Section: Introductionmentioning

confidence: 99%

“…A number of studies have argued that elder-friendly hospital system should emphasize the "4 Ms": matters most, mobility, medications, and mentation [5,16]. Care should focus on what "matters most" to patients and families, following their care goals and personal needs, while mobility emphasizes keeping older adults active to combat the harmful effects of restraints and immobility in hospitals [16].…”

Section: Introductionmentioning

confidence: 99%

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Pilot implementation of elder-friendly care practices in acute care setting: a mixed methods study

Arain

Graham

Ahmad

et al. 2020

BMC Health Serv Res

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Background: Frail older patients are at risk of experiencing a decline in physical and cognitive function unrelated to the reason for admission. The Elder-Friendly Care (EFC) program was designed to improve the care, experiences, and outcomes of frail older adults. The project supported 8 Early Adoption Sites (EAS) in a large Canadian healthcare organization by providing multiple strategies, educational opportunities, and resources. The purpose of this study was to assess the usefulness of EFC educational materials and resources, staff practice changes and perceptions in pilot sites, and readiness for scale and spread. Methods: The study was conducted from May 2017 to June 2018 using a mixed-methods approach incorporating the Kirkpatrick Model of Training/Evaluation. A total of 76 Direct Care Staff participated in the staff survey, which assessed their awareness of, satisfaction with, and utilization of EFC principles, resources, and practices. Additionally, 12 interviews were conducted with staff who were directly involved in site implementation of EFC. Results: Most survey participants were aware (86%, n = 63) of the EFC program, and 85% (n = 41) indicated they or their site/unit had implemented EFC. Out of these 41 participants, the most common practice changes identified were: incorporating alternatives to restraint (81%, n = 33), decreased use of pharmacological restraint (78%, n = 32), and patient and family care planning (76%, n = 31). Participants that attended all 3 EFC Learning Workshops (LWs) were significantly more likely to recommend the EFC Toolkit to others (87% versus 40%; χ 2 = 8.82, p < 0.01) compared to participants attending less than 3 EFC LWs. Interview participants indicated that the program was well structured and flexible as sites/units could adopt changes that suited their individual sites, needs, contexts, and challenges. Conclusions: The educational materials and resources used for the EFC project are useful and appreciated by the Direct Care Staff. Further, participants perceive the EFC intervention as effective in creating positive practice change and useful in reducing hospital-related complications for older patients. Future implementation will investigate the impact of EFC on system-level outcomes in acute care.

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Section: Project Details and Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pilot implementation of elder-friendly care practices in acute care setting: a mixed methods study

Arain

Graham

Ahmad

et al. 2020

BMC Health Serv Res

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“…The John A. Hartford Foundation has made a concerted effort to enhance hospital care (12,13). They have developed a 4M approach as the framework of an age-friendly health system:…”

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confidence: 99%

Aging Friendly Health Systems

Sanford

Berg‐Weger

Lundy

et al. 2019

The Journal of nutrition, health and aging

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“…The WHO proposed developing age‐friendly cities (Organization, ) and disseminated a model for age‐friendly primary care (Organization, ). Most recently, leading organisations in the United States where I live, took up age‐friendly to reshape our health care organisations (Fulmer, Mate, & Berman, ; Mate, Berman, Laderman, Kabcenell, & Fulmer, ). Here, age‐friendly health systems are building on models from nursing such as transitional care (Naylor et al, ) and medicine where they drew on the Five M's, modified for age‐friendly care as Four M's (Tinetti, Huang, & Molnar, ).…”

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confidence: 99%

Are you ready to manage age‐friendly care?

Kagan

2019

J Nurs Manag

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Creating Age-Friendly Health Systems – A vision for better care of older adults

Cited by 123 publications

References 14 publications

Pilot implementation of elder-friendly care practices in acute care setting: a mixed methods study

Pilot implementation of elder-friendly care practices in acute care setting: a mixed methods study

Aging Friendly Health Systems

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