Age Friendly Healthcare Delivery: The 4Ms

Age Friendly Healthcare Delivery: The 4Ms - #93

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In 2017, the Institute for Healthcare Improvement (IHI), the John A Hartford Foundation (JAHF), the American Hospital Association (AHA) and the Catholic Health Association (CHA) of the United States attempted to address the development of age-friendly health systems using a clinical framework to improve the  complex care of older adults.

These organizations defined and operationalized age-friendly care following the guidelines of beneficence, evidence-based medicine, and patient/family aligned goals and concerns.  The 4M Framework was the result: What Matters Most, Mentation, Mobility, and Medication.
 

Older patients in both community and healthcare settings.

Integrate geriatric-specific principles into the care of older patients to maximize quality of life and care.

1.    List the “4Ms” and the objective of each measure.
2.    Identify one tool for use with each “M”.
3.    Identify a clinical scenario that lends itself to utilizing part of the 4M model.
 

1.    Institute for Healthcare Improvement.  Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults.  July 2020.   http://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Documents/IHIAgeFriendlyHealthSystems_GuidetoUsing4MsCare.pdf
2.    American Geriatrics Society.  American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.  JAGS 00:1-21, 2019.
 

This GFF ___ my competence in geriatrics.

Steven Denson MD, Associate Professor, Division of Geriatric and Palliative Medicine, Medical College of Wisconsin

Kathryn Denson MD, Professor, Division of Geriatric and Palliative Medicine, Medical College of Wisconsin

Edmund Duthie Jr. MD, Professor, Division of Geriatric and Palliative Medicine, Medical College of Wisconsin

Deborah Simpson PhD, Academic Affairs Education Director, Advocate Aurora Health; Professor [Clinical Adjunct] Family Medicine & Community Health at University of Wisconsin School of Medicine and Public Health and the Medical College of Wisconsin