Related Experiment Video
Updated: Feb 23, 2026
14:13
A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
11.5K
The Age-Friendly Health System Imperative.
Terry Fulmer1, Kedar S Mate2,3, Amy Berman1
1The John A. Hartford Foundation, New York, New York.
Journal of the American Geriatrics Society
|September 7, 2017
Summary
The American healthcare system is evolving with a focus on value-based care and an aging population. New prototypes aim to create a more effective, patient-directed, and safer geriatric care system by engaging family caregivers and improving communication.
Area of Science:
- Healthcare System Transformation
- Geriatric Care Innovation
- Value-Based Healthcare Models
Background:
- The American healthcare system is undergoing significant changes, shifting from volume-based to value-based care.
- An increasing population aged 65 and older presents both opportunities and challenges for healthcare delivery.
- Existing healthcare models struggle to adequately address the complex needs of older adults.
Purpose of the Study:
- To envision and prototype an age-friendly health system for the future.
- To develop proactive models that prevent avoidable harm and manage complex needs in older adults.
- To enhance the effectiveness, patient-direction, and safety of geriatric care.
Main Methods:
- Partnering with the Institute for Healthcare Improvement to develop new approaches.
- Prototyping innovative care models for older adults with complex needs.
- Engaging five early-adopter health systems to test and refine prototypes.
Main Results:
- Prototyping shows promise for a more effective and patient-directed healthcare system.
- Focus on proactive care models and prevention of avoidable harms.
- Emphasis on robust family caregiver engagement and cross-setting communication.
Conclusions:
- The development of an age-friendly health system is crucial for meeting the needs of a growing older adult population.
- Proactive, patient-directed, and well-communicated care models are essential for improving geriatric healthcare outcomes.
- Continuous improvement and testing in real-world settings are vital for successful implementation.
Related Concept Videos
01:18Introduction To Health Care Delivery System
4.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.2K
01:29Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K
01:15Drug Dosing: Geriatric Patients
309
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
309
01:21Tertiary Healthcare System
2.3K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.3K
01:11Secondary Healthcare System
2.1K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.1K
01:26Traditional Level Of Health Care System
3.5K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.5K