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Updated: Sep 24, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
A quality improvement approach to develop an educational initiative for an age-friendly health system
Sherry A Greenberg1, Evelyn G Duffy2, Mary E McCormack3
1Institute for Healthcare Improvement, 53 State Street, 18th Floor, Boston, MA 02109, United States; Seton Hall University College of Nursing, 123 Metro Boulevard, Nutley, NJ 07110, United States.
Abstract:
Authors describe a quality improvement approach to develop and pilot test educational materials with an aim to educate MinuteClinic providers in the provision of age-friendly care using the 4Ms Framework: What Matters, Medication, Mentation, Mobility. The team used surveys, focus groups and site visits to develop educational prototypes with Plan-Do-Study-Act iterative cycles to improve the education. Educational materials introduced providers to 4Ms assessment and evidence-based act on strategies for older adults in the convenient care setting. The education activities included an interactive orientation module comparing standard care to 4Ms care, 10 video vignettes with experts addressing gerontological topics, and 12 grand rounds presented monthly on topics applying the 4Ms with older adults. The information gained from the staff aided in the development and the iterative improvement of the materials. This article highlights the benefits of using a quality improvement approach in development of clinician education in provision of age-friendly care.
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