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Implementation of an age-friendly care initiative in an acute care setting: Overcoming challenges and measuring
Lise Cooper1, Keerti Sharma1, Brittney Daley1
1Morristown Medical Center, Morristown, NJ, United States.
Background:
The aging U.S. population requires innovative care approaches. Our medical center implemented the Age-Friendly Health Systems "4Ms" framework-what Matters, Medication, Mentation, and Mobility-using a Plan-Do-Study-Act quality improvement approach.
Methods:
Launched in December 2019 on two inpatient units, this nurse-led project aimed to improve care for hospitalized adults aged 70+. Key interventions included enhancing documentation of patient goals, reducing high-risk medications, implementing delirium prevention strategies, and supporting mobility. Metrics tracked included 4Ms adherence, Beers® Criteria medication orders, delirium incidence, and ambulation distances.
Results:
Over five years, 4Ms adherence rose from 81% to 100%, Beers Criteria medication orders decreased, and ambulation distances improved while falls and delirium rates remained stable. Patient education initiatives enhanced satisfaction.
Conclusions:
The successful 4Ms initiative has expanded across all inpatient units and is being implemented system wide.
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