转变文化向年龄友好型护理:从VHA早期采用者那里学到的教训
Megha Kalsy1, Kimberly Church2, Ella Bowman3
1Veterans Affairs Northeast Ohio Healthcare System, Cleveland.
概括
实施年龄友好型卫生系统 (AFHS) 框架改善了对老年人的护理. 成功的关键因素包括领导力支持,专注的冠军和电子健康记录集成,以持续提供老年友好的护理.
科学领域:
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 美国人口老龄化需要在老年护理方面熟练的医疗保健工作人员.
- 年龄友好型卫生系统 (AFHS) 框架解决了使用4M (重要的是,药物,思维,流动性) 的多种慢性疾病的老年人的复杂需求.
- 退伍军人健康管理局 (VHA) 正在成为最大的AFHS,因为它拥有大量的老年退伍军人人口.
研究的目的:
- 分享经验教训,并确定在VHA中维持老年友好照顾的机会.
- 突出在一个大型医疗保健系统中实施AFHS框架的挑战和成功.
主要方法:
- 在各种VHA设施和护理环境中实施AFHS框架.
- 专注于4M (重要的是什么,药物,思维,流动性) 作为护理的核心组成部分.
- 使用电子健康记录 (EHR) 来获取数据,报告和反.
主要成果:
- 4M护理的高患者参与度 (85%-100%) 在所有环境中在3个月内实现.
- 确定了关键的成功因素:强有力的领导支持,专注的冠军和EHR集成.
- 通过专注于老年病专用护理环境,促进了最初的采用.
结论:
- 两个VHA系统的早期采用者成功地在各种环境中实施了AFHS.
- 利用EHR对于减少文档负担,标准化护理和自动化报告来实现可持续性至关重要.
- 目前正在努力将AFHS整合到VHA文档,绩效指标和EHR系统 (传统和Cerner) 中.
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