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"What Matters" to Older Adults?

This toolkit is written to help health systems design better care for older adults while continuing to understand "what matters" the most to each adult. It also discusses how to prepare for and conduct specific "what matters" conversations with older adults and caregivers.

Source: Institute for Healthcare Improvement (IHI), 2019.
https://www.ihi.org/Topics/WhatMatters/Pages/default.aspx

Introducing The 4Ms Framework for an Age-Friendly Health System

This brief video provides an introduction to the 4Ms Framework for Age-Friendly Health Systems. It discusses how healthcare professionals can deliver "what matters" evidence-based care to older adults reliably across every care setting.

Source: RUSH Center for Excellence in Aging
https://www.rush.edu/

4Ms Framework

This framework provides a diagram of the 4Ms of an Age-Friendly Healthcare System. Each M within the framework is given a description of what it is.

Source: Institute for Healthcare Improvement (IHI)

Clinical Practice Guidelines for Quality Palliative Care 4th Edition

This report outlines the clinical practice guidelines for quality palliative care of older adults. It discusses ten domains while identifying specific guidelines within these domains regarding palliative care.The domains include: structure and process of care, physical aspects of care, psychological and psychiatric aspects of care, social aspects of care, spiritual, religious, and existential aspects of care, cultural aspects of care, care of the patient nearing the end of life, and ethical and legal aspects of care.

"Conversation Ready": A Framework for Improving End-of-Life Care (Second Edition)

This white paper provided by the Institute for Healthcare Improvement (IHI) provides a framework to help health care organizations and clinicians provide respectful end-of-life care that is coordinated with a patient's goals, values, and preferences.

How to Talk to Your Patients about End-of-Life Care: A Conversation Ready Toolkit for Clinicians

This toolkit designed by the Institute for Healthcare Improvemnt (IHI) was created to help clinicians address some of the challenges of engaging with patients and their families regarding end-of-life conversations that develop over time. The toolkit provides and details four patient cases with diverse backgrounds and experiences at different points of illness, along with diverse clinicians in various care settings.

Quality Clinical Care in Nursing Facilities

This article discusses recommendations for overcoming barriers to achieving consistent, high-quality clinical outcomes in long-term and post-acute care facilities. It also provides recommendations regarding inadequate workforce, suboptimal culture and interprofessional teamwork, insufficiently evidence-based processes of care, and poor adoption and fidelity of technology and integrated clinical decision support.

Source: The Society for Post-Acute and Long-Term Care Medicine, 2018.

IHI's Patient Safety Essentials Toolkit

IHI's Vice President, Frank Frederico, RPh, gives an overview of IHI's Patient Safety Essentials Toolkit. Throughout this video, he takes a look at what it includes, how it can be used, and how it can help make an organization safer and more reliable.

Source: Institute for Healthcare (IHI), 2019.
https://www.ihi.org/resources/Pages/Tools/Patient-Safety-Essentials-Toolkit.aspx

Patient Safety Essentials Toolkit

This toolkit provided by the Institute for Healthcare Improvement is designed to help organizations develop and deliver safe, reliable care every time for patients. It includes documents to help improve teamwork and communication, tools to help understand the underlying issues that can cause errors, and valuable guidance about how to create and maintain reliable systems. Within the nine tools included in the toolkit, each includes a short description, instructions, an example, and a blank template. (Registration to the IHI website is required to access this resource).

Keeping Granny Safe on July 1: A Consensus on Minimum Geriatrics Competencies for Graduating Medical Students

This set of competencies is designed for graduating medical students, and acts as minimum set of geriatric competency standards for first-year residents. The competencies are based on accepted standards of evidence-based geriatric care and contain the following domains: medication management; self-care capacity; falls, balance and gait disorders; hospital care for elders; cognitive and behavioral disorders; atypical presentation of disease; health care planning and promotion; and palliative care.