Geriatrics ECHO Ongoing Project ECHO Geriatrics and Age-Friendly TeleECHOs. Learn about best practices and evidence-based care for your patients through didactic and case presentations.
Age-Friendly Healthcare Microlearning The purpose of this microlearning curriculum is to provide reinforcement of concepts of Age-Friendly Healthcare and Geriatrics 5Ms through micro-lectures to healthcare professionals.
Geriatrics Curriculum Core geriatrics competencies will be addressed in these modules to assure that all learners receive training supporting mastery of geriatrics competencies.
Health Ambassador Teams for Seniors (HATS) This interprofessional community service-learning program will introduce students to the full spectrum of elderly heath status and older adult wellness promotion.
Health Promotion Program The mission of this program is to advance the health and wellness of the greater Grand Forks area with a focus on increasing health equity within the community.
Our team at Dakota Geriatrics in collaboration with Center for Rural Health is participating in the Network as an official training center for nursing homes.
What Matters Know and align care with each older adult’s specific health outcome goals and care preferences including, but not limited to, end-of-life care and across settings of care.
Medication If medication is necessary, use Age-Friendly medication that does not interfere with What Matters to the older adult, Mobility or Mentation across setting of care.
Mentation Prevent, identify, treat, and manage dementia, depression, and delirium across setting of care.
Mobility Ensure that older adults move safely every day in order to maintain function and do What Matters.
Age-Friendly Health Systems
Dakota Geriatrics works with primary care clinics to implement Age-Friendly Health Systems throughout the states of North Dakota and South Dakota. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) to adapt evidence-based practices and align What Matters to the older adult and their family caregivers at every care interaction.
Key
Applicant: A health system is developing a plan to adopt 4Ms framework into practice.
Level 1: An Age-Friendly Health System Participant is recognized for being on the journey to becoming an Age-Friendly Health System and has submitted a description of how it is working towards putting the 4Ms into practice.
Level 2: Age-Friendly Health System – Committed to Care Excellence is a recognition for being an exemplar in the movement based on 4Ms work is aligned with the Guide AND at least three months’ count of older adults reached with evidenced-based, 4M care.
The Plan-Do-Study-Act (PDSA) Worksheet is a simple tool to perform rapid cycle testing to assess whether a change leads to an improvement. PDSA cycles can be logged and tracked on your project planning form.
Cognitive Resources
Training Curriculum
Train Healthcare Workers About Dementia Training for the primary care workforce about dementia, including Alzheimer’s disease, and caring for those affected.
Age-Friendly Health Systems applies a set of four evidence-based frameworks of high-quality care, known as the “5Ms,” to all older adults in the healthcare system. The purpose of this curriculum is to reinforce the concepts of Age-Friendly Healthcare and Geriatrics 4Ms through micro-lectures to healthcare professionals.
Pocket Guide: Tapering Opioids for Chronic Pain The Centers for Disease Control and Prevention has prepared a free pocket guide to help physicians considering reducing or eliminating opioid dosage to chronic pain patients.
Telehealth Resource
The Annual Wellness Visit Telemedicine Toolkit In response to the challenges posed by the current COVID-19 pandemic, the Community Medical Group has compiled a number of resources designed to help you and your practice continue providing Medicare’s initial and subsequent Annual Wellness Visit using telemedicine.
Want better care for older adults? Dakota Geriatrics can assist clinics and long-term care programs to become Age-Friendly Healthcare systems. The certification process is sponsored by the Institute for Healthcare Improvement. To become certified, clinical operations reliably adopt the 4M framework whereby each clinical encounter assesses and manages What Matters Most, Medications, Mobility and Mind. By applying this framework, better outcomes are achieved with older adult healthcare. The Dakota Geriatrics program provides 1:1 counseling and training videos to assist in the process of becoming Age Friendly.
Dakota Geriatrics works with primary care clinics to implement Age-Friendly Health Systems throughout the states of North Dakota and South Dakota. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) to adapt evidence-based practices and align What Matters to the older adult and their family caregivers at every care interaction.
IHI recognizes clinical care settings that are working toward reliable practice of evidence-based interventions for all older adults in their care known as the 4Ms (4Ms: What Matters, Medications, Mentation, Mobility). As of August 2024, nearly 5,000 health care organizations have earned either level 1 (Participant) or level 2 (Committed to Care Excellence) recognition in the Age-Friendly Health Systems movement.
Level 1 (Participant) teams have successfully developed plans to implement the 4Ms.
Level 2 (Committed to Care Excellence) teams have three months of data of older adults who received 4Ms care.
For more information on who is eligible for recognition, timelines for submission to notification, and more, visit the Frequently Asked Questions section below or sign up for Office Hours to meet with our team.
Submit Your 4Ms Care Description
Step 1. Select the 4Ms Care Description worksheet that best corresponds to your site of care
*If your health care system has multiple sites of care, please use the Committed to Care Excellence Counts (multiple sites) spreadsheet. If not, please look on the last page of your Care Description PDF Form.
Step 2. Email your completed 4Ms Care Description worksheet to AFHS@ihi.org
You should receive an email with information about your recognition status within three weeks.
Please email AFHS@ihi.org for questions or additional information on becoming recognized as an Age-Friendly Health System.
Resources for Recognition
Download the Guide to Using the 4Ms in the Care of Older Adults for your care setting to learn about the 4Ms Framework and how to become an Age-Friendly Health System.
Download the Age-Friendly Health Systems Workbook for Nursing Home Teams designed by and for point-of-care teams that interact with individual residents each day.
Dakota Geriatrics’ Interprofessional Community Service Learning program, called HATS, seeks to introduce students to the full spectrum of elderly heath status and older adult wellness promotion. A dyad of interprofessional healthcare trainees is assigned to perform a modified annual wellness exam on volunteer older adults via zoom format.
Program Objectives
Evaluate an older adult through telehealth utilizing the Annual Wellness Exam and Age-Friendly 5Ms Framework
Understand the role of an interprofessional team in caring for an older adult
Develop telemedicine skills through zoom encounters by engaging older adults in conversations about health and accessing healthcare through telehealth
Develop an individualized healthcare plan for older adults
Access Training
Students, please contact Bethany Reed to gain access to the training.
To the members in our community, we’re always seeking volunteer older adults for a FREE visit with our students. Please view the flyer for further details.
Age-Friendly Framework
What Matters Know and align care with each older adult’s specific health outcome goals and care preferences including, but not limited to, end-of-life care and across settings of care.
Medication If medication is necessary, use Age-Friendly medication that does not interfere with What Matters to the older adult, Mobility or Mentation across setting of care.
Mentation Prevent, identify, treat, and manage dementia, depression, and delirium across setting of care.
Mobility Ensure that older adults move safely every day in order to maintain function and do What Matters.