Programs

Building Resilience: Maintaining Quality Care in Nursing Homes During COVID and Beyond

2023 Archives

4-month Project ECHO series (March 29 – June 28, 2023)

Microburst 1: Promoting Well-Being

March 29, 2023

Individual Resiliency

April 26, 2023

Team Resiliency

May 24, 2023

Community Resilience

June 28, 2023

2022 Archives

12-week Project ECHO series (March 2 – May 18, 2022)

Step 1 – Leadership Responsibility and Accountability

March 2, 2022

Step 2 – Develop a Deliberate Approach to Teamwork

March 9, 2022

  • Resiliency in Long Term Care
    Presented Jeremy Holloway, PhD
  • Action Steps to QAPI
    Jean L. Roland, BSN, CPHQ
  • Slides
  • Video

Step 3 – Take your QAPI “Pulse” with Self-Assessment

March 16, 2022

Step 4 – Identify Your Organization’s Guiding Principles

March 23, 2022

Step 5 – Develop Your QAPI Plan

March 30, 2022

Step 6 – Conduct a QAPI Awareness Campaign

April 6, 2022

Step 7 – Develop a Strategy for Collecting and Using QAPI Data

April 13, 2022

Step 8 – Identify Your Gaps and Opportunities

April 20, 2022

Step 9 – Prioritize Quality Opportunities and Charter PIP

April 27, 2022

Step 10 – Plan, Conduct, and Document PIPS

May 4, 2022

Step 11 – Getting to the “Root” of the Problem

May 11, 2022

Step 12 – Take Systemic Action

May 18, 2022

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AHRQ ECHO National Nursing Home COVID-19 Action Network

Supported by the federal Agency for Healthcare Research and Quality (AHRQ), and in collaboration with the Institute for Healthcare Improvement, Project ECHO is launching a National Nursing Home COVID-19 Action Network.

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.

Curriculum Resources and Recorded Sessions

COVID-19 COVID-19 Resources

Public

Healthcare Professionals

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Ongoing Education

Dakota Geriatrics presents educational videos addressing the age-friendly framework from recorded healthcare professional learning opportunities.

Age-Friendly Health Systems adopts the concept of applying a set of four evidence-based frameworks of high-quality care, known as the “4Ms,” to all older adults in the healthcare system. Age-Friendly Health Systems is an initiative of the John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the United States.

For more resources, see our Age-Friendly Microlearning.

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.

North Dakota map identifying age-friendly locations

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.

Applicant:

Level 1:

Level 2:

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Age-Friendly Certification

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.

Age-Friendly Health Systems is an initiative of the John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the United States.

Why pursue the Age Friendly Framework?

To be Age-Friendly certified, there are three main steps: Gaining Knowledge of the 4M’s, Educating your Team as Age-Friendly, and Develop Age-Friendly Plan with ongoing education.

Step 1: Gaining Knowledge of the 4M’s

The Age-Friendly care model focuses on the 4Ms framework — What Matters, Medication, Mentation, and Mobility — which makes care of older adults, that can be complex, more manageable.

Step 2: Educating your Team as Age-Friendly

Step 3: Develop Your Age-Friendly Plan

Helpful Tool

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

Screening

Opioids Resource

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.

For more resources, see our Age-Friendly Microlearning.

How to Start

To begin the process in becoming Age-Friendly, and to gain access to Age-Friendly Training modules, please contact Bethany Reed.

Get Started

COVID-19 COVID-19 Resources

Information for Healthcare Professionals about Coronavirus (COVID-19)
This guidance outlines goals and strategies suggested for U.S. healthcare professionals in response to coronavirus disease-2019 (COVID-19).

Public Resources

Find geriatrics resources geared towards the general public.

5Ms Framework

Age-Friendly Health Systems 

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.

North Dakota map identifying age-friendly locations
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Health Ambassador Teams for Seniors (HATS)

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

  1. Evaluate an older adult through telehealth utilizing the Annual Wellness Exam and Age-Friendly 5Ms Framework
  2. Understand the role of an interprofessional team in caring for an older adult
  3. Develop telemedicine skills through zoom encounters by engaging older adults in conversations about health and accessing healthcare through telehealth
  4. Develop an individualized healthcare plan for older adults

Access Training

Students, please contact Bethany Reed to gain access to the training.

Login

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.

Multicomplexity

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Health Promotion Program

The mission of the University of North Dakota (UND) Health Promotion 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 goal is to promote psychosocial and physical well-being to residents through the provision of resident centered health counseling and motivational interviewing with an emphasis on underserved populations of the area.

Program Description

The Health Promotion Program was established in 2022 by students and faculty at the UND School of Medicine & Health Sciences. Community outreach and visits with residents will be conducted at the LINK, located at 300 Cherry Street in Grand Forks, North Dakota. This office space was generously donated by Grand Forks Housing Authority.

The goal of the program, and the students involved, is to engage in motivational interviewing with Grand Forks area residents. Students will work directly with participating residents and collaborate across health professions to meet the health and wellness goals of each individual resident and provide them with information, education, and resources to help them fulfill their goals.

What happens during the visits?

Students will conduct monthly Wellness Visits over the lunchtime hour every 3rd week of the month. These monthly visits will each focus on a different component of healthy living and will allow students to get to know the residents and encourage participation in the weekly individual visits.

The weekly individual visits will consist of 2 students per resident and will be 45-50 minutes in length. Both students and residents will provide feedback after each visit to be evaluated by the development team to ensure satisfaction and growth of the program. Through this mutually beneficial experience, it is our goal that residents will leave their visits feeling heard, respected, and confident in what next steps they can take to improve their quality of life. In addition, students will develop their skills in effective communication and patient interviewing, both of which can be carried into their future practices.

Note: Students will not be providing medical care to residents, nor will they be giving medical advice. The Health Promotion Program team is composed of students from the MD, PT, OT, Dietetics, and Social Work programs affiliated with UND and has faculty mentors available for consultation and support.

Student Participation

If you’re interested in participating in the Health Promotion Program, please complete the interest form below. Filling out this form is NOT a commitment to participate.

Timeline

Large group monthly wellness visits begins the 3rd week of August 2023 and will continue each month thereafter.

Weekly individual visits begins the 1st week of September 2023 and will continue during a consistent day and time each week.

Training Requirements

Online Video Training

Online Geriatrics Curriculum
Access the online geriatrics curriculum and enter your email. A link will be sent to you that you can click on to access the training at any point thereafter. Sample modules and their respective surveys to be completed are below.

Health Promotion Training Modules

Recommended Materials

The first lectures series is provided by Dr. Anne Bodensteiner from the department of Nutrition and Dietetics at UND. Her lectures will cover techniques and examples of motivational interviewing. The links for the YuJa recordings are below.

The second lectures series is provided by Dr. Andrew McLean and Dr. Sclinda Janssen from the department of Psychiatry and Behavior Sciences and Occupational Therapy. Dr. McLean’s lectures will cover some techniques to use when talking to patients about substance abuse or mental health issues. Dr. Janssen’s lecture will cover the role occupational therapy can play on a healthcare team and in improving patients’ lives. The links for the YuJa recordings are below.

Recommended Books (not required)

In person peer practice

Our first in-person peer practice in motivational interviewing will be held on August 28, 2023 from 3:00 – 5:00 pm Central at UND. This will be a chance for students to practice having conversations similar to those they can expect to conduct during individual visits, as well as receive feedback and have their questions answered by volunteer faculty members experienced in motivational interviewing.

Additional in-person peer practices will scheduled based on future demands.

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Long-Term Care Curriculum for Nursing

Better Care For Older Adults: A Curriculum for All Levels of Nurses, Trainees, and Qualified Service Providers

Microlearning modules on Age-Friendly Healthcare, Quality Improvement, Resiliency, and Infection Control will be delivered to trainees weekly via text messaging. Each module will include a short pre-test, video presentation (microlecture) and a short post-test. By the end of all modules, a feedback survey and post-training assessment will be provided. Trainees can obtain a digital badge and a certificate (non-accredited) upon completion of this course.

Facilities: If you would like your staff to enroll in this curriculum, please contact Bethany Reed at Bethany.reed@und.edu


How to Enroll (FREE)

Printable Flyer

Modules

  • Week 1: Intro to Age Friendly
    • Age-Friendly Healthcare Part I
    • Age-Friendly Healthcare Part II
    • 4Ms Introduction
  • Week 2: What Matters
    • What Matters Part I
    • What Matters Part II
    • What Matters Part III
  • Week 3: Mentation I
    • Overview of the 3Ds
    • Alzheimer’s Disease
    • Other Dementias
  • Week 4: Mentation II
    • Geriatrics Depression
    • Delirium
  • Week 5: Mobility
    • Mobility Part I
    • Mobility Part II
    • Mobility Part III
  • Week 6: Atypical Presentations of Disease in Older Adults
    • Atypical Presentations
  • Week 7: Quality Improvement
    • Intro to QAPI
    • Quality Care
  • Week 8: Medications
    • Medications
  • Week 9: Resiliency I
    • Resiliency + Assessing and Identifying Stressors
  • Week 10: Resiliency II
    • Self-Resiliency + Team Resiliency
  • Week 11: Patient Care
    • Patient Centeredness + Respect and Dignity
  • Week 12: Infection Control I
    • Principals of Infection and Treatment
  • Week 13: Infection Control II
    • Protecting Staff, Residents, and Visitors
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Online Geriatrics Curriculum

The purpose of the Online Geriatrics Curriculum is to provide core knowledge for medicine, nursing, psychology, social work, physical therapy and multidisciplinary professionals (Partnership for Health in Aging, 2010), along with competencies for interprofessional practice applying to older adult teams. We want you to attain the competency of a geriatrician by the end of the modules in this program.

Core geriatrics competencies will be addressed in these modules to assure that all learners receive training supporting mastery of geriatrics competencies.

Level 1

Biology of Aging 
Mobility Fall Prevention 
Geriatric Assessment 
Delirium 
Dizziness 
Advance Directives

Level 2

Medication Management of Dementia 
Prevention 
Sleep Disorders in Older Adults 
Transitions of Care 

Level 3

Frailty 
Improving Medication Use in Geriatric Patients 
Medication Management in Older Adults 
Deprescribing Medications 

Level 4

Introduction to Age Friendly Health Care 
Medications 
Mobility 
Mentation 
Age Friendly Care In Quality Improvement 
What Matters
Multicomplexity

Access Training

Enter your email address below to log in or register for the Online Geriatrics Curriculum.


Uncategorized

Age-Friendly Healthcare Microlearning

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.

This curriculum is meant for healthcare professionals such as providers, nursing, OT, PT and other allied healthcare professionals and faculty.

Continuing Education certificate of 3.75 contact hours available upon completion of microlearning modules for portfolio (not board-accredited).

University of North Dakota-accredited Digital Badge received upon completion of modules and evaluation form.

Registration

Modules

  1. Introduction to Age-Friendly Healthcare
  2. Medications
  3. Mobility
  4. Mentation
  5. What Matters
  6. Multicomplexity
  7. Age-Friendly Healthcare in Quality Improvement
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Interprofessional Education (IPE) Academy

The Dakota Geriatrics Workforce Enhancement Program (GWEP) assures interprofessional partnering by design.. The University of North Dakota School of Medicine & Health Sciences (UND SMHS)has a robust IPE program, see UND SMHS Office of Interprofessional Education. The Dakota GWEP codifies faculty development through the Dakota IPE Teaching Academy. This academy supports “train the trainer” through an interprofessional lens and team-based care. Steeped in learning sciences, the academy supports instructional design, assessment, technology and delivery. These services will be augmented with the UND Teaching Transformation & Development Academy which supports faculty learning communities. 

Four Interprofessional Education Competencies

There are four nationally recognized core IPE competencies and sub-competencies for best practices. UND SMHS IPE is based on these competencies. For more information, view: IPEC Core Competencies for Interprofessional Collaborative Practice

Resources

The Dakota GWEP IPE Academy extends to other state, community, and tribal colleges engaged in training health professionals. The inclusion of North Dakota State University School of Pharmacy and South Dakota State University College of Nursing are included in our work to strengthen interdisciplinary partnerships in our region. All these educational offerings are developed with interprofessional faculty in medicine, nursing, pharmacy, and allied health professions. Here are some healthcare IPE-related resources that healthcare faculty can use to teach IPE:

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