Kirstin Manges Piazza, Laura Ellen Ashcraft, Liam Rose, Daniel E Hall, Rebecca T Brown, Mary Elizabeth Libbey Bowen, Shahrzad Mavandadi, Alison C Brecher, Shimrit Keddem, Bruce Kiosian, Judith A Long, Rachel M Werner, Robert E Burke
BACKGROUND: Unmet care needs among older adults accelerate cognitive and functional decline and increase medical harms, leading to poorer quality of life, more frequent hospitalizations, and premature nursing home admission. The Department of Veterans Affairs (VA) is invested in becoming an "Age-Friendly Health System" to better address four tenets associated with reduced harm and improved outcomes among the 4 million Veterans aged 65 and over receiving VA care. These four tenets focus on "4Ms" that are fundamental to the care of older adults, including (1) what Matters (ensuring that care is consistent with each person's goals and preferences); (2) Medications (only using necessary medications and ensuring that they do not interfere with what matters, mobility, or mentation); (3) Mentation (preventing, identifying, treating, and managing dementia, depression, and delirium); and (4) Mobility (promoting safe movement to maintain function and independence)...
May 25, 2023: Implementation science communications