Michigan Healthcare Organizations Complete MHA Keystone Center’s Second Age-Friendly Health Systems Action Community to Receive National Recognition

Correction: Corrects prior press release to share all organizations that have achieved either Age-Friendly Health System recognition level.

LANSING, Mich. — The Michigan Health & Hospital Association (MHA) Keystone Center recently concluded its second Age-Friendly Health Systems Action Community with over 60 Michigan healthcare organizations across the care continuum participating with the intention to become nationally recognized by the Institute for Healthcare Improvement (IHI) as Age-Friendly Health Systems.

Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the IHI, in partnership with the American Hospital Association and the Catholic Health Association of the United States, to help hospitals and other care settings implement a set of the evidence-based framework known as the “4Ms.”

The MHA Keystone Center concluded its second Age-Friendly Health Systems Action Community in October, with funding support from the Michigan Health Endowment Fund. Action Communities provide support for state-based teams to accelerate reliable practice of the 4Ms in an active community of learners and testers. This work demonstrates the MHA Keystone Center’s dedication to working with local and statewide agencies and organizations to advance age-friendly efforts to create an age-friendly ecosystem spanning an older adult’s continuum of life.

“Through continued commitment to patient safety and quality, our members worked tirelessly to provide every older adult with the best care possible, despite the challenges presented by the COVID-19 pandemic,” said MHA CEO Brian Peters. “The learnings of the Action Community extend beyond bedside care for an older adult. Participants engaged in identifying strategies that address important factors like social determinants of health and ageism that impact the well-being of our older adults.”

The following organizations have been recognized as an Age-Friendly Health System – Committed to Care Excellence, meaning they have three months of verified data to demonstrate the early impact of using the 4Ms:

  • Bronson LakeView Hospital
  • GuideStar Eldercare Medical Group Albany Health & Rehabilitation Center
  • GuideStar Eldercare Medical Group Bronson Commons
  • GuideStar Eldercare Medical Group Brookdale Battle Creek
  • GuideStar Eldercare Medical Group Brookdale Portage
  • GuideStar Eldercare Medical Group Caretel Inns of Lakeland
  • GuideStar Eldercare Medical Group Cass County Medical Care
  • GuideStar Eldercare Medical Group Chalet of Niles
  • GuideStar Eldercare Medical Group Chesterton Manor
  • GuideStar Eldercare Medical Group Douglas Cove
  • GuideStar Eldercare Medical Group Edgewood Health and Rehab
  • GuideStar Eldercare Medical Group Evergreen Manor
  • GuideStar Eldercare Medical Group Fairview Nursing and Rehab
  • GuideStar Eldercare Medical Group Grace Healthcare of Three Rivers
  • GuideStar Eldercare Medical Group Greenwood Health and Living
  • GuideStar Eldercare Medical Group Hallmark Living of Benton Harbor
  • GuideStar Eldercare Medical Group Heartland Healthcare Care Center
  • GuideStar Eldercare Medical Group Journey Senior Living Valpo
  • GuideStar Eldercare Medical Group Maplewood of Marshall
  • GuideStar Eldercare Medical Group Masonville Place
  • GuideStar Eldercare Medical Group Medilodge of Kalamazoo
  • GuideStar Eldercare Medical Group Medilodge of Portage
  • GuideStar Eldercare Medical Group Medilodge of Westwood
  • GuideStar Eldercare Medical Group North Woods Village at Kokomo
  • GuideStar Eldercare Medical Group Pine Ridge Michigan
  • GuideStar Eldercare Medical Group Riveridge Rehabilitation and Healthcare Center
  • GuideStar Eldercare Medical Group Signature Healthcare of Bluffton
  • GuideStar Eldercare Medical Group SKLD Care
  • GuideStar Eldercare Medical Group The Oaks at NorthPointe Woods
  • GuideStar Eldercare Medical Group The Willows AL
  • GuideStar Eldercare Medical Group Twin Cities Nursing and Rehab
  • GuideStar Eldercare Medical Group West Woods of Bridgman
  • GuideStar Eldercare Medical Group West Woods of Niles
  • Helen Newberry Joy Hospital and Healthcare Center Gibson Family Health Clinic
  • Hurley Medical Center
  • ProMedica Charles and Virginia Hickman Hospital
  • Sparrow Carson City Hospital
  • Sparrow Ionia Hospital
  • Mary Mercy Hospital – TONE Home Health

The following organizations have been recognized as Age-Friendly Health Systems Participants, meaning they have successfully developed plans to implement the 4Ms​:

  • Baraga County Memorial Hospital
  • Baraga County Physician Group
  • Beaumont Dearborn
  • Eaton Rapids Medical Center
  • EHM Senior Solutions Redies Centre
  • GuideStar Eldercare Medical Group Country Charm
  • GuideStar Eldercare Medical Group Hallmark Living of Holland
  • GuideStar Eldercare Medical Group Riverside Village
  • GuideStar Eldercare Medical Group Sprenger Health Care of Mishawaka
  • GuideStar Eldercare Medical Group
  • The Hearth at Juday Creek
  • Hills & Dales General Hospital
  • Ingham County Medical Care Facility
  • Karmanos Cancer Center Dresner Clinic & Infusion Center
  • Karmanos Cancer Center Eisenberg Clinic & Infusion Center
  • McKenzie Professional Group
  • McLaren Caro Region
  • Sparrow Clinton Hospital
  • Sparrow Hospital
  • Sparrow Medical Group St. Johns Outpatient
  • Sparrow Medical Group St. Johns Inpatient
  • Spectrum Health Blodgett ACE Unit
  • Spectrum Health Medical Group Geriatrics
  • Spectrum Health Zeeland Community Hospital

“We’re grateful to have such tremendous partners dedicated to implementing age-friendly care across the state,” said Neel Hajra, CEO of the Michigan Health Endowment Fund. “It’s remarkable to see the progress they’ve made in such a difficult environment thanks to their commitment to this work. Everyone deserves to age with dignity, and when older adults seek care, their needs and aspirations should shape the assistance they receive — the MHA is helping ensure that is the case in Michigan.”

For more information about the Age-Friendly Health Systems Action Community, visit the MHA Keystone Center’s Older Adults webpage.

Age-Friendly Action Community Began March 10, Enrollment Open Through March 31

Age-Friendly Action Community

To address the needs of those who are 65 years of age and older, the MHA Keystone Center launched its second Age-Friendly Health Systems Action Community March 10. Funded by the Michigan Health Endowment Fund and offered to MHA members free of charge, the initiative will demonstrate how to meet the needs of older adults to provide high-quality care and improve health outcomes.

Participants will convene virtually for seven months to test an evidence-based structure to provide exceptional care for older adults known as the 4Ms Framework: What Matters, Medication, Mentation and Mobility.

The Action Community’s curriculum allows members the flexibility to engage at their own pace. Each webinar will be recorded and shared with participants, and members will have access to the MHA Age-Friendly Action Community webpage to post questions and view resources at their convenience. Additionally, the Action Community curriculum will build on participants’ existing practices, resulting in a shift in care rather than adding work to current efforts.

Healthcare teams interested in participating in the Action Community may enroll online through March 31. Members with questions should contact the MHA Keystone Center.

Age-Friendly Action Community Kicks Off March 10

Age-Friendly Action Community

The second cohort of the MHA Keystone Center Age-Friendly Health Systems Action Community kicks off with its first webinar March 10. The Action Community builds on the national Age-Friendly Health Systems movement and aims to improve care for older adults and decrease overall healthcare costs resulting from poor-quality care, including fewer complications, fewer undesired medical interventions and improved patient safety.

Participants will test an evidence-based framework in their setting, hear from subject matter experts and share learning with peers during the seven-month virtual community. Hospital, ambulatory and extended care teams in Michigan are invited to enroll at no cost through March 31.

This initiative is made possible through funding from the Michigan Health Endowment Fund and will run through September 2021. Learn more about how the Action Community’s virtual format will provide flexibility and support during the pandemic.

Members with questions may contact the MHA Keystone Center.

The Care that Keeps on Giving: Becoming an Age-Friendly Health System

Age-Friendly Action Community

Age-Friendly Health Systems Action CommunityMichigan’s aging population is growing rapidly — in fact, Michigan has one of the highest concentrations of older residents in the country. With advanced age, medical conditions and treatment become more complex, resulting in adverse outcomes and costly medical bills.

That is why the MHA Keystone Center is launching its second Age-Friendly Health Systems Action Community from March to September 2021 for hospitals, ambulatory and extended care sites. Age-Friendly Health Systems fundamentally rethink the way healthcare systems care for older adults by deploying a mix of evidence-based care models with personalized support services to ensure a better life for this population.

At the end of the seven-month Action Community, participating organizations will have implemented the specific changes of the Age-Friendly Health Systems framework in their unit, clinic, emergency department or program and will have early data on key measures that demonstrate initial evidence of benefit to the older adults they serve. Engaged hospitals and health organizations that effectively deploy the framework will experience the following benefits:

  • Improved, cost-effective care for older adults through the organization’s delivery of evidence-based care.
  • Avoided costs of poor-quality care resulting from fewer inadvertent complications, fewer undesired medical interventions and improved patient safety. These cost savings are reflected in fewer and shorter hospital stays and lower costs per day. In the outpatient setting, the profits come primarily from added revenues resulting from expanding appropriate outpatient services.
  • Increased fee-generating encounters through Medicare Annual Wellness Visits, resulting in encounters such as advance care planning and health screenings.
  • Public recognition by the Institute for Healthcare Improvement (IHI) and The John A. Hartford Foundation as an Age-Friendly Health System – Committed to Care Excellence and celebrated on the IHI’s website, press releases and other venues..
  • Existing hospital resources that are redeployed and prioritized. The Action Community is designed to occur as part of each employee’s existing activities.

One of the most significant benefits of joining the Action Community affects the mission of many healthcare organizations: to provide services in a fiscally responsible manner that contribute to the physical, psychological and social well-being of the patients and communities in which they serve.

The Action Community is flexible and will adapt its content to meet the needs of its participants who are battling the constantly evolving pandemic. Healthcare teams interested in participating in this Action Community can find additional information and enroll online. In addition, the MHA Keystone Center will host a Twitter chat from noon to 1 p.m. Feb. 18 to discuss the need for age-friendly healthcare (see related article). Members with questions may contact the MHA Keystone Center.

Michigan Health & Hospital Association Keystone Center Launches Initiative to Improve Healthcare, Lower Costs for Older Adults

Age-Friendly Action Community

Age-Friendly Health Systems Action CommunityAs a patient safety and quality organization committed to better outcomes, the Michigan Health & Hospital Association (MHA) Keystone Center is pleased to launch the second cohort of the MHA Keystone Center Age-Friendly Health Systems Action Community to prevent harm to older adults and decrease overall healthcare costs from readmissions. The initiative is made possible through funding from the Michigan Health Endowment Fund and will run from March through September 2021. Informational webinars will be held Dec. 15 and Jan. 21 to discuss the program requirements and overall framework.

According to 2016 U.S. Census Bureau data, more than 23% of Michigan residents are now 60 or older — and life expectancy has increased by seven years since the 1960s. At the same time, roughly 80% of older adults have at least one chronic disease, and 77% have at least two. The Age-Friendly Health Systems Action Community seeks to provide evidence-based, high-quality care for older adults by focusing on the unique needs of this population to create a broad shift in focus to the needs of older adults.

“When it comes to COVID-19, older adults are especially vulnerable to severe illness. We know that adults 60 and older, especially those with preexisting medical conditions — particularly heart disease, lung disease, diabetes or cancer — are more likely to have severe coronavirus infection than other age groups,” said MHA CEO Brian Peters. “We appreciate the ongoing support of the Michigan Health Endowment Fund to do this work, which we believe will allow Michigan health systems to make great strides in developing age-friendly, high-quality services for older Michiganders statewide.”

The MHA Keystone Center Age-Friendly Health Systems Action Community second cohort will focus on the evidence-based “4Ms” Framework for creating age-friendly care environments. This includes focusing on what matters to the patient/family, medication (using age-friendly medications that don’t interfere with mobility, mentation or what matters), mentation (preventing, identifying and treating things like dementia, depression and delirium appropriately) and mobility (ensuring older adults move safely every day to maintain and improve function).

“Now more than ever, we remain strongly committed to the Age-Friendly Health Systems work here in Michigan,” said Paul Hillegonds, CEO of the Michigan Health Endowment Fund. “We are grateful for our partners who value and have found success in this work, and we look forward to expanding this effort to continue to improve the quality of healthcare for Michigan’s older adults.”

Participants will test the 4Ms Framework in their setting, hear from subject matter experts and share learning with peers during the seven-month virtual community. Health systems, hospitals and outpatient settings in Michigan can choose to enroll at the unit/site level or organizationwide; there is no fee to participate. Participants can engage as many sites/units/teams as they would like in the MHA Keystone Center Age-Friendly Action Health Systems Community.

MHA Keystone Center Launches Second Age-Friendly Action Community

Age-Friendly Action Community

Age Friendly Health Systems Action CommunityThe impact of the COVID-19 pandemic on the healthcare sector is far-reaching. One key lesson that has surfaced is the urgent need for age-friendly healthcare. Older adults and individuals with underlying, serious medical conditions are at higher risk for morbidity and mortality related to COVID-19. Further, the number of people in the world who are 60 years old and over is anticipated to grow by 56% between 2015 and 2030. Medical care and treatment become more complex for this growing population as they age.

To address the needs of those who are 65 years of age and older, the MHA Keystone Center is launching its second Age-Friendly Health Systems Action Community. The community will run from March through September 2021. Funded by the Michigan Health Endowment Fund and offered to MHA members free of charge, the initiative will demonstrate how to meet the needs of older adults and provide high-quality care and better health outcomes.

Given that older adults are at a higher risk for morbidity and mortality related to COVID-19, the MHA Keystone Center Age-Friendly Health Systems Action Community will serve as a supportive community for healthcare teams working to provide evidence-based care to this population. Additionally, the Action Community will adapt the content to best meet the needs of the evolving pandemic.

4Ms FrameworkThe project replicates the Age-Friendly Health Systems initiative, which was launched in 2017 by 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. Action Communities are composed of teams across different health systems and settings that come together to accelerate the testing and adoption of the 4Ms Framework: What Matters, Medication, Mentation and Mobility.

The Age-Friendly Health Systems Action Community is open to hospital-based, ambulatory care and extended care teams. Informational webinars will be held Dec.15 and Jan. 21 to discuss the program requirements and overall framework. The content of the webinars is identical so that members can choose the most convenient date.

 Healthcare teams who are interested in participating in this Action Community can enroll online. Additional information on the Action Community is available on the MHA Keystone Center website. Members with questions may contact the MHA Keystone Center.

MHA Keystone Center Efforts Support Falls Prevention Awareness Week

4Ms descriptions

Falls Prevention Awareness Week is observed annually by the National Council on Aging, and this year’s commemoration takes place Sept. 21 to 25. The observance highlights the importance of preventing falls by using available resources and evidence-based practices.

The rate of deaths caused by falls in the United States increased by 30% from 2007 to 2016 for older adults, according to the Centers for Disease Control and Prevention. Additionally, more than one-third of hospital falls result in injury, including fractures and head trauma. The MHA Keystone Center is committed to helping healthcare workers provide safe care and reduce adverse outcomes, with an emphasis on preventing falls, through its Age-Friendly Health Systems Action Community and MHA Workplace Safety Collaborative.

4Ms FrameworkThe MHA Keystone Center Age-Friendly Health Systems Action Community brings attention to adults 65 and older through the 4Ms Framework:

  • Mobility: Ensure that older adults move safely every day to maintain function and do What Matters.
  • What Matters: Know and align care with each older adult’s specific health outcome goals and care preferences.
  • Medication: If medication is necessary, use age-friendly medication that does not interfere with What Matters to the older adult, Mobility, or Mentation across settings of care.
  • Mentation: Prevent, identify, treat and manage dementia, depression and delirium across.

The Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults recommends ensuring safe mobility by assessing and managing impairments that reduce mobility, such as pain; impairments in strength, balance or gait; hazards in the home; and high-risk medications. Providers can take this further by incorporating a multifactorial falls prevention protocol, such as Stopping Elderly Accidents, Death & Injuries, which reduces elderly patients’ risk of falling through identification of those at risk and modifiable risk factors and the use of evidence-based tools.

With nearly 50 participating organizations, the MHA Workplace Safety Collaborative focuses on preventing harm in four areas: slips, trips and falls; patient handling; workplace violence; and sharps. Participants in the collaborative receive access to interactive events with renowned safety experts and up-to-date tools and resources to support their falls prevention efforts. They also receive access to the workplace safety dashboard, an interactive tool designed to track progress. 

The MHA Workplace Safety Collaborative concluded its bimonthly safe patient handling and mobility (SPHM) coaching calls in August. The calls focused on integral components to implementing an SPHM program, such as using the bedside mobility assessment tool, conducting post-fall huddles and engaging the patient/caretaker(s) in the mobility care plan as methods of assessing patients for fall risk and ensuring a continuous learning cycle. A recap is available.

Members who wish to join or learn more about these efforts may contact the MHA Keystone Center.