Age-Friendly Spotlight: Sparrow Ionia Hospital

Learn how healthcare systems are innovating to address the unique needs of older adults through the MHA Keystone Center’s Age-Friendly Health Systems Action Community.

Located in Ionia, Michigan, Sparrow Ionia Hospital is a 22-bed critical access hospital whose patients ages 65 and older represent half of all admitted patients. The hospital has remained committed to quality and safety and has worked tirelessly to improve care practices for older adult patients since joining the MHA Keystone Center Age-Friendly Health Systems Action Community in 2019.

The hospital is nationally recognized as an Age-Friendly Health System Committed to Care Excellence by the Institute for Healthcare Improvement (IHI) for working to create an age-friendly environment for patients. Steven Dexter, medical-surgical unit and special care manager, Sparrow Ionia Hospital, shares insight into the hospital’s age-friendly journey below.

What is an Age-Friendly Health System?

Becoming an Age-Friendly Health System entails reliably providing a set of four evidence-based elements of high-quality care, known as the “4Ms,” to all older adults: What Matters, Medication, Mentation and Mobility.

Recognition

The IHI recognizes clinical care settings that are working toward reliable implementation of the 4Ms. As of May 2021, nearly 2,100 healthcare 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 verified data to demonstrate early impact of using the 4Ms.

Steven Dexter, medical-surgical unit and special care manager, Sparrow Ionia Hospital, shares insight into the hospital’s age-friendly journey in the following sections below.

Photographed left to right: Lisa Harris, Interim CNO; Sally Fox, House Supervisor Mary Whitelock, clinical nurse educator; Steven Dexter, medical-surgical and special care unit manager; and Mary Ziegler, house supervisor.

Why did you join the Age-Friendly Health Systems Action Community?

The need for special focus on older patients is obvious. Currently, more than half of all patients at Sparrow Ionia are age 65 and older, and that is expected to soar throughout the nation because of the baby-boom generation. Sparrow Ionia recognized the need to change the traditional model of care delivery to improve the care delivered to the growing population of older patients. With the MHA Keystone Center’s support, we can focus on what matters to older adult patients rather than only what’s the matter with them.

How has joining this national movement improved and impacted the way you care for older adults?

The impact of our work has resulted in awareness to caregivers that can help institute the 4M framework and intentionally individualize care to that type of patient. Hence, patients find value in the care received. Awareness is what makes the biggest impact, so we spread daily awareness by reporting the percentage of age-friendly patients who are on our inpatient unit.

As part of the Age-Friendly 4M framework of “what matters,” the caregivers at Sparrow Ionia Hospital ask our older patients certain questions. An example of a “what matters” question we use is, “What is one thing everyone should know that matters to you while you are here?” One patient told me that he had been in the war and was scared and alone at that time and now, even though he is older and wiser, he sometimes feels that same way. I reassured him that all the caregivers were there for him and thanked him for his ultimate service.

The medical-surgical caregivers brainstormed a way to recognize the heroes who served our county and thank them for their service while they are in the hospital. As a result, small American flags are now put outside the door of those patients’ rooms, so all caregivers can recognize and thank our patients who are veterans.

Another conscious thing we do to promote age-friendly care is we use small, yellow “4M” door signs to reveal an age-friendly patient so that every caregiver can know that a patient has something that matters to them. In addition to the signs, we elevate the “what matters” answer by discussing them in the daily multidisciplinary rounds so that care can be patient-centered. The answer is charted in the EMR “sticky note” summary front page of the chart.

In addition to these impactful stories, we have seen an increase in patient satisfaction. Patients verbalize the feeling of being cared for and how happy they are with the care they receive at Sparrow Ionia Hospital.

What is one thing you would like to share with a healthcare organization interested in becoming an Age-Friendly Health System?

Age-Friendly is a foundation that most of us use every day with the care we provide. The great thing about this 4M framework is that it can be used for any age group, resulting in intentional, individualized care that patients will see, hear and feel.

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.

Survey Assesses Need for Older Adult Care Support

As a patient safety and quality organization committed to better outcomes, the MHA Keystone Center is dedicated to supporting health systems across Michigan in becoming age friendly. By adopting evidence-based models and delivery care practices that meet the needs and preferences of older adults, the healthcare system and communities can improve care across the continuum of life.

Members are encouraged to take the MHA Keystone Center’s brief survey to assess health systems’ interests and needs for support around improving care for older adults. This survey will determine priorities and help shape and guide the MHA Keystone Center’s future older-adult care offerings.

Members with questions may contact the MHA Keystone Center.

Age-Friendly Action Community Virtual Format Provides Flexibility in Pandemic

Age-Friendly Action Community

Age-Friendly Health SystemsThe MHA Keystone Center is enrolling Michigan healthcare organizations for its second Age-Friendly Health Systems Action Community, which is designed to prevent harm to older adults and decrease costs from readmissions. The Action Community will run from March to September 2021, and participants will convene to test an evidence-based structure to provide exceptional care for older adults that is known as the 4Ms Framework: What Matters, Medication, Mentation and Mobility.

The MHA Keystone Center Age-Friendly Health Systems Action Community’s virtual 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.

4Ms FrameworkThe COVID-19 pandemic has heightened the awareness and importance of advanced care planning and the need to act on each of the 4Ms. Becoming an Age-Friendly Health System will equip healthcare organizations to have critical conversations with older adults that will help develop treatment plans that best match their wants and needs. This is particularly important for individuals living in healthcare settings that increase the risk of person-to-person COVID-19 transmission among patients and staff and serious illness related to COVID-19 infection.

Further, subject matter experts will help form creative solutions to navigate obstacles caused by the pandemic. The Action Community’s webinar content will adjust to match the needs of its participants, which promotes collaboration and problem-solving among members.

Hospital-based, ambulatory care and extended care teams interested in participating in this Action Community may enroll at no cost. Members with questions may contact the MHA Keystone Center.

Twitter Chat to Discuss Intersection of COVID-19 and Age-Friendly Care

Age Friendly Twitter Chat

Age-Friendly Twitter ChatThe impact of the COVID-19 pandemic on the healthcare industry is far-reaching. One key lesson that has surfaced is the urgent need for age-friendly healthcare. Given that older adults are at a higher risk for morbidity and mortality related to COVID-19, the MHA Keystone Center continues to serve as a resource to support communities and healthcare teams working to provide evidence-based care to this population (see related article).

To help educate and encourage conversation around expanding care practices for older adults, the MHA Keystone Center will host a Twitter Chat from noon to 1 p.m. Feb. 18 to discuss the urgent need for age-friendly healthcare. During the event, the MHA Keystone Center will moderate and lead the conversation, asking questions from @MHAKeystoneCtr. MHA-member hospitals are encouraged to share their current initiatives and success stories using the hashtag #KeystoneAgeFriendly.

The Twitter chat will facilitate discussion around how the COVID-19 pandemic has affected older adults, why improving care for this population should be a priority, steps organizations can take for improving care and more. The questions for the Feb. 18 Twitter Chat can be found on the MHA Keystone Center’s Older Adults webpage. To confirm participation, members should contact the MHA Keystone Center.

Viewing Age-Friendly Care Through an “Equity Lens”

Age-Friendly Action Community

Age-Friendly Health System Action CommunityFactors such as race, ethnicity, language, gender, sexual identity, age, disability, socioeconomic status and geographic location significantly influence health outcomes. These must be considered when providing care to vulnerable populations, such as those ages 65 and older.

Older adults are also at high risk for getting sick and dying from COVID-19, and minority groups are among the highest risk. An analysis of data from the Centers for Disease Control and Prevention found that African Americans ages 65 to 74 died of COVID-19 five times as often as whites. The implications of the pandemic reach beyond contracting the disease — increased rates of social isolation and loneliness remain a concern. 

The MHA Keystone Center Age-Friendly Health Systems Action Community will work with members to view older adult care through an “equity lens,” ensuring that all processes, programs and practices support equitable care for all patients. The Action Community will focus on providing care during the COVID-19 pandemic, recognizing that social determinants of health impact the aging population significantly, especially in their ability to follow up on their care.

Participants will implement an evidence-based framework within their existing practices in addition to learning from subject matter experts and peers to improve care for older adults and reduce costs. Additionally, the Action Community is flexible and will adapt to meet the needs of its participants who are battling the constantly evolving pandemic. 

Healthcare teams interested in participating in this Action Community can enroll online at no cost. 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.

Keystone Center to Host Twitter Chat Focused on Improving Care for Older Adults

Age Friendly Twitter Chat

Age-Friendly Twtitter ChatOut of 100,000 Michigan inpatient admissions per the Michigan Inpatient Database, approximately 41.9% were patients over the age of 65, according to statewide data from 2019. To make matters more challenging, roughly 80% of older adults have at least one chronic disease, and 77% have at least two. As a patient safety organization committed to better outcomes, the MHA Keystone Center will 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 (see related article). 

To raise awareness on the topic of improving care for older adults, the MHA Keystone Center will host a Twitter Chat from noon to 1 p.m. Feb. 18 to discuss the urgent need for age-friendly healthcare, as demonstrated by the impact of the COVID-19 pandemic. During the event, the MHA Keystone Center will moderate and lead the conversation, asking questions from @MHAKeystoneCtr. MHA-member hospitals are encouraged to share their current initiatives and success stories using the hashtag #KeystoneAgeFriendly.

The set of 6 questions that will be asked during the Twitter Chat will be made available in the coming weeks on the MHA Keystone Center Older Adults webpage.To confirm participation,  members should 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.

Healthcare Hot Topics: MHA Keystone Center – 2021 Priorities and Leadership Changes

MHA Keystone Center Healthcare Hot Topics

Brittany Bogan, FACHE, CPPS, senior vice president of safety and quality, MHA, and executive director of the MHA Keystone Center, discusses the MHA Keystone Center’s 2021 focus areas in addition to announcing her departure from the MHA.

As we look back on 2020, we remember a year that challenged our hospitals, healthcare systems, employees and communities in unimaginable ways. We also remember a year during which, despite extraordinary circumstances, the front line remained resilient and determined, providing high quality, compassionate care to the people of Michigan. In recognition of this dedication, in this new year more than ever, the MHA Keystone Center remains committed to its mission: supporting healthcare providers to achieve excellence in the outcomes desired by the people they serve.

Our priorities across 2021 include:

Health Equity

We will devote our efforts and resources to eliminating health disparities and dismantling institutional racism. The COVID-19 pandemic has only further highlighted the racial injustices vulnerable populations face, and while some progress has been made, we have a long way to go.

We commend the MHA-member hospitals and healthcare organizations that have taken the first step to address this critical issue by pledging to listen, act and lead as we eliminate healthcare disparities to achieve equitable outcomes for all. The organizations that have signed the pledge will be recognized on the MHA Keystone Center’s public website in the coming weeks. I encourage the healthcare organization chief executive officers who have not yet signed the pledge to contact the MHA Keystone Center.

Improving Care for Older Adults

The older adult population has also been adversely affected by the COVID-19 pandemic. The MHA Keystone Center is enrolling sites for its second Age-Friendly Health Systems Action Community, which will start in March and will support organizations working to improve healthcare outcomes for older adults. The Action Community will adapt its content to meet the needs of the ever-evolving pandemic.
 

The MHA Keystone Center is also one of eight organizations that came together to create the Superior Health Quality Alliance, a joint venture intended to improve the quality of health and healthcare for the Medicare population by designing and implementing initiatives that are person-centered and integrated across the continuum of care and services. Under Superior Health, the MHA Keystone Center is engaged in efforts with hospitals, nursing homes and community coalitions to prevent harm, save lives and lower healthcare costs.

Ensuring Healthy Mothers and Babies

On the opposite end of the life spectrum, I am excited to announce the recent launch of Project Baby Deer, a statewide initiative offering rapid whole-genome sequencing (rWGS) for critically ill babies and children. The MHA is working collaboratively with several other organizations to support Project Baby Deer and aiming to make Michigan the first state in the nation to offer rWGS to all babies and children that meet the clinical criteria, regardless of location or type of insurance. More information on Project Baby Deer will be released soon.

In addition to serving families and children through Project Baby Deer, hospital teams across Michigan are focusing on addressing factors contributing to maternal mortality through the Michigan Alliance for Innovation on Maternal Health (MI AIM). Across 2021, birthing hospitals will be invited to attend regional safety sessions, which will enhance healthcare providers’ ability to work toward full implementation of the MI AIM safety bundles, including those focused on hypertension, hemorrhage and sepsis. 

Workplace Safety and Well-being

The MHA Keystone Center will continue efforts to improve workplace safety through the MHA Workplace Safety Collaborative, convened in 2019 to identify, develop and implement risk-reduction strategies. The MHA Workplace Safety Collaborative is hosting a webinar Jan. 28 to educate members on the Institute for Healthcare Improvement Staff Wellness Tool, which serves as a guide for those in leadership positions to have structured conversations with their colleagues to help ensure staff well-being.

Addressing the Opiod Epidemic

The MHA Keystone Center and the Michigan Center for Rural Health partnered in 2020 to ensure that providers and health systems focus on preventing opioid-related morbidity and mortality. This partnership offers academic detailing training so providers can offer peer-to-peer educational outreach within their facilities. The training is intended to help providers identify patients at-risk for overdose or opioid use disorder and to offer or connect patients with care appropriate for their individual needs. Our goal is to continue to expand access to this training across the year and align with other state and national efforts to curb opioid abuse in Michigan and beyond.

As evidenced by the information above, the MHA Keystone Center team has a lot of fantastic resources and events planned to support healthcare providers in 2021, kicking off with our first PSO Safe Table of the year Jan. 13 and followed by the PSO Annual Member Meeting March 10 and 11. Please save these dates and watch for more details in our weekly communications.

As my time with the MHA and MHA Keystone Center comes to a close, I want to express my gratitude to everyone I have worked with and learned from over the past 12 years. I am honored to have been part of the MHA and MHA Keystone Center teams and humbled by all that has been achieved through collaboration to advance safety and healthcare quality. As MHA’s leader Brian Peters repeatedly says, “we are in this together,” and working together, we really do make a difference. Thank you for being part of the collective effort.

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.