Files and links (1)
Free to read and download, Open Access
Dissertation
Age Friendly Health Systems: Implementing the 4M's In Rural Iowa
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: The 65 year and older population is growing faster than any other age group. Many in this population have or will develop one or more chronic diseases. The current healthcare systems’ focus on disease treatment instead of prevention will need to change to meet the needs of this population. The 4M’s framework, (What Matters, Medications, Mentation, Mobility) especially having the What Matters conversation, has been developed as a way to assess the needs of this population. Public health’s engagement in health promotion and disease prevention makes it a good fit for implementing the 4M’s framework. Purpose: To discover if training public health nurses and the leadership team at a rural public health agency in Iowa, on the 4M’s framework will result in persons 65 and older receiving age-friendly healthcare including a What Matters conversation and allocation of resources to support continued age-friendly care. Methods: A quality improvement project was conducted utilizing the Institute for Healthcare Improvement (IHI) Model for Improvement using the Plan-Do-Study-Act (PDSA) process to monitor change. Seven PDSA cycles were conducted over a seven-month period at community blood pressure, vaccination, and senior wellness clinics. Findings: A total of 285 participants accessed one of the clinics and 80 participants completed the 4M’s assessment tool for a 28% completion rate. Leadership identified four existing funding sources to reallocate and five potential new grants to sustain the project. Discussion: Utilizing public health programs is an innovative approach for implementing the 4M’s assessments. Obtaining data on older adults that are not in an acute disease process can provide valuable information on what is important to maintain their best level of health. Expansion of the 4M’s to other community screening programs, the connection of older adults to needed resources, and tying these results to patient centered outcomes will be an important next step in attaining age friendly healthcare.
Details
- Title: Subtitle
- Age Friendly Health Systems: Implementing the 4M's In Rural Iowa
- Creators
- Betty Mallen - University of Iowa
- Contributors
- M. Lindell Joseph (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Health Systems/Administration
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Betty Mallen
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627256902771
Metrics
1 File views/ downloads
11 Record Views