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Using the 4M framework of the Age-Friendly Health System to improve MIPS documentation in primary care clinics: A quality improvement study.
- Source :
- Gerontology & Geriatrics Education; Oct-Dec2023, Vol. 44 Issue 4, p631-640, 10p
- Publication Year :
- 2023
-
Abstract
- Age-Friendly Health Systems (AFHS) commit to providing evidence-based, low-risk, coordinated care centered on what matters most to older adults, their families, and caregivers. Nova Southeastern University's South Florida Geriatric Workforce Enhancement Program (NSU SFGWEP) has partnered with primary care clinics to provide AFHS training and support to promote AFHS transformation in Broward and Miami-Dade Counties. NSU SFGWEP provides face-to-face and virtual training for AFHS and Electronic Health Record (EHR) documentation as part of the initiative. This project focuses on a group of primary care clinics in Broward County, Florida. In this paper, we evaluate the progress of AFHS transformation through six e-clinical measures that collectively provide indicators of the 4 M framework of AFHS (What Matters, Medication, Mentation, and Mobility). We used provider feedback and e-clinical measures aligned with the Center for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) to measure clinic outcomes. From Jan 1β Dec 31, 2019, to Jan 1βDec 31, 2020, the clinics improved high-risk medication management (0β3.71%), advanced care planning (6.79%β20.74%), and fall risk assessment (no data- 46.72%). Results demonstrate some success and ongoing opportunities to continue and expand AFHS interventions for sustainability. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of dementia
SERVICES for caregivers
HYPERTENSION
KEY performance indicators (Management)
HEALTH services accessibility
LEARNING theories in education
PROFESSIONS
CAREGIVERS
PRIMARY health care
MEDICATION therapy management
ADVANCE directives (Medical care)
RISK assessment
RESPONSIBILITY
HUMAN services programs
CONCEPTUAL structures
PRE-tests & post-tests
LABOR incentives
CLINICAL medicine
QUALITY assurance
ACCIDENTAL falls
QUESTIONNAIRES
RESEARCH funding
ELECTRONIC health records
PAY for performance
NEEDS assessment
ELDER care
EDUCATIONAL outcomes
Subjects
Details
- Language :
- English
- ISSN :
- 02701960
- Volume :
- 44
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Gerontology & Geriatrics Education
- Publication Type :
- Academic Journal
- Accession number :
- 173489524
- Full Text :
- https://doi.org/10.1080/02701960.2022.2117171