Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes and Companion Workbook for Nursing Home Teams

Authors
Institute for Healthcare Improvement
Implementation Tool
October 2022
Cover of "Age-Friendly Health Systems Guide to Care of Older Adults in Nursing Homes and Companion Workbook for Nursing Home Teams".

Headline

A comprehensive guide and companion workbook offer step-by step-guidance on implementing the 4Ms Framework in age-friendly nursing home care.

Context

The Guide to Care of Older Adults in Nursing Homes and Workbook for Nursing Home Teams are tools intended to be used together to facilitate the preparation, testing, and implementation of a set of evidence-based care practices known as the 4Ms Framework. The 4Ms Framework focuses on nursing home care for older adults, including those in post-acute and long-term care settings, such as skilled nursing and rehabilitation facilities and nursing facilities. The 4Ms represent the following key areas of care: (1) What Matters, (2) Medication, (3) Mentation, and (4) Mobility.

About this Tool

The guide and workbook provide step-by-step guidance for people providing care to residents in nursing homes to prepare for, test, and implement evidence-based age-friendly practices within the 4Ms Framework. The guide and workbook include printable worksheets and checklists which focus on:

  • An overview of age-friendly health systems
  • Step by step guidance on implementing the 4Ms in nursing home settings
  • Outlining an approach to care and preparing the care team
  • Understanding and identifying 4Ms practices the care team would like to apply
  • Developing an implementation plan
  • Expanding and sustaining implementation efforts

Takeaways

This guide and workbook can support nursing home staff in learning more about the 4Ms Framework. They offer practical tools to support care teams within nursing home settings to better understand and implement practices from the 4Ms Framework.

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