The Michael E. DeBakey VA Medical Center’s Home Based Primary Care Clinic achieved Level 1 Age-Friendly Health Systems designation on April 27, 2021. The clinic is part of a movement to improve health care for older adults, contributing to a goal of 20% of U.S. hospitals and health systems becoming age-friendly by 2020. As part of the Age-Friendly Health Systems initiative, 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, are helping hospitals and other care settings implement a set of evidence-based interventions specifically designed to improve care for older adults. The interventions can be tested and adapted by participating in what are called Age-Friendly Health Systems Action Communities. These are collaborative entities comprised of health care teams from all over the country who are committed to sharing data and learning together. All teams strive toward reliably implementing best practices across emergency departments, intensive care units, medical-surgical units, general wards, and primary and specialty care settings. The Michael E. DeBakey VA Medical Center’s Home Based Primary Care Clinic now joins more than 100 health systems working to make care for older adults even more tailored to patients’ goals and preferences and consistently of high-quality.
The initiative is based on a series of practices focused on addressing four essential elements of care for older patients:
- What Matters: Know and align care with each older adult’s specific health outcome goals and care preferences including, but not limited to, end-of-life care, and across settings of care.
- Medication: If medication is necessary, use Age-Friendly medication that do 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 settings of care.
- Mobility: Ensure that older adults move safely every day in order to maintain function and do What Matters.
The Age-Friendly Health Systems initiative was launched in 2017 by The John A. Hartford Foundation and IHI, in partnership with the American Hospital Association and Catholic Health Association of the US, with a commitment to make 20 percent of hospitals and health systems in the United States age-friendly by 2020. For more information, visit www.ihi.org/agefriendly.