Evaluation of education initiatives to increase delivery of age‐friendly care in retail clinics.
Background: The Age‐Friendly Health Systems model, encompassing four key elements (4Ms)—What Matters, Medication, Mentation, Mobility—is integral to delivering high‐quality care to older adult patients. In May 2020, the MinuteClinic at CVS implemented the 4Ms model in all 1100+ store locations natio...
| Published in: | Journal of the American Geriatrics Society Vol. 72; no. 10; pp. 3046 - 3055 |
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| Main Authors: | , , , , , , , , |
| Format: | Article |
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Wiley-Blackwell
Oct2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=180150743&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 180150743 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Oct2024 vid: 72 iid: 10 pid: 480 pub: Wiley-Blackwell artinfo: ui: 180150743 10.1111/jgs.19081 ppf: 3046 ppct: 9 formats: tig: atl: Evaluation of education initiatives to increase delivery of age‐friendly care in retail clinics. aug: au: Schiltz, Nicholas K. Armstrong, Grace Q. Foradori, Megan A. Ball, Sarah Duffy, Evelyn G. McCormack, Mary E. Pino, Lilia Pohnert, Anne M. Dolansky, Mary A. affil: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland Ohio,, USA MinuteClinic, CVS Health, Woonsocket Rhode Island,, USA su: Elder care Philosophy of education Medical quality control Medical care Age Job performance Research funding Educational outcomes Descriptive statistics Longitudinal method Dose-response relationship in biochemistry Clinics sug: subj: Elder care Philosophy of education Medical quality control Medical care Age Job performance Continuing Care Retirement Communities All Other Outpatient Care Centers All other out-patient care centres Offices of physicians Community health centres Research funding Educational outcomes Descriptive statistics Longitudinal method Dose-response relationship in biochemistry Clinics keyword: age‐friendly care education evaluation implementation science quality improvement age‐friendly care education evaluation implementation science quality improvement ab: Background: The Age‐Friendly Health Systems model, encompassing four key elements (4Ms)—What Matters, Medication, Mentation, Mobility—is integral to delivering high‐quality care to older adult patients. In May 2020, the MinuteClinic at CVS implemented the 4Ms model in all 1100+ store locations nationwide. To prepare healthcare providers to deliver 4Ms care, educational modules were developed to provide an understanding of the gerontology principles that support the 4Ms model of care. Our goal was to evaluate the effectiveness of these education modules on improving reliable 4Ms delivery during retail clinic visits. Methods: Educational modules were provided to nurse practitioners and physician associates to complete in a self‐directed manner. These included an orientation module with scenarios comparing usual care and 4Ms care, 12 monthly grand rounds focusing on 4Ms case studies, and 10 video vignettes on 4Ms integration. We examined the association between number of education modules completed with the average number of Ms delivered per visit (M‐Score) using descriptive statistics and a generalized linear mixed‐effects model. Results: Over 70% of 2783 providers completed at least one education module. Rates of 4Ms care delivery were 1.37 (1.36–1.39, p < 0.001) times higher among those that completed an orientation course compared to those that did not. Higher uptake of education exhibited a dose–response relationship with rate ratios between 1.77 (1.74–1.80, p < 0.001) for 1–2 modules beyond orientation, up to 2.94 (2.90–2.99, p < 0.001) for eight or more modules. Conclusions: The self‐directed learning environment (e.g., providers self‐select the number and type of courses) reflects real‐world variation in engagement. Despite this variation, significant improvements in 4Ms delivery were observed at any level of educational exposure, underscoring the value of prioritizing education time with quality improvement initiatives. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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