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Age-Friendly Certification

Want better care for older adults? Dakota Geriatrics can assist clinics and long-term care programs to become Age-Friendly Healthcare systems.

The certification process is sponsored by the Institute for Healthcare Improvement. To become certified, clinical operations reliably adopt the 4M framework whereby each clinical encounter assesses and manages What Matters Most, Medications, Mobility and Mind. By applying this framework, better outcomes are achieved with older adult healthcare. The Dakota Geriatrics program provides 1:1 counseling and training videos to assist in the process of becoming Age Friendly.

Age-Friendly Health Systems is an initiative of 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.

How to Start

To begin the process of earning Age-Friendly recognition with grant-supported assistance from Dakota Geriatrics, please contact Bethany Reed.

Or, follow these steps for the Do-It-Yourself participation:

Step 1. Select the 4Ms Care Description worksheet that best corresponds to your site of care

  • Hospital
  • Nursing Home​​​
  • Ambulatory Care​
  • Convenient Care Clinic
  • Hospitals That Have Achieved Geriatric Surgery Verification ​
  • ​Sites That Have Achieved Geriatric Emergency Department Accreditation
  • Committed to Care Excellence Counts (multiple sites​​)*​​

*If your health care system has multiple sites of care, please use the Committed to Care Excellence Counts (multiple sites) spreadsheet. If not, please look on the last page of your Care Description PDF Form.

Step 2. Email your completed 4Ms Care Description worksheet to AFHS@ihi.org 

You should receive an email with information about your recognition status within three weeks.

Please email AFHS@ihi.org for questions or additional information on becoming recognized as an Age-Friendly Health System.​​

Resources for Recognition

  • Download the Guide to Using the 4Ms in the Care of Older Adults for your care setting to learn about the 4Ms Framework and how to become an Age-Friendly Health System.
    • Download the Guide for Hospital/Ambulatory Practice
    • Download the Guide for Nursing Homes
    • Download the Guide to Recognition for Geriatric Surgery Verification Hospitals
    • Download the Guide to Recognition for Geriatric Emergency Department Accredited Sites
    • Download the Guide for Convenient Care Clinics
  • Download the What Matters to Older Adults? Toolkit to design better care with older adults but understanding “what matters” most to each adult
    • Download the Toolkit
  • Download the Age-Friendly Health Systems Workbook for Nursing Home Teams designed by and for point-of-care teams that interact with individual residents each day.
    • Download the Nursing Home Workbook

Age-Friendly Microlearning

  • Age-Friendly Health Systems applies a set of four evidence-based frameworks of high-quality care, known as the “5Ms,” to all older adults in the healthcare system. The purpose of this curriculum is to reinforce the concepts of Age-Friendly Healthcare and Geriatrics 4Ms through micro-lectures to healthcare professionals.
  • Register for this microlearning curriculum

Age-Friendly Health Systems

Dakota Geriatrics works with primary care clinics to implement Age-Friendly Health Systems throughout the states of North Dakota and South Dakota. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) to adapt evidence-based practices and align What Matters to the older adult and their family caregivers at every care interaction.

Age-Friendly Health Systems Recognition | Institute for Healthcare Improvement

 

Practice

Location

Setting

Level

Black Hills VAHCS Community Living Center 

Fort Meade, SD

Nursing Home

Committed to Care Excellence

Center for Family Medicine – Bismarck

Bismarck, ND

Outpatient

Committed to Care Excellence

Center for Family Medicine – Minot

Minot, ND

Outpatient

Committed to Care Excellence

Coal Country Community Health Center – Beulah

Beulah, ND

Outpatient

Participant

Coal Country Community Health Center – Center

Center, ND

Outpatient

Participant

Coal Country Community Health Center – Hazen

Hazen, ND

Outpatient

Participant

Coal Country Community Health Center – Killdeer

Killdeer, ND

Outpatient

Participant

Edgewood Fargo

Fargo, ND

Outpatient

Participant

Edgewood Grand Forks

Grand Forks, ND

Outpatient

Participant

Fargo VA Healthcare System GeriPACT

Fargo, ND

Outpatient

Committed to Care Excellence

FirstLight Home Care

Rugby, ND

Outpatient

Participant

Home Therapy Solutions, LLC

Thompson, ND

Outpatient

Committed to Care Excellence

Hospice of the Red River Valley

Fargo, ND

Outpatient

Participant

Innovative Therapy Solutions & Consulting LLC

Mandan, ND

Outpatient

Participant

Knife River Care Center – Long Term Care

Beulah, ND

Nursing Home

Participant

Love & Care, Inc

Bismarck, ND

Outpatient

Committed to Care Excellence

Mountrail Bethel Home

Stanley, ND

Nursing Home

Participant

Quentin N. Burdick Memorial Healthcare

Belcourt, ND

Outpatient

Participant

Sakakawea Medical Center

Hazen, ND

Inpatient

Participant

Sanford Medical Center Fargo

Fargo, ND

Inpatient

Committed to Care Excellence

Sanford Southpoint Internal Medicine

Fargo, ND

Outpatient

Committed to Care Excellence

Sanford Hospice

Sioux Falls, SD

Outpatient

Participant

Senior Suites at Sakakawea Medical Center

Hazen, ND

Nursing Home

Participant

Sioux Falls VAHCS Community Living Center (CLC)

Sioux Falls, SD

Nursing Home

Committed to Care Excellence

Standing Rock Service Unit 

Fort Yates, ND

Outpatient

Participant

USD Sanford Medical Center ED

Sioux Falls, SD

Inpatient

Participant

gwep-map

IHI recognizes clinical care settings that are working toward reliable practice of evidence-based interventions for all older adults in their care known as the 4Ms (4Ms: What Matters, Medications, Mentation, Mobility). As of August 2024, nearly 5,000 health care organizations have earned either level 1 (Participant) or level 2 (Committed to Care Excellence) recognition in the Age-Friendly Health Systems movement.

  • Level 1 (Participant) teams have successfully developed plans to implement the 4Ms.​
  • Level 2 (Committed to Care Excellence) teams have three months of data of older adults who received 4Ms care.

Helpful Tools

The Plan-Do-Study-Act (PDSA) Worksheet is a simple tool to perform rapid cycle testing to assess whether a change leads to an improvement. PDSA cycles can be logged and tracked on your project planning form.

Cognitive Resources

Training Curriculum

  • Train Healthcare Workers About Dementia
    Training for the primary care workforce about dementia, including Alzheimer’s disease, and caring for those affected.

Screening

  • Mini-Cog©
    A 3-minute instrument that can increase detection of cognitive impairment in older adults.
  • Saint Louis University Mental Status Exam (SLUMS)
    An assessment tool for detecting mild cognitive impairment and dementia.

Opioids Resource

  • Pocket Guide: Tapering Opioids for Chronic Pain
    The Centers for Disease Control and Prevention has prepared a free pocket guide to help physicians considering reducing or eliminating opioid dosage to chronic pain patients.

Telehealth Resource

  • The Annual Wellness Visit Telemedicine Toolkit
    In response to the challenges posed by the current COVID-19 pandemic, the Community Medical Group has compiled a number of resources designed to help you and your practice continue providing Medicare’s initial and subsequent Annual Wellness Visit using telemedicine.

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Department of Geriatrics

1301 N Columbia Rd.
Room E271
Grand Forks, ND 58202-9037

701.777.6533

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