{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T18:38:45Z","timestamp":1787423925425,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["U1QHP33082"],"award-info":[{"award-number":["U1QHP33082"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,8]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Age\u2010friendly care, addressing what matters most, medications, mentation, and mobility, is a successful model for improving older adult care. We describe the initial outcomes of age\u2010friendly care implementation in five primary care clinics in an academic health system.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n In partnership with a regional quality improvement (QI) organization, we used practice facilitation to implement age\u2010friendly care from July 2020 to June 2023. Clinic workflows and electronic health record (EHR) templates were modified to capture six QI measures for patients \u226565\u2009years:\n \n \n Documenting what matters most to patients<\/jats:p>\n <\/jats:list-item>\n \n Advance care planning (ACP)<\/jats:p>\n <\/jats:list-item>\n \n Annual cognitive screening<\/jats:p>\n <\/jats:list-item>\n \n Caregiver referral to dementia community resources<\/jats:p>\n <\/jats:list-item>\n \n Fall\u2010risk screening<\/jats:p>\n <\/jats:list-item>\n \n Co\u2010prescription of opioid and sedative\u2010hypnotic drugs<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n Providers were alerted if patients had positive screens and given support tools for clinical decision\u2010making. QI measures from January\u2013June 2023 were compared to the year prior to implementation. Providers and staff were interviewed about implementation barriers and facilitators.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n All six measures improved in Geriatrics and and other clinics showed improvement in ACP and cognitive screening. All clinics had high fall\u2010risk screening rates (\u226585%). The least improved measure was co\u2010prescription of opioids and sedative\u2010hypnotics with co\u2010prescription rates ranging from 7% to 39%. Implementation hinged on leadership prioritization, practice facilitator guidance, clinical team buy\u2010in, EHR functionality, and clinical performance review. Three clinics received Age\u2010Friendly Health System recognition.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A QI approach using practice facilitation and EHR templates improved some but not all age\u2010friendly care measures. Future interventions will focus on training in high\u2010risk medication tapering and elicitation of health goals.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.18848","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T02:14:04Z","timestamp":1710555244000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["An\n age\u2010friendly<\/scp>\n approach to primary care in an academic health system"],"prefix":"10.1111","volume":"72","author":[{"given":"Andrea","family":"Wismann","sequence":"first","affiliation":[{"name":"Reynolds Section of Geriatrics and Palliative Medicine University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Kleszynski","sequence":"additional","affiliation":[{"name":"Reynolds Section of Geriatrics and Palliative Medicine University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Jelinek","sequence":"additional","affiliation":[{"name":"Oklahoma Foundation for Medical Quality Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Hand","sequence":"additional","affiliation":[{"name":"Reynolds Section of Geriatrics and Palliative Medicine University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Lich","sequence":"additional","affiliation":[{"name":"Section of General Internal Medicine University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Wickersham","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-6921","authenticated-orcid":false,"given":"Lee A.","family":"Jennings","sequence":"additional","affiliation":[{"name":"Reynolds Section of Geriatrics and Palliative Medicine University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Administration for Community Living: 2019 Profile of Older Americans","year":"2020"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2017.05.005"},{"key":"e_1_2_10_4_1","unstructured":"Institute for Healthcare Improvement.Age\u2010Friendly Health Systems Recognition. 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