scholarly journals Age-Friendly Initiatives and Primary Care in Rural Arkansas

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Robin McAtee ◽  
Leah Tobey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Chronic Pain ◽  
Fall Prevention ◽  
Educational Programs ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Geriatric Education ◽  
Evidence Based Programs

Abstract The Arkansas Geriatric Education Collaborative (AGEC)’s Geriatric Workforce Enhancement Program is partnering with a plethora of community based organizations (CBO) and with ARcare, an Arkansas federally qualified healthcare clinic network, to implement the 4Ms of age-friendly care in rural clinics. Baseline clinical data related to the Age-Friendly 4M Framework has been gathered and quality improvement projects initiated to improve the outcomes. Initiatives to improve depression and cognitive screenings are addressing Mentation; fall prevention screens and the offering of fall prevention programs have been added for Mobility; high risk medication screens and chronic pain educational programs are being implemented to address Medications; and finally, Medicare Annual Wellness Visits is the cornerstone to improve what Matters to older adults. A campaign that involves partnered CBOs to address health literacy and increase involvement in evidence-based programs is also helping to drive improvements in age-friendly care in rural Arkansas.

scholarly journals Partnerships Connecting Healthcare and Community-Based Organizations in Virginia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Patricia Slattum ◽  
Pamela Parsons ◽  
Mary Rubino ◽  
Leland Waters
Keyword(s):  
Primary Care ◽  
Program Participation ◽  
Health And Wellness ◽  
Wellness Program ◽  
Community Based ◽  
Community Based Organizations ◽  
Eastern Virginia Medical School ◽  
Geriatric Education ◽  
Student Training ◽  
Virginia Commonwealth University

Abstract The Virginia Geriatric Education Center (VGEC)’s Geriatrics Workforce Enhancement Program (GWEP) partners with two programs, Senior Strong at Eastern Virginia Medical School in Norfolk, VA and the Richmond Health and Wellness Program at Virginia Commonwealth University in Richmond VA to support their age-friendly initiatives. These programs enhance primary care for an older population experiencing adverse social determinants of health by providing screening around the 4Ms pillars of age-friendly healthcare and connecting participants with healthcare and community-based organizations. These programs offer a rich learning environment for interprofessional students. The VGEC GWEP strengthens these programs by developing faculty and student training in collaboration with the programs and facilitating program participation in the GWEP-CC Age-Friendly Action Community to develop and refine age-friendly practice workflows, referral pathways and documentation.

scholarly journals Perceptions of evidence-based programs among community-based organizations tackling health disparities: a qualitative study

2011 ◽  
Vol 27 (4) ◽  
pp. 717-728 ◽  
Author(s):  
S. Ramanadhan ◽  
J. Crisostomo ◽  
J. Alexander-Molloy ◽  
E. Gandelman ◽  
M. Grullon ◽  
...  
Keyword(s):  
Health Disparities ◽  
Qualitative Study ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Evidence Based Programs ◽  
Perceptions Of Evidence

scholarly journals FALL PREVENTION PROGRAMS FOR RURAL COMMUNITY DWELLING OLDER ADULTS RESULTS IN IMPROVED BALANCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S856-S857
Author(s):  
Robin E McAtee ◽  
Ronni Chernoff ◽  
Kathryn Packard ◽  
Whitney Thomasson ◽  
Laura Spradley ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Tai Chi ◽  
Tracking System ◽  
Financial Burden ◽  
Community Dwelling ◽  
Evidence Based ◽  
Community Based ◽  
Severe Injuries ◽  
Significant Difference

Abstract More than one in four older adults (OA) in the US fall each year and 20 to 30% suffer moderate to severe injuries such as head trauma or hip fractures. Falls are both a medical and financial burden that can be significantly reduced by lifestyle interventions. One of the main strategies to help reduce these statistics is evidence-based fall prevention classes which help to build muscle, improve balance, and increase participants’ confidence in fall control. A goal of the Arkansas Geriatric Workforce Enhancement Program (HRSA grant U1QHP28723) is to deliver community-based programs that improve health outcomes and quality of life. Evidence-based preventive health training is a major way to meet this goal. Two of these evidence-based trainings are Tai Chi (TC) and A Matter of Balance (AMOB), multi-week classes that help to improve balance and reduce fall risk. This study took place at scheduled community-based classes, where demographic and balance data were obtained. The aim was to determine the difference in the balance of community-dwelling OA as measured by Balance Tracking System® before and after AMOB and TC courses. Both groups showed positive changes in their mean balance percentage with the AMOB class having a higher Mean ± SD (24.3 ± 21.0) vs. the TC participants (4.0 ± 29.7). The One-Way Analysis of Variance showed statistically significant difference in the AMOB class over those in the TC class, F (1, 32) = 5.280, p < 0.05. The Cohen’s d = 0.789 indicates a large effect between the two groups.

scholarly journals Corrigendum: Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls

2016 ◽  
Vol 4 ◽  
Author(s):  
Elizabeth A. Phelan ◽  
Sally Aerts ◽  
David Dowler ◽  
Elizabeth Eckstrom ◽  
Colleen M. Casey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Fall Prevention ◽  
Evidence Based ◽  
History Of

scholarly journals Leveraging ACL Funding to Implement an Evidence-Based Falls Prevention Program in Three GWEPs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 368-369
Author(s):  
Ellen Flaherty ◽  
Nina Tumosa
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Rhode Island ◽  
Systems Of Care ◽  
Health Resources ◽  
Prevention Programs ◽  
Falls Prevention ◽  
Evidence Based ◽  
Community Based ◽  
Falls Risk

Abstract Primary care practices have a robust capacity to screen older adults for falls risk and refer them to evidence-based falls prevention programs delivered by Community Based Organizations (CBOs). However, due to a difference in the culture and nature of the work done in these two systems of care, there is often a lack of coordination and communication. Dartmouth has worked to bridge this gap for the past five years through our Health Resources and Services Administration (HRSA)-funded Geriatric Workforce Enhancement Program (GWEP). GWEP goals include the promotion of Age-Friendly Health Systems by focusing on the 4 Ms: What Matters Most, Medication, Mentation and Mobility. GWEPs commonly operationalize the Mobility component via falls risk screening and prevention programs. Though CBOs are well suited to deliver falls prevention programs, implementing, disseminating and sustaining community-based falls prevention programs in an environment of cost containment, limited funds for community-based services and workforce issues is challenging. Previous Administration for Community Living (ACL) grant funding enabled us to develop the Dartmouth Falls Prevention Training Center (D-TC) using our expertise in training and community-based implementation of evidence-based interventions. The D-TC offers training and implementation support to primary care and CBOs on screening, referring and capacity-building for falls prevention programs. We will discuss challenges and successes implementing the Dartmouth falls prevention model with two additional GWEP grantees, Baystate and the University of Rhode Island. Benefits of leveraging ACL and HRSA funding to achieve synergistic goals to reduce falls in older adults will be explored.

scholarly journals Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls

2016 ◽  
Vol 4 ◽  
Author(s):  
Elizabeth A. Phelan ◽  
Sally Aerts ◽  
David Dowler ◽  
Elizabeth Eckstrom ◽  
Colleen M. Casey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Fall Prevention ◽  
Evidence Based ◽  
History Of

scholarly journals Using Inclusive Design to Develop a Tele–Tai Chi Intervention for Older Adults With Long-Term Mobility Disability

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 599-600
Author(s):  
Tracy Mitzner ◽  
Elena Remillard ◽  
Kara Cohen ◽  
Jordan Chen
Keyword(s):  
Older Adults ◽  
Tai Chi ◽  
Target Population ◽  
Evidence Based ◽  
Exercise Interventions ◽  
Software Developer ◽  
Master Trainer ◽  
Evidence Based Programs ◽  
To Receive

Abstract Tele-technologies may be able to increase access to evidence-based exercise interventions for adults aging with long-term mobility disabilities. This population experiences substantial barriers in attending such programs in person, including lack of transportation to classes, inaccessible buildings where classes are held, and lack of appropriate modifications offered for this population of older adults. It is critical to overcome such barriers to ensure this population has an opportunity to receive the benefits of evidence-based programs. In this study we are translating an in-person evidence-based tai chi intervention, Tai Chi for Arthritis, to an online platform using videoconferencing software for those aging with long-term mobility disabilities. We will describe our approach of including users from the target population and industry representatives (videoconferencing software developer, Tai Chi for Arthritis program developer as well as local master trainer) in the adaptation of the intervention and present the key findings from doing so.

scholarly journals Innovative Partnership Between Primary Care, AAA, and Academia Connects 4Ms and Social Determinants of Health

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 107-107
Author(s):  
Suzanne Leahy ◽  
Katie Ehlman ◽  
Lisa Maish ◽  
Brad Conrad ◽  
Jillian Hall ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health System ◽  
Preliminary Evaluation ◽  
Language And Literacy ◽  
Community Based ◽  
Primary Care Clinics ◽  
College Of Nursing ◽  
Value Based Care ◽  
The University

Abstract Nationally, there is a growing focus on addressing geriatric care in primary care settings. HRSA’s Geriatric Workforce Enhancement Program (GWEP) has called for academic and health system partners to develop a reciprocal, innovative, cross-sector partnership that includes primary care sites and community-based agencies serving older adults. Through the University of Southern Indiana’s GWEP, the College of Nursing and Health Professions, the Deaconess Health System, three primary care clinics, and two Area Agencies on Aging (AAA) have joined to transform the healthcare of older adults regionally, including rural residents in the 12-county area. Core to the project is a value-based care model that “embeds” AAA care managers in primary care clinics. Preliminary evaluation indicates early success in improving the healthcare of older adults at one primary clinic, where clinical teams have referred 64 older adult patients to the AAA care manager. Among these 64 patients, 80% were connected to supplemental, community-based health services; 22% to programs addressing housing and transportation; and, nearly 10% to a range of other services (e.g., job training; language and literacy; and technology). In addition to presenting limited data on referred patients and referral outcomes, the presentation will share copies of the AAA referral log, to illustrate how resources were categorized by SDOH and added to support integration of the 4Ms.

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