Impact of 4Ms on Outcomes for Hospitalized Older Adults
Author Information
Author(s): Lam Justin, Kwiatek Susan, Carney Maria, Solomon Philip, Tursi Mark, Nouryan Christian, Burns Edith
Primary Institution: Zucker School of Medicine at Hofstra/Northwell
Hypothesis
How do the 4Ms of care affect outcomes for hospitalized older adults in an Age-Friendly Health System?
Conclusion
A minority of patients had all 4Ms assessed, with act-ons most frequently documented for Mobility.
Supporting Evidence
- 42% of patients with all 4Ms assessed had an act-on for What Matters.
- 43% had an act-on for Medication.
- 22% had an act-on for Mentation.
- 83% had an act-on for Mobility.
- Mean length of stay was 11.8 days.
Takeaway
The study looked at how well older patients were assessed on important health factors, and found that not many got all the checks they needed.
Methodology
EMR data was manually pulled and analyzed from patients aged 65 and older admitted to eight hospitals.
Limitations
Data on outcomes for patients with fewer than four assessments is still being analyzed.
Participant Demographics
Patients aged 65 and older admitted to hospitals.
Digital Object Identifier (DOI)
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