Improving Primary Care Fall Risk Management: Adoption of Practice Changes After a Geriatric Mini-Fellowship
Publication Title
Journal of Clinical Outcomes
Document Type
Article
Publication Date
11-2020
Keywords
oregon; portland
Abstract
Background: Approximately 51 million adults in the United States are 65 years of age or older, yet few geriatric-trained primary care providers (PCP) serve this population. The Age-Friendly Health System framework, consisting of evidence-based 4M care (Mobility, Medication, Mentation, and what Matters), encourages all PCPs to assess mobility in older adults.
Objective: To improve PCP knowledge, confidence, and clinical practice in assessing and managing fall risk.
Methods: A 1-week educational session focusing on mobility (part of a 4-week Geriatric Mini-Fellowship) for 6 selected PCPs from a large health care system was conducted to increase knowledge and ability to address fall risk in older adults. The week included learning and practicing a Fall Risk Management Plan (FRMP) algorithm, including planning for their own practice changes. Pre- and post-test surveys assessed changes in knowledge and confidence. Patient data were compared 12 months before and after training to evaluate PCP adoption of FRMP
Specialty/Research Institute
Geriatrics
Specialty/Research Institute
Primary Care