Name
A Collaborative and Systemic Approach to Medicare Annual Wellness Visit Retention in Primary Care and Geriatrics
Description

The Medicare Annual Wellness Visit (MAWV) helps older adult patients and their physicians develop a personalized prevention plan to address major health needs. Although this routine visit provides important information to improve health outcomes, professionals often fail to utilize family members and larger social networks to help increase retention for patients to these visits. This presentation will introduce a collaborative and systemic approach to help older adult patients complete their wellness visits, incorporating medicine, behavioral health, nursing, and case management to help assess for the "4Ms" of care (mobility, mentation, medications, and What Matters). The presenters will highlight an ongoing pilot clinic that has been embedded in both Family Medicine and Geriatrics to help triage services and referrals effectively for patients and family members.

Speakers
Max Zubatsky, PhD, LMFT
Susan Elliott, APRN-CNP
Angela Sanford, MD, CMD
Content Level
All Audience
Tags
Geriatrics, Prevention, Team-based care
Session Type
Concurrent
Objective 1
Introduce the concepts of the "4M’s" in geriatric care and how providers can create an age friendly health system at their respective site.
Objective 2
Describe the challenges of older adult patients in both Primary Care and Geriatrics in completing their Medicare Annual Wellness Visit
Objective 3
Apply a collaborative, family systems approach in practice to effectively screen and refer older adults to the appropriate resources after these visits.
Content Reference 1

Emery-Tiburcio, E. E., Mack, L., Zonsius, M. C., Carbonell, E., & Newman, M. (2022). The 4Ms of an Age-Friendly Health System An evidence-based framework to ensure older adults receive the highest quality care. Home Healthcare Now, 40(5), 252-257.

Content Reference 2

Gurwitz, J. H. (2023). The paradoxical decline of geriatric medicine as a profession. Jama, 330(8).

Content Reference 3

Masuda, C., Aggarwal, L., Bray, M. L., Cheung, C. K., Kim, B. J., Wen, A., ... & Masaki, K. (2022). Preventive care and outcomes of interprofessional medicare annual wellness visits for older adults. International journal of environmental research and public health, 19(24), 16752.

Content Reference 4

O'Laughlin, D., Martin, A., Curran, S., Perry, J., Hurley, V., Costello, C., ... & Strelow, B. (2024). Closing the gap: improving the percentage of Annual Wellness Visits among Medicare patients. BMJ Open Quality, 13(1).

Content Reference 5

Powers, J. S., & Penaranda, N. (2022). Creation of a whole health age-friendly template and dashboard facilitates implementation of 4Ms into primary care. Geriatrics, 7(5), 109.