Name
Developing an Integrated “4Ms” Clinic in Primary Care to Increase Medicare Annual Wellness Visit Adherence
Description
The Medicare Annual Wellness Visit helps older adult patients and their physicians develop a personalized prevention plan to address major health needs. Although this routine visit provides effective screening information to improve health outcomes, patients often lack follow-through with resources and referrals to help address specific risk factors. In recent years, primary care settings have become more “age friendly” in designating specific areas of older adult care that help prevent further complications. Providers now follow a set of four evidence-based elements of high-quality care, known as the “4Ms,” which covers topics such as: What Matters, Medication, Mentation, and Mobility. This presentation will highlight a pilot integrated geriatrics clinic in primary care that uses behavioral health providers to screen 4M’s and help patients follow-through for their full Medicare Annual Wellness Visit.
Content Level
All Audience
Tags
Geriatrics, Innovations, Team-based care
Session Type
Concurrent
SIG or Committee
Families and Health (F&H)
Objective 1
Introduce the concepts of the 4M’s in geriatric care and how these concepts create an age friendly health system
Objective 2
Describe the challenges of older adult patients in primary care completing their Medicare annual wellness visits
Objective 3
Implement behavioral health and integrated care strategies to help improve older adult outcomes after their Medicare annual wellness 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
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 3
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 4
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.
Content Reference 5
Tewary, S., Cook, N., Pandya, N., Damier, S., Shnayder, O., & Dezine, M. (2023). Using the 4M framework of the Age-Friendly Health System to improve MIPS documentation in primary care clinics: A quality improvement study. Gerontology & Geriatrics Education, 44(4), 631-640.