Measuring 4M's Care in the Inpatient Setting: Strategies and Insights from Three Health Systems

Sponsored by the Research Committee; Health Systems Innovations & Technology Committee; Quality and Performance Measurement Committee (QPMC); and the Clinical Practice and Models of Care (CPMC) Committee

Co-Moderators: Lauren J. Gleason, MD, MPH, AGSF & Teresa M. Halbert, MS, RN

This workshop will share insights from three diverse health systems that have implemented the 4Ms (What Matters, Medication, Mentation, and Mobility) in the inpatient setting and then worked as part of a collaborative to apply standardized, encounter-based measures of adherence to 4Ms care. Learning Objectives: (1) describe approaches to implementing measures of adherence to 4Ms care using real-world EHR data; (2) identify common challenges and solutions for integrating 4Ms measures into EHR workflows and documentation; (3) identify opportunities to assess and promote equitable care of older adults through standardized 4Ms measurement; and (4) demonstrate how interprofessional collaboration supports successful implementation of 4Ms measurement and assessment of impact on outcomes.

Designing and Adapting Inpatient 4Ms Measures Using EHR Data
Julia Adler-Milstein, PhD

Implementing 4Ms in the VA: Lessons from the Cincinnati VA
Shivani K. Jindal, MD, MPH

Scaling Inpatient 4Ms Across a Hospital System: Houston Methodist’s Approach
Kathryn S. Agarwal, MD