Evidence map›Paper›PMID 36129432›Full record

ArticleHealth services research2023

Collaborating toward equity in Pennsylvania: The Age-Friendly Care, PA project.

Diane Berish, Erica Husser, Jenny Knecht-Fredo, Jacqueline Sabol, George Garrow, Judith Hupcey, Donna Fick

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In one paragraph

Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Diane BerishRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA.ORCID 0000-0001-9224-5950
Erica HusserRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA.
Jenny Knecht-FredoRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA.
Jacqueline SabolPenn State Project ECHO, College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
George GarrowChief Executive Officer, The Primary Health Network, Sharon, Pennsylvania, USA.
Judith HupceyRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA.
Donna FickRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo collaboratively implement the age-friendly health systems framework, known as the 4Ms: What Matters, Medication, Mentation, and Mobility, at The Primary Health Network (PHN), a federally qualified health center. DATA SOURCES: Data were collected from PHN electronic medical records (EMRs) for individuals over age 65 from December 30, 2019 to December 24, 2021 and from Project ECHO© attendance and evaluation surveys. STUDY

designThe telementoring educational program, Project ECHO©, was used to engage PHN health care professionals working in rural areas of Pennsylvania to incorporate the 4Ms into their practice starting with the annual wellness visit (AWV). Project ECHO© was launched at three primary care sites. After 18 months, it was then disseminated to an additional 18 sites creating pilot and comparison groups. Outcomes included codesigned patient process metrics using EMR data and project ECHO© participant data. DATA COLLECTION

methodsEMR data were generated by system reports created by PHN's quality assurance program manager. Project ECHO© data were collected and managed using REDCap electronic data capture tools. Outcomes were aggregated, analyzed for trends over time, and compared between groups. PRINCIPAL

findingsAll nine process outcomes increased from baseline to follow-up at the three initial sites, ranging from 4% to 43% g. At year two, the three initial sites had higher rates on AWVs (pilot 24%, comparison 12%; p < 0.0001), Advance Care Planning (New on file, pilot 8%, comparison 2%; Discussed with patient, pilot 18%, comparison 13%; Patient declined, pilot 0%, comparison 0%; p = 0.0001), Dementia Screening (pilot 24%, comparison 12%; p < 0.0001), Fall Risk Management (pilot 43%, comparison 10%; p < 0.0001), and Mobility Goal (pilot 19%, comparison 9%; p < 0.0001); and lower rates on High-Risk Medication Elimination (pilot 54%, comparison, 63%, p < 0.02).

conclusionsAccess to high-quality geriatric care for rural older adults can be improved by increasing health care professionals' knowledge of the 4Ms, beginning with its incorporation into the AWV.

Indexed as

Delivery of Health CareHealth PersonnelAgedHumansPennsylvaniaQuality of Health CareSurveys and Questionnaireshealth care systemshealth equityhealth services for older adultsquality of health carerural population

Identifiers

PMID36129432
PMCPMC9843075

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.