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  • Chapter 61 - Practice Transformation for Better Care of Older Adults

  • from Section IV - Principles of Care for the Elderly
  • Edited by Jan Busby-Whitehead, University of North Carolina, Chapel Hill, Samuel C. Durso, The Johns Hopkins University, Maryland, Christine Arenson, Thomas Jefferson University, Philadelphia, Rebecca Elon, The Johns Hopkins University School of Medicine, Mary H. Palmer, University of North Carolina, Chapel Hill, William Reichel
  • Book:
    Reichel's Care of the Elderly
    Published online:
    30 June 2022
    Print publication:
    21 July 2022, pp 736-749

  • Summary

    Transformation of our health-care systems is required to better meet the complex needs of our aging population as we confront the rise of health-care costs around the world. Older adults with multiple chronic health conditions can receive care that is fragmented, incomplete, inefficient, and ineffective. Care delivery and coordination of the complicated needs of older adults resides primarily in outpatient practice, both sub-specialty and primary care. However, the overall coordination is dependent on primary care practices, which through transformation into highly effective interprofessional teams can be designed and equipped to guide comprehensive care for all patients. The term “practice transformation” refers to a process of change in the organization and delivery of care to advance quality improvement and patient-centered care. Practice transformation is a continuous process that involves leadership, goal-setting, workflow changes, quality improvement, and reporting of outcomes. It requires adapting organizational tools and processes to support advances in models of team-based care.

Reichel's Care of the Elderly
  • Clinical Aspects of Aging
  • 8th edition
  • Edited by Jan Busby-Whitehead, Samuel C. Durso, Christine Arenson, Rebecca Elon, Mary H. Palmer, William Reichel
  • Published online:
    30 June 2022
    Print publication:
    21 July 2022
  • This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.

  • Chapter 1 - Essential principles in the care of the elderly

  • from Section I - General approach to the care of the elderly
  • Edited by Jan Busby-Whitehead, Christine Arenson, Thomas Jefferson University, Philadelphia, Samuel C. Durso, The Johns Hopkins University School of Medicine, Daniel Swagerty, University of Kansas, Laura Mosqueda, University of Southern California, Maria Fiatarone Singh, University of Sydney, William Reichel, Georgetown University, Washington DC
  • Book:
    Reichel's Care of the Elderly
    Published online:
    05 June 2016
    Print publication:
    23 June 2016, pp 1-16

  • Summary

    The core principle that should guide any health professional caring for older adults and their families is that the "secret of caring for the patient is in caring for the patient." (Peabody). Practitioners must understand the most up-to-date biomedical and psychosocial aspects of aging, health, wellness, and disease, and strive to support the older adult to remain as active, functional, and engaged as possible. At the same time, practitioners must recognize and help patients and families understand when a palliative approach will be most effective at meeting their goals. The Choosing Wisely campaign launched the American Board of Internal Medicine provides targeted guidance to clinicians to provide care that is effective and efficient, consistent with the essential principles.

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