CMS's Age-Friendly Hospital Measure: Julia Adler-Milstein, Stephanie Rogers, and Shari Ling

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GeriPal - A Geriatrics and Palliative Medicine Podcast 46 min 3 speakers 2 chapters transcribed 10 hours ago
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What is the new CMS Age‑Friendly Hospital Measure and why was it introduced now?

Eric Widera 0:00
Before we start this podcast, we'd just like to go a quick shout out to all of those supporters who've donated more than a hundred dollars, including Did you say Bobcast? Bobcast.
Alex Smith 0:11
Podcast including Joanne Lynn, Sharon Bragman, James Tulsky and Jana Sharf, Kelly Strait, Michael Borodowski, Jessica McFarlane, Gretchen Schwarzy and Joshua Mesrich, Rob Razak, Diane Meyer and Sean Morrison, Elizabeth Chung, the John A. Hartford Foundation, Lloyd Woolstatt and Harry Hahn.
Eric Widera 0:36
Thank you, and on to the show. This podcast is CME eligible. To learn more about CME Alex, what do we do?
Alex Smith 0:44
They can either go to the CME tab associated with this episode, or they can go to jerrypal.org backslash CME. And
Eric Widera 0:53
on to the
Alex Smith 0:54
show.
Eric Widera 0:56
Welcome to the Jerry Powell podcast. This is Eric Widera.
Alex Smith 0:58
This is Alex Smith. And Alex,
Eric Widera 1:00
who do we have talking with us today?
Alex Smith 1:02
We are delighted to welcome back Stephanie Rogers, who's a geriatrician, medical director of UCSF's Age-Friendly Health Systems. And Stephanie's standing right here with her fiddle at the ready. Stephanie, welcome back to Jerry Powell.
Stephanie Rogers 1:14
Thank you. So happy to be here.
Eric Widera 1:15
Stephanie, you're an Instagram star too.
Stephanie Rogers 1:18
Uh yeah, I guess I am. What
Eric Widera 1:19
is your Instagram handle for our listeners?
Stephanie Rogers 1:21
It's Age Well with Dr. Steph.
Eric Widera 1:24
Millions of uh views per pop per per post, right? Yes. Yeah, check it out.
Alex Smith 1:29
Check it out. We're also delighted to welcome Julia Adler Milstein, who's a national leader in health information technology policy and research and chief of the Division of Clinical Informatics and Digital Transformation at UCSF. Julia, welcome back to the JaredPal podcast.
Julia Adler-Milstein 1:46
Thanks so much.
Alex Smith 1:47
And Julie's joining us from Minneapolis, which is about to get a big snowstorm. So we hope that our internet holds up throughout the podcast. And finally, we're delighted to welcome Sherry Ling, who is a geriatrician and deputy chief medical officer for the centers for Medicare and Medicaid. Sherry, welcome to the Geripal podcast.
Shari Ling 2:10
Delighted to be here with you.
Eric Widera 2:12
It's a huge honor to have you here, Sherry. Um, before we jump into the p the topic of the podcast, which is gonna be the age-friendly hospital measure. We have a song request. Who has a song request? Is it Stephanie?
Stephanie Rogers 2:27
I do. We are gonna play Riptide.
Alex Smith 2:31
And why riptide?
Stephanie Rogers 2:33
I don't know. It's just a catchy song. I really like it. It's something that I'm always like humming and singing to myself.
Eric Widera 2:38
And Alex has his guitar. Stephanie, you have the is that a fiddle?
Stephanie Rogers 2:42
It's a violin, yeah. Fiddle. It can be either.
Eric Widera 2:44
Fiddle, violin. And I uh I forgot my cowbell.
Stephanie Rogers 2:48
That's okay.
Alex Smith 2:49
Thankfully Eric forgot this cowbell. We hit it. That's what we need to turn into like a Saturday live episode. Okay.
Eric Widera 4:01
That was awesome. I think our listeners are gonna agree that was amazing, but I was missing something. What? A little cowbell. Uh I thought
Alex Smith 4:10
you meant to say singing.
Eric Widera 4:11
Just
Alex Smith 4:11
a
Eric Widera 4:11
touch.
Alex Smith 4:12
Just a touch of cowbell. Maybe in the outro I can find That's so fun. I'm so glad we get to do some live music with not just me. It was great. Thank you, Stephanie. Of course.
Eric Widera 4:24
Okay, so uh we have done a podcast on age-friendly healthcare systems back in 2000. I think Julia and Stephanie, you were on for that podcast. We were. Remind me, what is an age-friendly healthcare system?
Stephanie Rogers 4:41
So the way that I think about age friendly health systems is that, you know, a lot of medical care is very disease centric. And when you build an age friendly health system, you can focus on all the other things that are very important, especially for older adults. Um, there's a lot of other aspects of people's lives that should go into medical decision making. And so there's a framework called the four M's that we use for the age friendly health system.
Eric Widera 5:09
And remind our listener what the four M's are.
Stephanie Rogers 5:12
So they are what matters, mobility, mentation, and safe medication use.
Eric Widera 5:18
Uh my last question on that. If four M's or five M's,
Alex Smith 5:22
I had the same question. Sometimes isn't there a fifth M and what is that M?
Stephanie Rogers 5:27
So yeah, through the IHI and Hartford Foundation, we actually have the four M's. But I know some people add that fifth M multi-complexity.
Eric Widera 5:36
Yeah. I think in our last podcast we were adding other ones like muffins and um other other and I'd encourage all of our listeners to listen to our last podcast on age-friendly healthcare systems because I think it really does a good job to summarize kind of where we are and what we're doing with that.

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