Poster can be found in location 72.

The Age Friendly Health Systems movement is a person-centered approach to care that  follows an essential set of evidence-based practices, causes no harm, and aligns with “What Matters” to the older adult, their family and other caregivers using the 4Ms framework of “What Matters”, Medication, Mentation, and Mobility (IHI, Age Friendly Health system Guide, 2020). The 4Ms are considered together to determine goals of care and treatment planning. The Age Friendly Health Systems/4Ms (AFHS/4Ms) framework is rapidly disseminating across health settings in the U.S. and other countries (Fulmer & Pelton, 2022, IHI, News, 2022) yet, barriers to documentation threaten its sustainability (Adler-Milstein et al, 2020, Burke et al., 2022). Most electronic health records are designed to collect symptom reporting rather than personal information and goals (Broderick & Coffey, 2014, Jakobsson et al 2019, Jakobsson et al, 2022, Nagykaldi et al, 2018, Heckemann et al , 2020). Gaps in documentation of person-centered care need to be addressed through informed redesign of the EHR. A senior health system in the northeastern United States initiated a strategic commitment to implementing person-centered care and a plan to implement the AFHS/4Ms framework beginning with a pilot on two long-term care units. Using the “Protocol for Reviewing Person-Centered Content in Medical Records” (Jakobsson et al., 2019) documentation will be reviewed before and after clinicians complete an education program on person-centered care. Clinicians will also be surveyed on confidence with assessing PCC and ability to document PCC in the medical record. The quantitative, quasi-experimental study aims to evaluate if there is an increase in documentation in the EHR of elements of person-centered care (PCC)/” What Matters” on long-term care units where clinicians have completed an education program on the AFHS/4Ms framework. This project is being conducted in partial fulfillment of the requirements for a Doctor of Nursing Practice degree by the investigator at Regis College in Weston, Massachusetts, U.S.A. Data collection is planned for the Fall of 2023.