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Advancing Care Excellence for Seniors



Since its start in 1996, the singular mission of the Hartford Institute has been to shape the quality of health care of older adults through excellence in nursing practice. The commitment to this mission exhibited by the dedicated Hartford Institute leadership, staff and affiliate organizations has made the HIGN today a globally recognized geriatric presence. The Hartford Institute for Geriatric Nursing is the geriatric arm of the NYU College of Nursing, and has become, over the years, a beacon for all those who wish to advance geriatrics in nursing.


NICHE is a leading organization designed to help hospitals improve the care of older adults. A program of the Hartford Institute for Geriatric Nursing at New York University College of Nursing, the goal of NICHE is to provide principles and tools to stimulate and support a systemic change in the culture of healthcare facilities to achieve patient-centered care.


AACN and the Hartford Institute for Geriatric Nursing at New York University College of Nursing worked collaboratively with an expert panel to develop these competencies and curricular guidelines to serve as a supplement to the 2008 AACN Essentials of Baccalaureate Education for Professional Nursing Practice.


The Portal of Geriatric Online Education (POGOe) is a free public repository of a growing collection of geriatric educational materials in various e-learning formats, including lectures, exercises, virtual patients, case-based discussions, simulations, as well as links to other resources.


At least 5.6 million to 8 million — nearly one in five — older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation.

Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. An expert committee assessed the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.


This editorial considers the trade-offs inherent in health care choices. It describes the life experiences of Amy Berman, Senior Program Officer at the John A. Hartford Foundation, following a diagnosis of incurable inflammatory breast cancer. Amy worked with the NLN on the original ACES grant and continues to be a strong advocate of quality care for older adults and for the NLN ACES project.

 

 

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