The Always/Never Care (ANC) Model©: Eliminating Harm to Older Adults

Sunday, November 1, 2009

Amy E. Cotton, MSN, FNP-BC, FNGNA
Rosscare, Eastern Maine Healthcare Systems, Bangor, ME
Marilyn R. Gugliucci, PhD, AGHEF, GSAF
Geriatrics Department, College of Osteopathic Medicine, University of New England, Biddeford, ME

Learning Objective 1: describe the ANC Model© six core concepts to prevent harm in older adults accessing health care in nursing homes.

Learning Objective 2: identify an example of an "Always" clinical practice and a "Never" event to prevent harm to older adults in nursing home settings.

The ANC Model© is a framework for health care professionals to promote evidence based clinical practices that should “ALWAYS” be accomplished and clinical outcomes that should “NEVER” occur when providing health care services to older adults.  The Model© outlines the process for identification and measurement of desired ALWAYS and NEVERS for excellence in geriatric health care, drives performance for achieving goal results utilizing a gap analysis technique and recommends strategies to sustain results. The Model’s© three phases will be explored: Plan – Care – Sustain.  Phase 1, Plan, includes the core concepts of ownership and education.  Phase 2, Care, includes the concepts of accessibility and consistency.  Phase 3, Sustain, includes the concepts of evaluation and communication. The Model© development, implementation, and initial data results from testing in a jointly owned for-profit/not-for profit nursing home will be presented.