How do you advocate for geriatric-focused care models, such as age-friendly health systems, ACE units, or inpatient delirium programs, in institutions that don't have a strong geriatrics infrastructure?

As they say, culture eats strategy for breakfast. And most care for older adults will be delivered in places with minimal infrastructure for older adults, so you are in good company. So, with that in mind, some ideas that might be helpful:

• Get to know the decision makers and people who can be effective champions, and understand what motivates them and what their priorities are. Frame the age-friendly initiatives in those terms.
• Find examples of other successful programs and ask the people who i...