Age-Friendly Health Systems Movement: From Momentum to Impact at Scale, Phase IV

Grant Summary

The Institute for Healthcare Improvement (IHI) will propel the Age-Friendly Health Systems (AFHS) movement toward a critical tipping point for national scale, reaching 20 percent of all older adults (14 million people) with age-friendly care annually by 2030. IHI will orchestrate a unified national strategy to strengthen implementation of the 4Ms Framework for age-friendly care—What Matters, Medication, Mentation and Mobility—across health systems and care settings; align policy, payment, regulation and technology with the 4Ms; advance the AFHS recognition process; and rapidly translate implementation learning into practical, field-ready tools that make reliable 4Ms care easier to deliver at scale. The grant will also advance family caregiver engagement as an essential component of age-friendly care. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation, the Institute for Healthcare Improvement and the American Hospital Association.

Related Grant Resources

• Project Page: Age-Friendly Health Systems Initiative
• Project Page: Age-Friendly System-wide Spread Collaborative
• IHI AFHS Online Course with Coaching – 3rd Cohort (Starts September 2026)
• IHI AFHS Case Studies: Diagnostic Excellence
• IHI AFHS Case Studies: Home Health Care
• Previous Phase: Age-Friendly Health Systems Movement – Phase 3: Embedding, Deepening and Sustaining 4Ms Care in Health Care Systems