Age-Friendly Health Systems Updated Guides: Guide to Using the 4Ms in the Care of Older Adults in Hospitals and Ambulatory Practices and Guide to the Care of Older Adults in Nursing Homes
The Institute for Healthcare Improvement (IHI) has updated two of its guides for Age-Friendly Health Systems, "Guide to Using the 4Ms in the Care of Older Adults in Hospitals and Ambulatory Care Practices" and "Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes."
These guides are designed to help care teams test and implement a specific set of evidence-based, best practices in the care of older adults through the 4Ms Framework: What Matters, Medication, Mentation, Mobility.
The updates to the guides are part of a regular process to incorporate the latest learnings from Age-Friendly Health Systems participants. Updates include new tools for integrating equity into every step of the process, added clarity about the meaning of mobility, new examples and connections to case studies, and refreshed data and links to tools and resources.
Age-Friendly Health Systems is an initiative of JAHF and IHI, in partnership with the American Hospital Association and the Catholic Health Association of the U.S. Health care teams from hospitals, practices, nursing homes and other sites of care are encouraged to join the Age-Friendly Health Systems movement through free, 7-month Action Communities.
Read the hospitals and ambulatory care guide.
Read the nursing home guide.
Learn more about the Age-Friendly Health Systems (AFHS) initiative.
Learn more about JAHF's co-funding of the AFHS initiative.



