IHI recognizes clinical care settings that are working toward reliable practice of evidence-based interventions for all older adults in their care known as the 4Ms (4Ms: What Matters, Medications, Mentation, Mobility). As of May 2021, nearly 2100 health care organizations have earned either level 1 (Participant) or level 2 (Committed to Care Excellence) recognition in the Age-Friendly Health Systems movement.
Level 1 (Participant) teams have successfully developed plans to implement the 4Ms.
Level 2 (Committed to Care Excellence) teams have three months of verified data to demonstrate early impact of using the 4Ms.
For more information on who is eligible for recognition, timelines for submission to notification, and more, visit our
Frequently Asked Questions and sign up for Office Hours to meet with our team.
Submitting Your 4Ms Care Description
Select the worksheet that best corresponds to your site of care:
Convenient Care Clinic
Committed to Care Excellence Counts (multiple sites)*
Send your filled out care description to AFHS@ihi.org. You should receive an email with information about your recognition status within three weeks.
Please email AFHS@ihi.org for questions or additional information on becoming recognized as an Age-Friendly Health System.
*If your healthcare system has multiple sites of care, please use the Committed to Care Excellence Counts (multiple sites) spreadsheet. If not, please look on page 12 of your Care Description PDF Form.