Guide to Using the 4Ms in the Care of Older Adults
The guide is designed to help care teams test and implement a specific set of evidence-based, geriatric best practices called the "4Ms": What Matters, Medication, Mentation, Mobility.
Download the Guide
What Age-Friendly Health Systems Mean to Older Adults
Spreading Age-Friendly Care: From One Care Location to Reach Older Adults Across Your Health System
The guide will help health systems in spreading the 4Ms through all sites of care by discussing interntional effort and specific activities to reach this goal.
- Download the Guide
- Watch our Friends of Age-Friendly webinar to learn how different health systems have implemented the 4Ms through their care location.
NICHE Age-Friendly 4Ms Crosswalk
Download the NICHE Article
The Business Case for Becoming an Age-Friendly Health System
The business case methodology will help an organization seeking to become an Age-Friendly Health System identify the relevant data, analyze it, and describe its financial implications.
Download the Business Case
Organizations may use the accompanying ROI Calculators with their own data to evaluate their Age-Friendly programs.
*For best results, please use Google Chrome to download the ROI Calculators
Inpatient ROI Calculator
Instructions: Inpatient ROI Calculator
Outpatient ROI Calculator
Instructions: Outpatient ROI Calculator
"What Matters” to Older Adults? Toolkit
A toolkit for health systems to design better care with older adults but understanding "what matters" most to each adult.
Download the Toolkit
Age-Friendly Health Systems EHR Implementation Guides
Guides to electronic health record (EHR) requirements for adoption of the 4Ms, one with Cerner examples and one with Epic examples.
Download the EHR Implementation Guide with Cerner Examples
Download the EHR Implementation Guide with Epic Examples
For feedback or questions about these guides, please email
"Conversation Ready": A Framework for Improving End-of-Life Care
This white paper presents IHI’s "Conversation Ready" approach to help health care organizations and clinicians provide respectful end-of-life care that is concordant with patients’ stated goals, values, and preferences.
Download the IHI White Paper
How to Talk to Your Patients about End-of-Life Care: A Conversation Ready Toolkit for Clinicians
This toolkit is intended to help clinicians address some of the challenges of engaging with patients and families in end-of-life care conversations over time, with the goal of providing respectful end-of-life care that is concordant with patients’ stated goals, values, and preferences.
Download the Toolkit
The Conversation Project
The Conversation Project is dedicated to helping people talk about their wishes for end-of-life care. The Conversation Starter Kits are useful tools to help older adults have the conversation with a family member, friend, or other loved one about their end-of-life care wishes.
Learn More >>
The 4Ms Framework of an Age-Friendly Health System
- Watch the
Introduction to the 4Ms Framework video from RUSH Center for Excellence in Aging
The graphics of the "4Ms" Framework of an Age-Friendly Health System may be downloaded and used for related work without requesting permission.
"4Ms" Framework "4Ms" Framework with descriptions
Identify an Age-Friendly Champion
Learn more about identifying a sponsor and the sponsor role
Describe Local Application of the 4Ms at Your Organization
Download the 4Ms Age-Friendly Care Description worksheet (Hospital and Post-acute Long-term Care Setting)
Download the 4Ms Age-Friendly Care Description worksheet (Ambulatory Care Setting)
Frequently Asked Questions about Being Recognized as an Age-Friendly Health System
Community-based Resources and the 4Ms
Age-Friendly Health Systems: Measures Guide
Download a guide on how to use and track a series of measures to help study your performance.
WIHI Audio Program
The playlist includes multiple videos describing Age-Friendly Health Systems.