Resources to Practice Age-Friendly Care

​​​​​​​​​​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


4Ms Educational Resources of Healthcare Workforce 

4Ms Educational Resources to Use with Older Adults

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 eva​luate 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​


How to Have Conversations with Older Adults About “What Matters”: A Guide for Getting Started

A short guide for anyone who cares for older adults, in any setting, to help jumpstart conversations about What Matters most.

Download the Getting Started Guide


​​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 afhs​


"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

4Ms Framework of an Age-Friendly Health System4Ms Framework of an Age-Friendly Health System 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

Video Playlist

The playlist includes multiple videos describing Age-Friendly Health Systems.

Join Friends of Age-Friendly Health Systems​​

  • ​Updates on the movement
  • Invites to quarterly webinar calls
  • Access to experts ​
  • Get support on the 4Ms Framework

Join the Community​​​