Older adults in the US deserve safe, effective, and patient-centered care in the settings in which they receive their care. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA). The goal of the initiative is to develop an Age-Friendly Health Systems framework and rapidly spread the to 20 percent of US hospitals and health systems by 2020.
What Is an Age-Friendly Health System?
An age-friendly framework will measurably improve the quality of care for older adults and optimize value for health systems. It is a health care system in which:
- Older adults get the best care possible;
- Healthcare-related harms to older adults are dramatically reduced and approaching zero;
- Older adults are satisfied with their care; and
- Value is optimized for all — patients, families, caregivers, health care providers and health systems.
In 2017, five prototyping health systems stepped forward to
work with IHI to test ideas and learn what it takes to be an Age-Friendly Health
System. The 4M Age-Friendly framework that emerged is both evidence based
and able to be put into practice reliably in health care settings:
- What Matters: Know and align care with each older adult's specific health outcome goals and care preferences including, but not limited to end-of-life care, and across settings of care.
- Medication: If medications are necessary, use Age-Friendly medications that do not interfere with What Matters, Mobility, or Mentation across settings of care.
- Mentation: Prevent, identify, treat, and manage dementia, depression, and delirium across care settings.
- Mobility: Ensure that older adults move safely every day in order to maintain function and do What Matters.
Age-Friendly Health Systems is an initiative of
The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) in partnership with the
American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA).