Contact us​

Are you interested in receiving updates on the initiative?



​​​What Is a​n Age-Friendly Health System?​

An Age-Friendly Health System is one in which every older adult:
  • Gets the best care possible;
  • Experiences no health care-related harms; and
  • Is satisfied with the health care he or she receives.
In an Age-Friendly Health System, value is optimized for all — patients, families, caregivers, health care providers, and the overall system.

The goal of the Age-Friendly Health Systems initiative is to rapidly spread the 4Ms Framework to 20 percent of US hospitals and medical practices by 2020. ​
The four essential elements of an Age-Friendly Health System​ are known as the 4Ms:
  • What Matters: Know and align care with each older adult's specific health outcome goals and care preferences in​clu​ding, but not limited to end-of-life care, and across settings of care.
  • Medication: If medication is necessary, use Age-Friendly medications that do not interfere with What Matters, Mobility, or Mentation​ on 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).