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Using the 4Ms Framework to Provide Age-Friendly Care to Older Adults

Older adults, individuals 65 years and older, have higher rates of health care utilization as compared to other age groups and experience higher rates of health care-related harm, delay, and discoordination. Meanwhile, the number of older adults in the United States is growing rapidly.

To address this challenge, almost 2,000 care locations in the US have taken steps towards becoming Age-Friendly Health Systems, meaning they reliably provide a set of four evidence-based elements of high-quality care, known as the 4Ms, to all older adults in their system.

The 4Ms — What Matters, Medication, Mentation, and Mobility — make care of older adults, which can be complex, more manageable. When implemented together, the 4Ms represent a broad shift by health systems to focus on the needs of older adults.

During the COVID-19 pandemic, Age-Friendly Health Systems used the 4Ms Framework to prepare quickly for telehealth visits with older adults. This presentation will include examples of the 4Ms in practice during in-person and telehealth visits with older adults.

Join this hour-long session on Friday, February 26, 2021 as expert speakers introduce the 4Ms Framework and illustrates how care teams can use the Framework to provide age-friendly care.

What You'll Learn

By the end of this IHI Virtual Learning Hour you’ll be able to:

  • Summarize the Age-Friendly Care (4Ms) Framework and how it can support your health care team to provide evidence-based care to older adults that is centered on what matters to the older adult and their family.
  • Describe examples of how to assess and act on each component of the 4Ms Framework during in-person and telehealth visits.

This IHI Virtual Learning Hour has been approved for 1 continuing education credit for physicians and CPPS recertification.


    Andrea Wershof SchwartzAndrea Wershof Schwartz, MD MPH, is an Assistant Professor of Medicine at Harvard Medical School where she directs the Aging and End of Life Theme for medical students. Dr. Schwartz serves as medical director of the Geriatrics Clinic at VA Boston Healthcare System and Associate Director of the Harvard Multicampus Geriatrics Fellowship Program.

    KellyAnne PepinKellyAnne Pepin, MPH is a Project Director at the Institute for Healthcare Improvement and leads the operations of large-scale improvement initiatives. She has over 10 years of experience designing and executing programs aimed at improving health and health care outcomes, including Age-Friendly Health Systems, Pathways to Populations Health, 100 Million Healthier Lives, and a learning system for Medicare Accountable Care Organizations (ACOs). In addition, she has worked on the New Business team, developing new programs and initiatives. Ms. Pepin received her Master of Public Health degree from Dartmouth College.