Contents:
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Getting Started Guides
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The 4Ms Framework
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Making the Case for Age-Friendly Health Systems
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Working with Older Adults
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Case Studies and Media
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Ensuring Equity in Age-Friendly Care
Guide to Using the 4Ms in the Care of Older Adults in Hospitals and Ambulatory Practices
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
Guide to Care of Older Adults in Nursing Homes
IHI, along with partner nursing homes, has developed the
Age-Friendly Health Systems Guide to Care of Older Adults in Nursing Homes and companion document, Age-Friendly Health Systems Workbook for Nursing Homes Teams. The Guide presents a systems-based approach to implementing the 4Ms throughout the nursing home, and the Workbook is designed by and for point-of-care teams that interact with individual residents each day.
Download the Guide
Download the Workbook
Guide to Recognition for Geriatric Emergency Department Accredited Sites
Geriatric Emergency Department Accredited sites are well aligned with 4Ms care. This guide provides an overview of each initiative, illustrates the overlap between them, and provides guidance on incorporating What Matters to older adults into Geriatric Emergency Department care.
Download the Guide
Guide to Recognition for Geriatric Surgery Verification Hospitals
Geriatric Surgery Verifiications Hospitals are well aligned with 4Ms care. This guide provides an overview of each initiative and illustrates the GSV Standards that meet the requirements for recognition as an Age-Friendly Health System when provided to adults 65+.
Download the Guide
New! Guide to Using the 4Ms in the Care of Older Adults in the Convenient Care Clinic
This guide contains resources to help convenient care clinics implement the 4Ms (What Matters, Medication, Mentation, and Mobility) into their setting of care.
Download the Guide
New! The Three Keys to Cross-Sector Age-Friendly Care
This Implementation Guide and Workbook contains resources to improve how public health and health care organizations work across the care continuum to provide age-friendly care to all older adults.
Three Keys to Cross-Sector Age-Friendly Care Implementation Guide and Workbook
Three Keys to Cross-Sector Age-Friendly Care Workbook
Three Keys to Cross-Sector Age-Friendly Care Care Journey Maps
Three Keys to Cross-Sector Age-Friendly Care Driver Diagram, Change Ideas, and Measures
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
Download the Epic Implementation Guide
For feedback or questions about these guides, please email afhs@ihi.org.
Age-Friendly Health Systems: Measures Guide
Download a guide on how to use and track a series of measures to help study your performance.
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.
The 4Ms Framework of an Age-Friendly Health System
Watch the Introduction to the 4Ms Framework video from RUSH Center for Excellence in Aging
Downloadable Graphics
The graphics of the "4Ms" Framework of an Age-Friendly Health System may be downloaded and used for related work without requesting permission.
Click the images below to download:
"4Ms" Framework "4Ms" Framework with descriptions
4Ms Educational Resources of Healthcare Workforce
4Ms Educational Resources to Use with Older Adults
NICHE Age-Friendly 4Ms Crosswalk
Download the NICHE Article
AGS CoCare: HELP & Age-Friendly
Using AGS CoCare: HELP to Achieve Age-Friendly Care
Getting Started resources providing detailed information on how implementing the HELP program can support a hospital in becoming Age-Friendly:
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
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
Identify an Age-Friendly Champion
Learn more about identifying a sponsor and the sponsor role
4Ms Educational Materials for Older Adults and Caregivers
Frequently Asked Questions
Video: What Matters Is Most Important
WebMD partnered with The John A. Hartford Foundation to create a series of videos featuring the 4Ms of age-friendly care to help older adults and caregivers take control of their health.
Watch the WebMD VIdeoSeries: What Matters Is Most Important
What Age-Friendly Health Systems Mean to Older Adults
"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
"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 >>
Case Studies
New!
Issue Brief: Creating Value with Age-Friendly Health Systems
Luminis Health Anne Arundel Medical Center
Birmingham VA Health System: A Hospital Finds Their Age-Friendly Champion
