Age-Friendly Health Systems IHI Team and Faculty

• Matt Berry, Marketing Manager (maberry@ihi.org)
• Alice Bonner, PhD, RN, Advisor, Care of Older Adults (abonner@ihi.org)
• Nicole Brandt, PharmD, Faculty
• Cynthia Brown, MD, Faculty
• Kate DeBartolo, Senior Project Director, (kdebartolo@ihi.org)     
• Alex Enxuto, Associate Project Manager (aenxuto@Ihi.org)
• Donna Fick, MD, Faculty
• Luisana Henriquez Garcia, MA Project Manager (lgarcia@ihi.org)
• Laura Howell Nelson, Project Director (lhowellnelson@ihi.org)
• Nicole Korp, Project Manager (nkorp@ihi.org)
• Kevin Little, PhD, Improvement Advisor
• Kedar Mate, MD, President and CEO, Senior Sponsor (kmate@ihi.org)
• Amanda Meier, MA, Project Manager (ameier@ihi.org)
• Ivy Mwangi, MD, Faculty
• KellyAnne Pepin, MPH, Senior Project Director (kpepin@ihi.org)
• JoAnne Reifsnyder, PhD, MSN, MBA, RN, FAAN, Faculty
• Cayla Saret, Senior Managing Editor (csaret@ihi.org)
• Rafael Samper-Ternent, MD, PhD, Faculty 
• Andrea Schwartz, MD, Faculty
• Christina Southey, Im​provement Advis​or
• Mary Tinetti, MD, Faculty

Age-Friendly Health Systems Advisory Group​

• ​​​Don Berwick, MD, MPP (chair), President emeritus and Senior Fellow, Institute for Healthcare Improvement, former administrator of the Centers for Medicare & Medicaid Services
• Faith Mitchell (co-chair), PhD, Institute Fellow, Urban Institute
• Mary Tinetti, MD (founding co-chair), Gladys Phillips Crofoot Professor of Medicine (Geriatrics) and Professor, Institution for Social and Policy Studies; Section Chief, Geriatrics
• Ann Hendrich, PhD, RN (founding co-chair), Researcher & Content Expert, Health System, Nursing and Safety Executive
• Kyle Allen, DO, AGSF, Vice President Enterprise Medical Director, CareSource
• Kevin Biese, MD Associate Professor, Emergency Medicine; Co-Director, Division of Geriatric Emergency Medicine; Director, Emergency Medicine Residency Program;  Advisor to Gary and Mary West Health Institute
• Alice Bonner, PhD, RN, Advisor, Care of Older Adults, Institute for Healthcare Improvement
• Peg Bradke, RN, MA, Vice President, Post-Acute Care, UnityPoint Health - St. Luke's Hospital
• Nicole Brandt, PharmD, MBA, Professor, Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy; Executive Director, Peter Lamy Center on Drug Therapy and Aging
• Marie Cleary-Fishman, BSN, MS, MBA, CPHQ Vice President , Clinical Quality AHA Center for Health Innovation American Hospital Association
• Lenise Cummings-Vaughn, MD, Associate Professor of Medicine, Washington University's School of Medicine
• Thomas E. Edes, MD, MS, Senior Medical Advisor, Office of Geriatrics & Extended Care, U.S. Department of Veterans Affairs
• Glyn Elwyn, MD, PhD, The Dartmouth Institute for Health Policy and Clinical Practice
• Wes Ely, MD, MPH, Professor of Medicine, Vanderbilt University School of Medicine
• Donna Fick, PhD, RN, Elouise Ross Eberly Professor of Nursing and Professor of Medicine and Director of Center of Geriatric Nursing Excellence, Pennsylvania State University; Editor, Journal of Gerontological Nursing
• Terry Fulmer, PhD, RN, President, The John A Hartford Foundation
• Sherry A. Greenberg, PhD, RN, GNP-BC, FGSA, FNAP, AGSF FAANP, FAAN Evelyn Lauder Chair in Adult Gerontology and Professor Hunter-Bellevue School of Nursing, Hunter College, New York City
• Scotte R. Hartronft, MD, MBA, FACP, Executive Director, VA Office of Geriatrics and Extended Care, Veterans Health Administration
• Carrie Hays McElroy, MSN, RN, Gero-BC, ACM, VP Clinical Operations/CNO, Chief Integrity and Compliance Officer, Trinity Health PACE
• Kate Hilton, JD, MTS, Senior Consultant, ReThink Health and Faculty, Institute for Healthcare Improvement
• Ann Hwang, MD, Director of the Center for Consumer Engagement in Health Innovation, Community Catalyst
• Barbara Jacobs, RN, Vice President, Nursing and Chief Nursing Officer, Anne Arundel Medical Center
• Maulik Joshi, DrPH, Chief Executive Officer, Meritus Health
• Doug Koekkoek, MD, Chief Executive, Providence Medical Group
• Bruce Leff, MD, Professor, Johns Hopkins Medicine and Director, The Center for Transformative Geriatric Research, Johns Hopkins University School of Medicine
• Shari M. Ling, MD, Acting CMS Chief Medical Officer
• Nancy Lundebjerg, MPA, Chief Executive Officer, American Geriatrics Society
• Joe McCannon, Founder, Shared Nation, Formerly Founder and Chief Executive Officer, Billions Institute
• Angela Patterson, DNP, FNP-BC, NEA-BC, FAANP, Chief Nurse Practitioner Officer, CVS Minute Clinic Vice President, CVS Health
• VJ Periyakoil, MD, Director, Palliative Care Education and Training, Stanford University School of Medicine, VA Palo Alto Health Care System, Division of Primary Care and Population Health
• ​Jonathan Perlin, MD, President and CEO, The Joint Commission
• Eric Rackow, MD, Executive Chairman and Co-Founder, eFamilyCare; President Emeritus, NYU Hospital Center; Professor of Medicine, NYU School of Medicine
• ​Stephanie Rogers, MD, MPH Assistant Professor, Medicine, University of California, San Francisco
• Ronnie Rosenthal, MD, Professor of Surgery, Yale School of Medicine and Surgeon-In-Chief, VA Connecticut Healthcare System
• Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC, Chief Nursing Executive, HCA Healthcare American Group, Vice President, Group Clinical Operations
• Nirav Shah, MD, MPH, Adjunct Professor at the School of Medicine, Stanford University
• Albert Siu, MD , Professor and System Chair, Geriatrics and Palliative Medicine, Population Health Science and Policy, General Internal Medicine
• Victor Tabbush, PhD, Adjunct Professor Emeritus, UCLA Anderson School of Management
• Julie Trocchio, MSN, Senior Director, Community Benefit and Continuing Care, Catholic Health Association of the United States

Age-Friendly Health Systems What Matters Advisory Group

• Joann Austin
• Elissa Brown
• MaeMargaret Evans
• Kate Hilton
• Janice Hopper
• Andrea Kabcenell
• Rafael Ruiz
• Robert Small
• Randy Smith
• Madge Street

Resources to Practice Age-Friendly Care

Numerous resources are available to help your team and organization practice age-friendly care and to guide your journey toward becoming an Age-Friendly Health System, including:

• Getting Started Guides
• Age-Friendly Health Systems Measurement
• NEW: CMS Age-Friendly Hospital Measure
• 4Ms Framework ​of an Age-Friendly Health System
• Making the Business Case for Age-Friendly Health Systems
• Working with Older Adults
• Case Studies
• Equity in Age-Friendly Care
• Additional Resources: IHI Insights, news and journal articles, and more
   

Getting Started Guides

​​​​​​​​​​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 Verification (GSV) 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 ages 65+.

• Download the Guide

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

Guide to Using the 4Ms in the Care of Older Adults in Home Health

This guide contains resources to help home health implement the 4Ms (What Matters, Medication, Mentation, and Mobility) into their setting of care.

• Download the Guide

The Three Keys to Cross-Sector Age-Friendly Care

Improving Public Health and Health Care for Older Adults: The Three Keys to Cross-Sector Age-Friendly Care Implementation Guide and Workbook contains resources to improve how public health and health care organizations work across the care continuum. The accompanying materials also provide guidance and specific recommendations to support efforts to provide age-friendly care to all older adults.

• Download the Implementation Guide and Workbook plus related content

Age-Friendly Health Systems EHR Implementation Guides

• 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 Measurement

Age-​Friendly Health Systems: Measures Guide

This document provides guidance on how to use and track a series of measures ​​to help study your performance​.

• Download the Measures Guide​
• Video: Measuring the Impact of the 4Ms in Your System
• NCQA Article: A Core Measure Set For Age-Friendly Health Care Delivery

4Ms Evaluation Metrics Resource Library

Developed by the University of California San Francisco and a national Age-Friendly Health System Research Council, the 4Ms Evaluation Metrics Resource Library is a one-stop collection of 4Ms metrics compiled from the literature to help evaluators, researchers, implementers, and other stakeholders jump start their work to assess the impact of 4Ms implementation efforts. Metrics can be easily filtered by each of the 4Ms, measure type (e.g., process, outcome), clinical setting, data source, and subpopulations.

• Access the 4Ms Evaluation Metrics Resource Library 

Cross-Setting Measurement Guide 

The Comprehensive measurement guide has been created to reflect the measurement guidance contained in the guides for Hospital, Ambulatory, Nursing Home, Convenient care and Home care. It contains a comparison of the recommended measures for all settings that can currently be recognized by IHI (as of February 2025) and definitions of the measure for considerations by systems. Additionally, the guide builds on the guidance in the various AFHS Guides by adding in measures that we have gathered from systems looking to spread the 4Ms across their system and provides additional considerations for systems creating their own measurement dashboards to track the impact of the 4Ms on process and outcomes. 

The guide has been created to provide a base for diverse systems to customize their own measures based on their internal systems. IHI will continue to review and revise the guide as required as we learn more from the increasing number of systems engaged in implementing the 4Ms in their system and tracking impact. 

• Access the Cross-Setting Measurement Guide

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 international effort and specific activities to reach this goal.

• Download the Guide

Read these IHI Insights posts to learn how different health systems have spread 4Ms care using the drivers or approaches outlined in the guide. 

• Hartford HealthCare: Celebrate and tell your stories to drive spread
• University of Texas Health Science Center at Houston: Calculate the financial impact of practicing the 4Ms
• Providence Health: Get specific about which health system priorities are advanced by the 4Ms
• MaineHealth: Gather evidence of impact during piloting of the 4Ms

NEW: CMS Age-Friendly Hospital Measure

This brief overview discusses why the measure matters, crosswalks the five domains of the measure to the 4Ms of the age-friendly care, includes a timeline of the measure, and shares resources. 

• Download the Overview

CMS Age-Friendly Measure Completion Checklist

Use this example checklist from Luminis Health Anne Arundel Medical Center as a starting point for documenting and monitoring progress towards attestation. 

• Download the Checklist

CMS, AHRQ, and UCSF on Advancing Age-Friendly Care

The recording of this October 2024 Friends of Age-Friendly Health Systems call is now available to view online or share with a colleague.

• Watch the recording
• Download the slides