VA Age-Friendly Health Systems Initiative - Geriatrics and Extended Care
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Geriatrics and Extended Care


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VA Age-Friendly Health Systems Initiative

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VA Joins National Age-Friendly Health Systems Initiative: Committed to Care Excellence for Older Adults

Becoming an Age-Friendly Health System involves providing a set of four evidence-based elements of high-quality care, known as the “4Ms,” to all older adults in a health care system:

  • What Matters
  • Medication
  • Mentation
  • Mobility

The 4Ms are practiced reliably for all older adults, and all settings and across settings, in every interaction.
According to the U.S. Census Bureau, the U.S. population aged 65+ years is expected to nearly double over the next 30 years, reaching an estimated 83.7 million by 2050. The growth in this population has left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction.
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), designed Age-Friendly Health Systems to meet this challenge head on. The goal of the initiative is to rapidly spread the 4Ms Framework to U.S. hospitals and health care systems.
Age-Friendly Health Systems aim to:

  • Follow an essential set of evidence-based practices
  • Cause no harm; and
  • Align with What Matters to the older adult and their family caregivers.​

Many VA health systems are already on the list of Age-Friendly Health Systems and others are working on implementing the 4Ms and being recognized as Age-Friendly Health Systems.