Implementation of an age-friendly care initiative in an acute care setting: Overcoming challenges and measuring outcomes.

BACKGROUND

The aging U.S. population requires innovative care approaches. Our medical center implemented the Age-Friendly Health Systems "4Ms" framework-what Matters, Medication, Mentation, and Mobility-using a Plan-Do-Study-Act quality improvement approach.

METHODS

Launched in December 2019 on two inpatient units, this nurse-led project aimed to improve care for hospitalized adults aged 70+. Key interventions included enhancing documentation of patient goals, reducing high-risk medications, implementing delirium prevention strategies, and supporting mobility. Metrics tracked included 4Ms adherence, Beers® Criteria medication orders, delirium incidence, and ambulation distances.

RESULTS

Over five years, 4Ms adherence rose from 81% to 100%, Beers Criteria medication orders decreased, and ambulation distances improved while falls and delirium rates remained stable. Patient education initiatives enhanced satisfaction.

CONCLUSIONS

The successful 4Ms initiative has expanded across all inpatient units and is being implemented system wide.