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4Ms Framework of an Age-Friendly Health System
The 4Ms
- what Matters
- Medication
- Mentation
- Mobility
Clinical significance:
- the 4Ms identify core issues that should guide all decision making in the care of older adults [1]
- the 4Ms are relevant regardless of
- disease &/or comorbidities
- functional problems
- cultural, racial, ethnic, or religious background
Management:
- two key drivers of age-friendly care:
- assess the 4Ms for each older adult in your care
- act on incorporating the 4Ms into the plan of care
- use the Plan-Do-Study-Act cycle to integrating the 4Ms into clinical care [1]
- a team-based approach is most likely to succeed
General
Age-Friendly Health System
References
- Institute for Healthcare Improvement
Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of older adults.
Age-Friendly Health Systems. July 2020
https://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Documents/IHIAgeFriendlyHealthSystems_GuidetoUsing4MsCare.pdf
- Burke RE, Ashcraft LE, Manges K et al
What matters when it comes to measuring Age-Friendly Health System
transformation.
J Am Geriatr Soc. 2022 Oct;70(10):2775-2785. Epub 2022 Aug 22.
PMID: 36053842
https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/jgs.18002