Caregiver helps elderly man stand

Special Issue on Age-Friendly Health Systems

Health Services Research and The John A. Hartford Foundation have partnered to publish a special issue on Age-Friendly Health Systems.

Age Friendly Health Systems text on blue background with HSR and John A. Hartford Foundation logos in white

This special issue is motivated by a collaboration of The John A. Hartford Foundation, Institute for Healthcare Improvement, American Hospital Association and Catholic Health Association to improve the safety and effectiveness of care for older adults. Together, these organizations launched the Age-Friendly Health Systems initiative to build on evidence-based models of geriatric care and integrate them with a wider ecosystem of age-friendly public health, public policy, cities and states. 

The goal is for all care for older adults to be age-friendly, meaning equitably applied in ways that minimize patient harms and are consistent with what matters to older adults and their families. The initiative is guided by a set of evidence-based practices: What Matters, Medication, Mentation, and Mobility. The papers below highlight cutting-edge research within this 4Ms framework. For more information on the 4Ms framework and Age-Friendly Health Systems, visit


Applying the age-friendly-health system 4M paradigm to reframe climate-related disaster preparedness for nursing home populations

David Dosa MD, MPH, Dylan Jester PhD, MPH, Lindsay Peterson PhD, Debra Dobbs PhD, Kathy Black PhD, Lisa Brown PhD, ABPP

Perceived Benefits of Geriatric Specialty Telemedicine among Rural Patients and Caregivers Research

Eileen M. Dryden PhD, Meaghan A. Kennedy MD, MPH, Jennifer Conti MPH, Jacqueline H. Boudreau MPH, Chitra P. Anwar MA, Kathryn Nearing PhD, MA, Camilla B. Pimentel PhD, MPH, William W. Hung MD, MPH, Lauren R. Moo MD

Geriatric Fracture Program Centering Age-Friendly Care Associated with Lower Length of Stay and Lower Direct Costs

Kathleen Breda NP, MSN, BBA, AGACNP-BC, ONP-C, Michelle S. Keller PhD, MPH, Hiroshi Gotanda MD, PhD, Alexander Beland DO, Karma McKelvey PhD, MPH, Carol Lin MD, Sonja Rosen MD

Provider discussion of health goals and psychosocial needs: Comparing older to younger veteran experience

Alison M. Cogan PhD, OTR/L, Debra Saliba MD, MPH, W. Neil Steers, Stephen Frochen PhD, Kimberly A. Lynch MD, MS, David A. Ganz MD, PhD, Donna L. Washington MD, MPH, FACP

Telehealth for geriatric post-emergency department visits to promote age-friendly care

Colleen M. McQuown MD, Kristina T. Snell, Lauren M. Abbate MD, PhD, Ethan M. Jetter MPH, Jennifer K. Blatnik MSW, Luna C. Ragsdale MD, MPH

Impact of a collaboration revolving around virtual capacity evaluations

Ronan Factora MD, Ardeshir Z. Hashmi MD

Achievement of age-friendly health systems committed to care excellence designation in a convenient care health care system

Anne M. Pohnert MSN, RN, FNP-BC, Nicholas K. Schiltz PhD, Lilia Pino PhD, RN, FNP-C, Sarah Ball MSN, RN, APRN, Evelyn G. Duffy DNP, AGPCNP-BC, FAANP, Mary E. McCormack MSN, MPH, RN, APNC, Brant Oliver PhD, MS, MPH, FNP-BC, PMHNP-BC, Angela Patterson DNP, FNP-BC, NEA-BC, FAANP, Leslie Pelton MPA, Mary A. Dolansky PhD, RN, FAAN

Collaborating toward equity in Pennsylvania: The Age-Friendly Care, PA project

Diane Berish PhD, Erica Husser PhD, Jenny Knecht-Fredo MSN, CRNP, Jacqueline Sabol MEd, George Garrow MD, Judith Hupcey EdD, CRNP, FAAN, Donna Fick RN, GCNS-BC, PhD, FGSA, FAAN

An Age Friendly population health dashboard geolocating by clinical and social determinant needs

Ardeshir Z. Hashmi MD, James Christy, Saket Saxena MD, Ronan Factora MD

Unmet needs for food, medicine, and mental health services among vulnerable older adults during the COVID-19 pandemic

Ming Tai-Seale MPH, PHD, Michael W. Cheung BA, Jamie Kwak BSPH, Victoria Harris MPH, Samantha Madonis MSN, RN, PHN, Lc Russell MSN, BSN, RN, Eileen Haley MSN, RN, CNS, CCM, Parag Agnihotri MD

How “age-friendly” are deprescribing interventions? A scoping review of deprescribing trials

Jinjiao Wang PhD, RN, Jenny Y. Shen MD, Yeates Conwell MD, Eric J. Podsiadly BA, Thomas V. Caprio MD, MPH, MS, Kobi Nathan PharmD, Fang Yu PhD, RN, GNP-BC, FGSA, FAAN, Erika E. Ramsdale MD, Donna M. Fick PhD, FAAN, Amanda S. Mixon MD, MS, MSPH, Sandra F. Simmons PhD

The effect of the right care, right place, right time (R3) initiative on Medicare health service use among older affordable housing residents

Jane Tavares PhD, Liz Simpson MPH, MS, Edward Alan Miller PhD, MPA, Pamela Nadash PhD, BPhil, Marc Cohen PhD

Effects of an electronic health record-based mobility assessment and automated referral for inpatient physical therapy on patient outcomes: A quasi-experimental study

Aileen Chou PT, DPT, Joshua K. Johnson DPT, PhD, Daniel B. Jones PhD, Tracey Euloth MPT, Beth A. Matcho PT, Andrew Bilderback MS, Janet K. Freburger PT, PhD

Age-Friendly Health Systems: Improving care for older adults in the Veterans Health Administration

Kimberly Church MS, Shannon Munro PhD, APRN, BC, NP, Marianne Shaughnessy PhD, AGPCNP-BC, GS-C, Carolyn Clancy MD, MACP