4Ms Framework of an Age-Friendly Health System

Introduction

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
• 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
• a team-based approach is most likely to succeed

More general terms

• Age-Friendly Health System