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Updated: May 10, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Developing an Aging-Friendly Healthcare System
Angela M Sanford1, Susan J Elliott2
1Associate Professor of Internal Medicine, Division of Geriatric Medicine at SSM Health/Saint Louis University School of Medicine, St. Louis, Missouri.
Abstract:
With the rapidly increasing population of older adults, there is a great need to develop Aging-Friendly Healthcare Systems (AFHS) equipped in providing comprehensive healthcare to a complex population across an expansive care continuum. While there are several important components in a successful AFHS, the pinnacle of the AFHS is quality of life for the patients it serves. The John A. Hartford Foundation has launched the 4Ms (What Matters, Mentation, Mobility, and Medication) initiative as a structured approach to assist in the development of AFHS. The AFHS is highly supported by the interdisciplinary team, geriatricians, and primary care physicians, all whom are facing serious workforce shortages, particularly in Missouri. Beginning in 2025, hospitals that participate in Medicare's Hospital Inpatient Quality Reporting (IQR) Program will be required to report on Aging-Friendly Hospital Measures based on the 4Ms framework or face possible reimbursement penalties.
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