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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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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.

Missouri Medicine
|April 28, 2025
PubMed
Summary
This summary is machine-generated.

Developing Aging-Friendly Healthcare Systems (AFHS) is crucial for the growing older adult population. The 4Ms initiative offers a framework to improve quality of life, despite workforce shortages, with new reporting requirements starting in 2025.

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Area of Science:

  • Geriatric Medicine
  • Healthcare Systems Engineering
  • Public Health Policy

Background:

  • The aging population necessitates specialized healthcare systems to manage complex needs across the care continuum.
  • Quality of life is a primary goal for Aging-Friendly Healthcare Systems (AFHS).
  • Workforce shortages in geriatrics and primary care, particularly in Missouri, pose challenges to AFHS implementation.

Purpose of the Study:

  • To highlight the importance of the 4Ms (What Matters, Mentation, Mobility, and Medication) initiative by the John A. Hartford Foundation.
  • To underscore the role of interdisciplinary teams in supporting AFHS.
  • To inform stakeholders about upcoming regulatory changes impacting AFHS.

Main Methods:

  • The 4Ms framework serves as a structured approach for developing AFHS.
  • Interdisciplinary collaboration is essential for successful AFHS.
  • Medicare's Hospital Inpatient Quality Reporting (IQR) Program mandates reporting on Aging-Friendly Hospital Measures.

Main Results:

  • The 4Ms initiative provides a foundational framework for AFHS.
  • Successful AFHS rely on strong interdisciplinary support.
  • Hospitals face financial implications for non-compliance with new reporting measures.

Conclusions:

  • The 4Ms framework is pivotal for advancing Aging-Friendly Healthcare Systems.
  • Addressing workforce shortages is critical for the sustainability of AFHS.
  • Mandatory reporting starting in 2025 will drive the adoption of Aging-Friendly Hospital Measures.