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Leveraging Pharmacists Using RE-AIM Framework to Implement Age-Friendly Nursing Home Care.
Barbara J Zarowitz1, Milta Little2, William Vaughan3
1School of Pharmacy, University of Maryland, Baltimore, MD, USA.
Journal of the American Medical Directors Association
|April 18, 2026
Summary
Pharmacists successfully implemented Age-Friendly 4Ms initiatives in post-acute and long-term care settings. This approach, guided by the RE-AIM framework, engaged numerous healthcare professionals and facilities, enhancing elder care quality.
Area of Science:
- Implementation Science
- Geriatric Pharmacy
- Public Health
Background:
- The Age-Friendly Health System initiative aims to optimize care for older adults.
- The 4Ms framework (What Matters, Medication, Mentation, Mobility) provides a structured approach to geriatric care.
- Pharmacists are integral to healthcare teams, particularly in post-acute and long-term care (PALTC) settings.
Purpose of the Study:
- To describe the utilization of pharmacists in implementing the Age-Friendly 4Ms framework.
- To evaluate the implementation process using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.
Main Methods:
- An implementation science program evaluation was conducted.
- Data were collected through surveys, training records, social media metrics, and interviews.
- Pharmacists in PALTC settings were trained and supported to implement the 4Ms with multidisciplinary teams.
Main Results:
- Over 1500 pharmacists achieved Age-Friendly recognition, including 272 recent graduates.
- 656 pharmacies and 53 nursing homes (NH) were engaged within 11 months.
- Significant social media engagement was observed, with 5029 views and 1856 shares.
Conclusions:
- Pharmacists can effectively leverage the RE-AIM framework to implement Age-Friendly 4Ms practices in PALTC settings.
- This initiative is expected to contribute to the integration of Age-Friendly care into quality measures for nursing homes.
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