All clinical sites implementing the 4Ms and looking for research partnerships are welcome to add themselves to the Clinical Partnership Directory.
| Site | Briefly describe your organization’s stage of 4M’s implementation | Clinical setting(s) of 4Ms implementation | Tell us a little about your site (size, structure, setting, etc.) | What would you/your site like to get out of participating in AFHS research? |
|---|---|---|---|---|
| Dartmouth Health | Recognized by IHI as Level 2 using the Medicare Annual Wellness visit as the Gateway to the 4Ms in ambulatory care. Moving forward with full system implementation across all sites | Inpatient, Ambulatory, Emergency Department, Home Health, Rural Health Clinic | One of the most rural academic medical centers in the country with 6 partner hospitals (4 critical access hospitals). Ambulatory care at each site | Learn from the network specifically how demonstrate specific outcomes that are a priority for our system including reducing LOS and reducing unwarranted and unnecessary care. |
| Hartford HealthCare | 6/7 acute care sites Level 1 recognized, 1/7 Level 2 recognized. Cancer Institute Level 2 recognized. Ambulatory sites Level 1 recognized. 75% prepared to attest to all CMS Age-Friendly Measures. | Inpatient, Ambulatory, Emergency Department, | 7 hospital system, largest hospital 867 beds | Research and dissemination partnerships; outcome evaluation |
| HSE, Ireland | Mixed | Inpatient;Ambulatory;Emergency Department;Long-term Care | Pop of 1M, Integrated health area | Contributing to evidence |
| Institute on Aging | Home Health | 800 | ||
| Jefferson Health | We have successfully implemented and achieved IHI certification for 10 inpatient sites and 12 ambulatory sites. | Inpatient;Ambulatory | Large 32 hospital network spanning two states (PA and NJ), >150 primary care sites | Ensure alignment with data collection as the standards evolve, learn more about measuring outcomes of the 4Ms |
| Jessie Trice Community Health Systems | Integrated in EPIC. Level 2 certified | Federally Qualified Health Center | Approximately 40,000 patients with 7000 older adults | Return on investment and help in measuring patient outcomes |
| Lahore Concierge MD | We have been implementing the 4Ms since the beginning | Ambulatory, Home Health | It’s a outpatient clinic | |
| Penn State Health, Penn State College of Medicine | We are IHI Age-Friendly accredited at the main academic hospital. We are currently trying to figure out how to move towards the CMS Age-Friendly Measures. | Inpatient | Networking, coaching, etc. | |
| Rush University Medical Center | We are far along but have a ways to go | Inpatient, Ambulatory, Emergency Department | Inpt, Outpt, ED, Community | Best Practices |
| Salinas Valley Health | SVH is currently at Level 1 of the 4Ms implementation, with a 4/5 CMS attestation score. We launched our Age-Friendly Health System (AFHS) Campaign in June 2026, beginning with the establishment of a multidisciplinary AFHS Taskforce. The campaign will con | Inpatient | Salinas Valley Health is a 263 bed acute care medical center in Monterey County, California. | We want to establish network and share experiences in implementing AFHS |
| SFVA Liver Clinic | Level 1, created plan for implementation | Ambulatory | Ambulatory liver clinic | Generating evidence to support and disseminate 4M implementation in hepatology |
| Stanford | Gap analysis and working with informatics to develop dashboards | Inpatient;Ambulatory;Emergency Department | >500 bed AMC | Improving care for older adults |
| Sutter Health | Significant implementation progress in acute care and home health with 100% of locations in these two settings being at some stage of AFHS recognition. (We currently have 43 recognized locations, 10 of which are Committed to Care Excellence.) We are in th | Inpatient, Emergency Department, Home Health, Other | Large integrated health system with 21 hospitals, 16 home health locations, and 300+ ambulatory or specialty care clinics. | Shared learning and contributing to the collective impact or synergy of cross-organizationa and cross-sector collaboration. |
| The Ohio State University | We have 4Ms in the Emergency Department and our IHI Age-Friendly certified clinic. We are in process of geriatric surgery verification and differing inpatient units have 4Ms care implemented. Implementing delirium screening everywhere at this time. We als | Inpatient, Ambulatory, Emergency Department | We have a Level 1 Geriatric Emergency Department, a NICHE floor, and an IHI Age-Friendly geriatric oncology clinic. | |
| University of North Carolina Charlotte | none | Ambulatory | Learn to implement | |
| UPMC Mercy | UPMC Mercy is Level 2 Committed to Care Excellence | Inpatient;Emergency Department | 300 bed acute care urban level 1 trauma and burn | Improve patient care and contribute to the body of evidence using AFHS |
| UTHealth Houston McGovern Medical School | Our inpatient implementation at Harris Health and Memorial Hermann is more developed due to the CMS quality measure. In the outpatient setting, we implemented the 4Ms effectively without integration into the EHR. We are now working to integrate it into th | Inpatient;Ambulatory;Other | We work with three different health systems including a tertiary care hospital with over 800 beds, an academic hospital for safety net population in Houston, and our outpatient academic physician practicee | Move the field forward so that the 4Ms can become ubiquitous across the US healthcare system |
| VA | We implemented the 4 Ms and are a level 2. What the biggest challenge we are facing is admission of younger veterans 60 and below but exhibit most geriatric syndromes. | Inpatient | 25 bed unit, inpatient hospice and rehab and skilled nursing | How to measure outcomes and implement QAPI with the 4 Ms framework |
| White Plains Hospital | Level 2 Age Friendly Designation Multiple projects and support for 4M's work NICHE, GSV | Inpatient | Community hospital outside of NYC, 250+ beds | New opportunities, engagement, collaboration |