You can count on Age-Friendly Health Systems to care for your needs. – Melissa Batchelor (02:04-02:14)


Age-friendly Health Systems are systems where people are thinking about you and what your care needs are. In this week’s episode, Melissa Batchelor talks about Age-Friendly Health Systems with her special guest, Dr. Terry Fulmer, the President of the John A. Hartford Foundation. The 4M’s is an initiative to “geriatricize” the workforce by teaching providers to use the 4M’s Framework: What Matters, Medication, Mentation, and Mobility. 


Part One of ‘Age-Friendly Health Systems
Interview with Dr. Terry Fulmer’

Dr. Fulmer reports that the Age-Friendly Health Systems are scaling in a way that they couldn’t have imagined. The goal is to have 20% of all hospitals and health systems involved at some level by 2020. They are on target to meet this goal – and Age-Friendly Health Systems are now in all fifty states after only two years. It’s because people understand that they want age-friendly care. They want the kind of care that’s responsive to their needs and that speaks to them.


We have created an incredible wealth of content
for anybody who wants to get on the journey with
age-friendly health systems. – Terry Fulmer


Terry sees care where the handoffs are not. She sees what they could be and describes all of their work as evidence-based. They are focused on disease-specific conversations. This is not necessarily the best way to think about older people who have three to five chronic diseases and are managing multiple complex medications.


Part Two of ‘Age-Friendly Health Systems
Interview with Dr. Terry Fulmer’

When Dr. Fulmer became President and CEO of the John A. Hartford foundation, she was asked what her significant contribution would be. She wanted to create Age-Friendly Health Systems. Since 2015, it’s something she has been unpacking and organizing a conversation with along with the Institute for Healthcare Improvement (IHI).


You can’t be an age-friendly community unless you have an age-friendly health system within you, your catchment area. –  Terry Fulmer (10:53-11:00)


In partnership with the Institute for Healthcare Improvement, Dr. Fulmer says they have created an incredible wealth of content for anybody who wants to become an Age-Friendly Health System. If you go to the IHI website, you will find Guidelines that will tell you how to use the 4M’s in practice. There are other resources, too; from How to Make the Business Case to a Return on Investment (ROI) calculator to help you evaluate the program with your own organizational data.




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About Melissa:

Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at to learn more about me, how you can work with me directly,
and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that!

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Find out more about her work HERE.