Age-Friendly Health Systems

Age-Friendly Health Systems Participant Badge

Launched in 2019, the Age-Friendly Health System seeks to transform health systems to provide evidence-based higher quality care to older adults. It is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement, in partnership with the American Hospital Association and the Catholic Health Association of the United States. 

Older woman with a nurse

The 4Ms Framework Focus on the Needs of Older Adults

4ms Framework

In the state of Minnesota, a key leader implementing age-friendly health is the Federally Qualified Health Center Unified Health Network (FUHN). FUHN includes 12 federally qualified health clinics (FQHC) based in Minnesota. These clinics are community-based organizations that provide comprehensive primary care and preventive care, including medical, dental, and mental health/substance abuse services to people of all ages and backgrounds, regardless of their ability to pay or health insurance status. Leaders of FUHN and the Minnesota Northstar GWEP are in partnership for a five-year project toward dementia-friendly and age-friendly. Together GWEP and FUHN are implementing principles of age-friendly health systems at their clinics within annual wellness Visit for older adults.   

In Minneapolis, Minnesota, the Community-University Health Care Center (CUHCC) has accomplished Level 2 in pursuing age-friendly care. CUHCC, which is part of the Federally Qualified Health Center Unified Health Network, is recongized by the Institute for Healthcare Improvement (IHI) in "Age-Friendly Health Systems - Committed to Care Excellence (Level 2)!"

An "Age-Friendly Health System - Committed to Care Excellence" is a recognition for being exemplar in the movement based on: 

  1. Having a description of how the 4Ms are being operationalized that is aligned with the "Age-Friendly Health System Guide to Using the 4Ms in the Care of Older Adults" and which has been approved by IHI.
  2. Having submitted at least three months' count of older adults reached with evidence-based, 4Ms care. 
  • The Minnesota Northstar GWEP, together with the Federally Qualified Health Center Unified Health Network, participates in a nationwide cohort to implement age-friendly principles. 
  • Age-Friendly Health Systems is focused on following an essential set of evidence-based practices (known as the 4Ms) so that all care with older adults is age-friendly care.
  • The GWEP-CC Continuous Age-Friendly Health Ssytems Action Community is being held exclusively for the current 42 Cohort 3 GWEPs. Launched in January 2025, this continuous action community maintains a learning community for all GWEPs and their partners as they collectively work towards achieving age-friendly recognition.
  • 2020-2027: The Minnesota Northstar GWEP has participated continuously in GWEP-CC action communities since its inception. 

The Age-Friendly Health Systems movement is one of many efforts to promote an Age-Friendly society. This glossary describes some of those movements.

Age-Friendly Glossary

Age-Friendly WHAT? Who Sponsors Key Feature Example
Community AARP / WHO Application process assigned by highest elected official; community planning / operations with Age-Friendly lens Alexandria, Maple Grove, Minneapolis, Northfield
County AARP / WHO Application process assigned by highest elected official; community planning / operations with Age-Friendly lens Hennepin, Olmstead
State AARP / WHO Application process assigned by highest elected official; community planning / operations with Age-Friendly lens Minnesota
Health System IHI / John Hartford Foundation Addresses 4Ms in medical care Hospitals, ERs, clinics
Action Community IHI Eight-month process for health system to become Age-Friendly Smiley's clinic and CUHCC in MN Northstar GWEP
University Dublin City University; AGHEd Adoption / I University of Minnesota, Michigan State
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Dr. Dwivedi receives Visionary Leader award

Congratulations to Dr. Roli Dwivedi, who was named by the Minnesota Association of Community Health Centers a 2021 Visionary Leader!

Dr. Dwivedi, chief clinical officer at Community-University Health Care Center (CUHCC), is one of the leaders of the project expanding the Age-Friendly Health Systems with the Minnesota Northstar GWEP. This project aims to include the four Ms of Age-Friendly care: mentation, medication, mobility, and what matters. We are honored to work with Dr. Dwivedi, who truly is a visionary leader.