2025 Delivering Age-Friendly Care: Implementing the 4M Model and Supporting Care Partners of People with Dementia: A Path to 1 or Level 2 Recognition from the Institute for Health Care Improvement

2025 Delivering Age-Friendly Care: Implementing the 4M Model and Supporting Care Partners of People with Dementia: A Path to 1 or Level 2 Recognition from the Institute for Health Care Improvement
Thank you for your interest in our upcoming quality improvement initiative!

The purpose of this initiative is to utilize the Age-Friendly Health System 4M framework to improve care for older adults, provide education and support to care partners of people with; as a value-added option, practices may choose to integrate the 4M framework into their annual wellness visits.

Together with care partner engagement work, practices will participate in one of the following levels:
- Level 1: Prepare to implement the 4M approach to age-friendly care for patients 65+ and achieve Level 1 recognition through the Institute for Healthcare Improvement (IHI).
- Level 2: Integrate and test the 4M processes as a set and track their implementation to achieve IHI’s Level 2 recognition.
*PLEASE NOTE*

If you are applying on behalf of an organization, please ﬁll out an application for each participating site.

For support, please reach out to 4MFramework@ctc-ri.org

Click here to view the full Call for Applications Document

Click here to view the full Application Form
Applications are due by July 31, 2025, 5:00PM ET.

Practice Information
1. Practice Name* Street Address* Address Line 2* City* State/Province* Zip/Postal Code* Email* Phone Number*
We are applying for the following track:*

Level 1: Prepare to implement the 4M approach to age-friendly care for patients 65+ and achieve Level 1 recognition through the Institute for Healthcare ImprovementLevel 2: Integrate and test the 4M processes as a set and track their implementation to achieve IHI’s Level 2 recognition
2. Type of Practice*
If other, please specify
3. Is your practice part of a system of care?*

YesNo
If yes, which one?
4. Primary Contact Person and Role: First Name* Last Name* Role* Email* Phone Number*
5. Provider Champion (if different from above): First Name Last Name Role Email Phone Number
6. Other: First Name Last Name Role Email Phone Number
7. Does your team conduct annual wellness visits (AWV)? *
If yes, are you interested in incorporating the 4M process into your AWV workflow?

Know the Older Adults in Your Health System
8. Total number of patients in your practice*
9. How many patients in your practice are 65 or older?*
9. Total Percentage of Practice Patients 65 or older
10.How many of your patients (of any age) have a diagnosis of dementia or Alzheimer's Disease?*
10. Total Percentage of Practice
11. Can your team commit to six monthly1-hour practice facilitation meetings? (virtual)*

YesNo
12. Can your team commit to three virtual learning sessions (1.5 hours each)?*

YesNo
13.Please indicate if you or a team member participated in any of the following Geriatrics ECHO® programs.*

NoneApproaches to Dementia Care: Building Blocks for Becoming Age-Friendly / Supporting People Living with Dementia and Their Care Partners (2023)Identifying Community Clinical Linkages to Deliver Dementia and Age-Friendly Care (2024)Supporting People Living with Dementia and their Care Partners - Implementing Best Practices Across the Stages (2025)

Practice Questions

Please answer the following questions in 500 words of fewer.
14. What interests you about this project?*
15. What barriers do you envision to implementing the 4M framework? How do you foresee overcoming these barriers? Please consider your processes for changing clinical workflows and involving different team members in the work.*
16. What barriers do you envision to providing support and education to care partners of people with dementia and documenting that support in your EMR? *

To digitally sign the following documents please use the links below:

1. Click here to digitally sign and submit your Practice Cover Letter

2. Click here to digitally sign and submit your System of Care Letter

Please note: If your practice is part of a system of care, a signed letter from your organization confirming this affiliation is required.
To upload a scanned document of your Practice Cover Letter, please do so below:

Practice Cover Letter
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To upload a scanned document of your System of Care Letter, please do so below

SOC Letter
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Should be Empty:

Applications are due by July 31, 2025, 5:00PM ET.