NEJM Catalyst

Practical innovations in health care delivery.

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Our November 2026 issue centers on the implementation and impact of the 4Ms of age-friendly care, guest edited by Julia Adler-Milstein and sponsored by The John A. Hartford Foundation.

📖 View the table of contents: https://t.co/9q0HwToOky

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Terry Gilliland, MD, President & CEO of Geisinger, discusses how the Pennsylvania-based integrated health system is aligning its health plan and care delivery operations to improve outcomes, strengthen affordability, and serve its communities. Listen now: https://t.co/CfEIGbQKFP

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Many NEJM Catalyst Insights Council members say their organizations have adopted some or all of the 4Ms Framework to care for aging adults, but measurable value is often lacking. Read the latest Insights Report: https://t.co/wYo4yz0JLm

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Case Study: Scaling the Age-Friendly Care 4Ms Framework Across 26 Midwest Hospitals https://t.co/iefSqc9P4k

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A mobile medical outreach clinic team with rural senior centers to bring 4Ms screening, education, primary care, and medical referral services to underserved Tennessee populations, along with educational opportunities for student clinicians. https://t.co/Oo7YvBXuOp

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Leadership Conversations: Jackie Gerhart, MD, Chief Medical Officer of Epic, and a primary care physician, shares her perspectives on how AI is shaping changes in everyday clinical practice and what lies ahead for physicians and patients. Listen now: https://t.co/no1EO649nL

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An initiative at UChicago Medicine to reproduce and adapt an electronic medical record–based approach to 4Ms measurement shows that higher levels of adherence were associated with reduced length of stay and odds of discharge to a postacute care facility. https://t.co/HKoxtQtX4G

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Article: Implementing the Age-Friendly 4Ms+ Framework in a Vulnerable Population at a Safety-Net Hospital https://t.co/YyAyU4QqQA

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Using a national cohort of 4002 hospitals, the authors of a recent article explore the associations between Age-Friendly Health Systems (AFHS) recognition and hospital readmission rates, mortality, and patient-reported experiences. Read the full article: https://t.co/HtSbejSLNG

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Health care organizations don’t have to build everything themselves. Hartford HealthCare’s approach to partnering combines shared purpose, consistent governance, and an integrated patient experience to accelerate innovation. Learn more: https://t.co/4TMqmksvgw

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Article: A Research and Implementation Roadmap from the VA’s National State-of-the-Art Conference on Age-Friendly Care for Veterans https://t.co/nkyFTUA08J

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Supplemental Issue: Driving Quality Improvement in Gynecology — A Quality Indicator System for China’s County-Level Hospitals https://t.co/vfxlpSC2Kq

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An article by U.K. Ohuabunwa et al. describes the process of implementing the 4Ms framework, plus two additional Ms — Malnutrition and Mal-Care Transitions — into the inpatient services of a major Southeastern safety-net hospital. Full article: https://t.co/YyAyU4QqQA

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The authors of a recent article describe early implementation of MobileMOC (medical outreach clinic), an interprofessional mobile health care model to serve rural older adults across nine rural southeast Tennessee counties, focusing on the 4Ms. Read more: https://t.co/Oo7YvBXuOp

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Viewpoints | Paid Content: Age-Friendly Care: A Timely Health System Strategy to Improve Cost and Quality https://t.co/ReLsWvGu1a

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Learn how Peking University First Hospital used the IQEQS model to overcome fragmented repair and materials-management processes, weak links between operational and financial data, and increasing demands for cost stewardship and safety governance: https://t.co/vsZuR0X6wo

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As the Age-Friendly Health Systems movement enters a new phase, hospitals face a pivotal moment. A new Commentary highlights three interrelated strategic risks and challenges that hospital leaders and executives must navigate in the current environment: https://t.co/JCawFNu2jc

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Article: Inpatient Age-Friendly 4Ms Care and Outcomes in an Urban Academic Medical Center https://t.co/HKoxtQtX4G

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Supplemental Issue: The Guangzhou Model of Peritoneal Dialysis Care: A Scalable Hub-and-Satellite Network https://t.co/00TAclbq2R

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Start with the friction clinicians actually experience. On @NEJM_AI Grand Rounds, Dr. @mnedoszytko says living inside the problem can reveal what needs fixing — and why physicians may be well positioned to build a useful solution for care. Full episode: https://t.co/W9u8Le66aY

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The most challenging barriers to transformation are organizational. Cross-department coordination, frontline behavioral change, and vendor compliance require sustained executive leadership, rigorous training, and consistent process discipline. https://t.co/vsZuR0X6wo 7/7

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🧵 During multicampus expansion, Peking University First Hospital faced fragmented repair and materials-management processes, weak links between operational and financial data, and increasing demands for cost stewardship and safety governance. https://t.co/vsZuR0XElW 1/7

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Improved traceability was a core feature of the redesigned workflow, but was not independently quantified as an outcome. 6/7