St. John’s Riverside Hospital is proud to join the ranks of a growing movement of organizations globally achieving success toward excellence in care for older adults. To demonstrate our commitment to age-friendly care, St. John’s will be implementing the award-winning NICHE Program (Nurses Improving Care for Healthsystems Elders) to empower nurses to lead substantive changes in the design and delivery of nursing care to improve clinical outcomes, reduce cost of care and meet national quality goals. Our organization’s goal going forward is to reach all older adults in our organization by expanding age-friendly care to our ED, ASU and outpatient sites; and to increase equity in delivery of the 4Ms (see below).

St. John’s Riverside Hospital’s Age Friendly Approach
St. John’s has been an active participant in the Age-Friendly Health Systems movement since 2019 and is currently providing age-friendly care throughout our inpatient units, include the following:
- In 2023, SJRH earned “Level 2: Committed to Care Excellence” recognition from IHI in the Age-Friendly Health Systems Movement.
- This distinction requires working toward reliable practice of a set of four evidence-based elements of high-quality care for all older adults, known as the 4Ms: What Matters, Medication, Mentation, and Mobility.
- In March 2024 SJRH was invited to be part of the Age-Friendly System-Wide Spread Collaborative, an 18-month learning, and action committee designed to accelerate system-wide adoption of the 4Ms.
- Collaborative participants will have the opportunity to be among the first to achieve an ambitious new IHI recognition for system-wide spread of age-friendly care.
What is the 4Ms Framework & Age-Friendly Care?

- The 4Ms Framework for Age-Friendly Care that emerged is both evidence-based and able to be put into practice reliably in health care settings. An Age-Friendly Health System is one in which every older adult’s care:
- Is guided by an essential set of evidence-based practices (4Ms: What Matters, Medication, Mentation, and Mobility)
- Causes no harms
- Align care with What Matters to the older adult and their family or other caregivers
- These health systems reliably and equitably provide a set of four evidence-based elements of high-quality care, known as the 4Ms, to all older adults. When implemented together, the 4Ms (What Matters, Medication, Mentation, and Mobility) represent a broad shift by health systems to focus on the needs of older adults and the delivery of evidence-based care.
Contact our Patient Relation Specialist at (914) 964-4881 if you have any questions.