4MS Interventions in Hospitalized Older Adults - What are “Act-ons” for Positive Screens - Poster Session 7410

Sep 29, 2026

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Poster presenting the 4Ms framework implementation across hospitalized adults aged 65 and over, defining “Act-ons” responses to positive screens for What Matters Most (WMM), Medication, Mentation, and Mobility. Using Age-Friendly Health System dashboard identification and manual EMR review, admissions from July–September 2024 were analyzed across eight hospitals. Of 3104 admissions, 297 received all 4Ms; deliberium was essentially not detected. Act-ons were most frequent for Mobility and least for Mentation, supporting structured processes and further education to optimize care needs.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

4Ms interventions and Act-ons for positive screens

Study population and setting

Data sources and review methods

Key results by 4Ms domain

Implications and future directions

Innovation in Aging, 2025, Vol. 9, No. S2 931 were similar for 3 of the 4Ms across different hospitals within the health system. Delirium was essentially not detected across locations, suggesting need for a root-cause analysis and further education/training. In the future, structured processes for Act-ons may help ensure patient needs are optimally met. SESSION 7410 (POSTER) AGE-FRIENDLY Abstract citation ID: igaf122.3146 4MS INTERVENTIONS IN HOSPITALIZED OLDER ADULTS: WHAT ARE “ACT-ONS” FOR POSITIVE SCREENS? Justin Lam1, Susan Kwiatek2, Shahidul Islam2, Mark Tursi2, Christian Nouryan3, Philip Solomon2, Maria Carney4, and Edith Burns5, 1. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Brooklyn, New York, United States, 2. Northwell Health, New Hyde Park, New York, United States, 3. Northwell Health, Great Neck, New York, United States, 4. Zucker School of Medicine at Hofstra/ Northwell, New Hyde Park, New York, United States, 5. Zucker School of Medicine Hofstra-Northwell, Manhasset, New York, United States The 4Ms framework -What Matters Most (WMM)/ Medication/Mentation/Mobility- facilitates addressing issues critical to care of older adults. We identified different interventions,“Act-ons”, for positive screens in hospitalized patients assessed for all 4Ms. Unique patients identified by Age-Friendly Health System (AFHS) dashboard aggregating data on adults ≥65y/o admitted to one of 8 hospitals and assessed for all 4Ms. Individual EMR manually reviewed for demographic and clinical data, and for each positive M to determine Act-ons. Admissions reviewed from July-September 2024. A total of 297 patients received all 4Ms (9.6% of 3104 admissions) . Median age: 84y/o (IQR:76-90); 57% female,(85%); race: 63% White, 13% Black/ AA, 12% Asian, 13% other; 85% English speaking Median LOS: 9 days (IQR:6-15) . All 297 had GOC documented but 58.3% did not include WMM. Act-ons: managing team discussed with patient (60%); palliative care consult (40%) . For 121 positive Medication assessments, 57.8% had Act-ons: documented reason for no change (73.6%); decrease/deprescribed (26.4%) . For 297 Mobility screens, 83.1% had Act-ons: 99% PT consult; 1% RN plan. For 13 positive Mentation screens, 2 (15.4%) had Act-on: electrolytes reviewed/reported; medication side effect treated. This is one of the first reports of Act-ons for 4Ms. Mobility had most Act-ons, then Medication, WMM, lastly Mentation. Act-ons

FAQs

What does the 4Ms framework cover in this study?

The framework includes What Matters Most (WMM), Medication, Mentation, and Mobility. It is used to address care-critical issues for older adults in hospitals.

How were “Act-ons” determined for patients with positive screens?

Patients were identified via the Age-Friendly Health System dashboard and their EMRs were manually reviewed. For each positive 4Ms item, the study determined what actions were taken (“Act-ons”).

Which 4Ms domain had the most and least Act-ons?

Mobility had the most Act-ons, followed by Medication and WMM, while Mentation had the fewest Act-ons.

Sep 29, 2026

Upload by Adam