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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.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/4ms-interventions-in-hospitalized-older-adults-what-are-act-ons-for-positive-screens-poster-session-7410/428183/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/4ms-interventions-in-hospitalized-older-adults-what-are-act-ons-for-positive-screens-poster-session-7410/428183.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the 4Ms framework cover in this study?","Question",{"text":112,"@type":113},"The framework includes What Matters Most (WMM), Medication, Mentation, and Mobility. It is used to address care-critical issues for older adults in hospitals.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were “Act-ons” determined for patients with positive screens?",{"text":117,"@type":113},"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”).",{"name":119,"@type":110,"acceptedAnswer":120},"Which 4Ms domain had the most and least Act-ons?",{"text":121,"@type":113},"Mobility had the most Act-ons, followed by Medication and WMM, while Mentation had the fewest Act-ons.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},428183,1791321518,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 931  \nwere 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.  \nSESSION 7410 (POSTER)   \nAGE-FRIENDLY  \nAbstract citation ID: igaf122.3146  \n4MS INTERVENTIONS IN HOSPITALIZED OLDER  \nADULTS: WHAT ARE “ACT-ONS” FOR POSITIVE  \nSCREENS?  \nJustin 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,  \n5. Zucker School of Medicine Hofstra-Northwell, Manhasset, New York, United States  \nThe 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.  \nIndividual 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/  \nAA, 12% Asian, 13% other; 85% English speaking Median LOS:  \n9 days (IQR:6-15) . All 297 had GOC documented but 58.3%  \ndid 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:  \nelectrolytes reviewed/reported; medication side effect treated.  \nThis is one of the first reports of Act-ons for 4Ms. Mobility had most Act-ons, then Medication, WMM, lastly Mentation. Act-ons","cbCaiePKG0fzxl8a","https://ap.wps.com/l/cbCaiePKG0fzxl8a","pdf",54246,"English","# 4Ms interventions and Act-ons for positive screens\n## Study population and setting\n## Data sources and review methods\n## Key results by 4Ms domain\n## Implications and future directions","[{\"question\":\"What does the 4Ms framework cover in this study?\",\"answer\":\"The framework includes What Matters Most (WMM), Medication, Mentation, and Mobility. It is used to address care-critical issues for older adults in hospitals.\"},{\"question\":\"How were “Act-ons” determined for patients with positive screens?\",\"answer\":\"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”).\"},{\"question\":\"Which 4Ms domain had the most and least Act-ons?\",\"answer\":\"Mobility had the most Act-ons, followed by Medication and WMM, while Mentation had the fewest Act-ons.\"}]","4MS Interventions in Hospitalized Older Adults - What are “Act-ons” for Positive Screens - Poster Session 7410 | PDF",1790646031]