Authors:
Mara Laderman, MSPH: Director, IHI
Clark Jackson, MPH: Research Associate, IHI
Kevin Little, PhD: Principal, Informing Ecological Design, LLC, and IHI Faculty
Tam Duong, MSPH: Senior Project Manager and Research Associate, IHI
Leslie Pelton, MPA: Senior Director, IHI
Acknowledgments:
This work was supported by a grant from The SCAN Foundation. The SCAN Foundation works to
advance a coordinated and easily navigated system of high-quality services for older adults that
preserve dignity and independence. For more information, visit www.TheSCANFoundation.org.
This work was also made possible by The John A. Hartford Foundation, a private, nonpartisan,
national philanthropy dedicated to improving the care of older adults. For more information, visit
www.johnahartford.org.
IHI would like to thank our partners, the American Hospital Association (AHA) and the Catholic
Health Association of the United States (CHA), for their leadership and support of the Age-
Friendly Health Systems initiative. Learn more at ihi.org/AgeFriendly.
We would also like to thank the following individuals who provided guidance and critical review
through the development of this toolkit: Gretchen Alkema, Lil Banchero, Len Barry, Kevin Biese,
Maureen Bisognano, Susan Block, Joan Chaya, Lenise Cummings-Vaughn, Claire Curtis, Kate
DeBartolo, Susan Edgman-Levitan, Lindsay Gainer, Damara Gutnick, Daniela Lamas, Jennifer
Liu, Catherine Mather, Kelly McCutcheon Adams, VJ Periyakoil, Pat Rutherford, Lauge Sokol-
Hessner, Mary Tinetti, Matthew Tremblay, Erin Westphal, and Angela Zambeaux. Thank you to
the five prototype health systems — Anne Arundel Medical System, Ascension, Kaiser Permanente,
Providence St. Joseph, and Trinity — for stepping forward to learn what it takes to become an Age-
Friendly Health System. Finally, our deepest gratitude to Pat McTiernan and Val Weber of IHI for
their support in editing this toolkit. The authors assume full responsibility for any errors or
misrepresentations.
For more than 25 years, the Institute for Healthcare Improvement (IHI) has used improvement science to advance and sustain better outcomes in health
and health systems across the world. We bring awareness of safety and quality to millions, accelerate learning and the systematic improvement of care,
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