About this episode

The episode discusses the transformative impact of the 4Ms framework on age-friendly critical care with insights from Terry Fulmer.

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Marilyn Bulloch, PharmD, BCPS, FCCM, speaks with Terry Fulmer, PhD, RN, FAAN, President of the John A. Hartford Foundation, about her Norma J. Shoemaker Honorary Lecture at the 2025 Critical Care Congress and the transformative impact of the 4Ms framework—What Matters, Medication, Mentation, and Mobility—on age-friendly critical care. Dr. Fulmer shares her journey from bedside critical care nurse to national leader in geriatric health, emphasizing the need to adapt healthcare systems to meet the needs of an aging population. She discusses the development of the Age-Friendly Health Systems initiative, a collaboration among the John A. Hartford Foundation, Institute for Healthcare Improvement, American Hospital Association, and Catholic Health Association. Now implemented in nearly 5000 facilities, the initiative is supported by evidence from models such as the Acute Care of the Elderly (ACE) units, Hospital Outcomes Program for Elders (HOPE) initiative, and Nurses Improving Care for Healthsystem Elders (NICHE) program. The episode highlights the January 2025 adoption of a Centers for Medicare and…

People in this episode

Host: Marilyn Bulloch

Guest: Terry Fulmer

Topics covered

• age-friendly health systems
• critical care
• geriatric health
• healthcare adaptation
• 4Ms framework
• multiprofessional collaboration

Keywords

• age-friendly
• critical care
• 4Ms framework
• geriatric health
• health systems
• healthcare improvement
• collaboration

Mentioned in this episode

Organizations: John A. Hartford Foundation, Institute for Healthcare Improvement, American Hospital Association, Catholic Health Association, Centers for Medicare and Medicaid Services, Acute Care of the Elderly (ACE), Hospital Outcomes Program for Elders (HOPE), Nurses Improving Care for Healthsystem Elders (NICHE)

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