# High-Yield Overview of the CMS Age-Friendly Measures About This Podcast Today’s episode provides an introduction and overview of the 5 domains of the CMS Age-Friendly Hospital Measure. Host Dr. Christina Shenvi is joined by Dr. Marcia Russell to help clarify what each of these domains entail and how they may be carried out in the ED. They also discuss concerns that may be brought about following the implementation of this measure on January 1, 2025, and how these issues might be addressed and minimised. Play the Episode https://youtu.be/dT7Phvex3Us Subscribe on YouTube Subscribe on iTunes Key Points The measure provides financial incentive and support behind improving care for older adults. The overall aim of the CMS Age-Friendly measure is to create a system that benefits patients, physicians and hospitals alike. Domain 1: Eliciting Patient Healthcare Goals. Connecting with patients to find out their own goals of care and what matters most to them. It also provides an extra touch point for the system to check bigger picture care plans: code status, life sustaining preferences, surrogate decision makers, advanced directives. Domain 2: Responsible Medication Management. Having a nuanced approach and deeper understanding of medications is essential for physicians when considering medication management. Being attentive to deprescribing practices, polypharmacy, and factors impacting dosing in older adults. Caution when prescribing medications that are potential triggers of delirious episodes. Potential for development of speciality specific guides for commonly prescribed medications. Concern that there may be unintended consequences for clinicians due to indiscriminate flagging tools (eg. the AGS Beers Criteria). Domain 3: Frailty Screening and Intervention. Screening needs to be used in a meaningful way to create management plans that address patients’ needs. Rather than an additional burden, this is an opportunity to capitalise on pre-existing hospital resources and data collection methods. Domain 4: Social Vulnerability. The ED can be used to screen and intervene for a broad range of social vulnerabilities. The earlier these are identified, the better, as care plans for a patient can be created accordingly. A MDT and Community specific support is key to this domain. Domain 5: Age Friendly Care Leadership. Having a designated champion, committee or team is necessary to ensure the other 4 domains are being implemented. There should be initial and ongoing input from a variety of stakeholders, a clear reporting structure and chain of command, and hospitals need to make resources available to leadership so goals can be met. Related & Mentioned Resources Below are some resources which you may find helpful in regards to the CMS Age-Friendly Hospital Measure. ACEP ACEP Age Friendly Hospital Measure Document providing an overview of the five domains for hospital attestation and key elements for each domain of the Age Friendly Hospital Measure. View Document Emergency Medicine Clinics of North America | September 14, 2024 The Importance of Addressing Social Drivers of Health and Unmet Social Needs in Optimizing Geriatric Emergency Care View Article PODCAST | October 25, 2024 Why Less is More: Strategies for Deprescribing in the ED In this GEMCast episode, Dr. Christina Shenvi and Dr. Martin Casey will discuss strategies for ED physicians who face unique challenges when assessing older patients’ medications. Using case examples of deprescribing in practice, they illustrate how deprescribing is a nuanced skill and how to approach it. Listen Now WEBINAR | November 18, 2024 What Matters in the ED: Addressing goals of care and meeting CMS Age-Friendly Hospital Measure in the Geriatric Emergency Department Experts in geriatric emergency medicine discuss the new CMS age-friendly hospital measure and how hospitals nation wide can meet the measure through GEDC resources and GEDA accreditation. Watch Webinar BLOG | February 23, 2026 CMS Age Friendly Hospital Measure: Resources for Emergency Departments Helpful educational resources to help you and your emergency department meet the CMS Age-Friendly Hospital measure. Explore Resource Next, listen to Why Less is More: Strategies for Deprescribing in the ED with Dr. Martin Casey. Play Episode Read more on the CMS Age-Friendly Hospital Measure >