Thank you for your commitment to joining the AHA’s Age-Friendly Health Systems Action Community convening fall 2022. Participation in the Action Community — including all webinars, coaching and resources — is free.

Please complete this form and feel free to reach out to ahaactioncommunity@aha.org with any questions. We look forward to working with you!

View “Invitation to Join” Guide.

Please note: All teams joining the AHA Action Community after mid-October 2022 will be scheduled to receive a 1:1 coaching call.

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State
State/Province
Country
Name

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List who would like to enroll in this Action Community.

Please enter the clinical sites, if inpatient or outpatient setting, and a key contact for each site.

Site(s)
Site(s)

Please note, Use the following: Inpatient | Outpatient | Home-based or Tele-health | Emergency | Non-clinical | Inpatient and Outpatient | Pos-Acute Long Term | Rural Health Center

You may select more than one.

Note: Add additional sites using the + option.

Please identify your senior leader or sponsor. The senior leader/sponsor will support scale-up for your team and participate in the Leaders & Sponsors webinar track.

How did you hear about this Action Community?
Please list the emails of team members who would like to be added to the Action Community Listserv.
Team members:
Team members:

Please note that you will need a clinical team to join the Action Community. If you are an agency, foundation, or other partner interested in joining the Age-Friendly Health Systems Action Community, please email ahaactioncommunity@aha.org to join our communications list.

Note:

  • If you receive the message “Please select an item in the list” or “Please fill out this field,” scroll up to the respective location(s) and add your information.
  • After clicking “Join the Action Community," you will receive an onscreen message upon successful submission.

Partners:

The John A. Hartford Foundation
The Institute for Healthcare Improvement (IHI)
Catholic health ministry of the United States