Commitment Form for Age-Friendly

Join the Movement for Better Care

Help transform care for older adults by joining the AHA’s Age-Friendly Health Systems Action Community — part of a national initiative advancing safe, evidence-based care that aligns with what matters most to older adults.

More than 5,000 care sites — from hospitals to long-term care — have already been recognized as "age friendly.” Now it’s your turn.

Spots are limited — secure your place today!

Why Join the Action Community?

Optimize existing resources to improve care.
Align with your organization’s mission and values.
Stay ahead of the curve in a shifting health care landscape.
Earn national recognition as an Age-Friendly Health System.

What to Expect

Starting September 2025, this free, seven-month virtual program brings together care teams across settings to test the 4Ms Framework, share insights and drive real change — all with expert support from the AHA, John A. Harford Foundation and Institute for Healthcare Improvement.

Questions?

Email us at ahaactioncommunity@aha.org

Note: Designed for clinical teams. Agency, foundation or other partner interested in joining? Please reach out directly.

Contact Name

First Name

Last Name

Job Title

Are you the key contact for your care setting?

Who is your key contact?

Key Contact Name

Key Contact Email

Key Contact Job Title

Health System Name

Care Setting Name

Note:

Please identify your site of care if part of a larger hospital network, nursing home organization, etc.
If not applicable, please indicate NA.

To register additional care settings or units/teams within your organization, please submit a new form for each one.

Health System Type

Care Setting Type

Note: Specific to enrollment for this action community

Address

City/Town

State/Province

Country

Is your organization an AHA member?

Do you intend to pursue recognition as an Age-Friendly Health System Participant during this Action Community?

Member ID

What type of electronic health record system does your organization use?

Has your organization participated in a previous Action Community?

Has your care setting been recognized by IHI as an Age-Friendly Health System Participant or Committed to Care Excellence?

Name of the care setting recognized.

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.

Please list the emails of team members who would like to be added to the Action Community Listserv.
Please list the emails of team members who would like to be added to the Action Community Listserv. Full Name Email

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:

Age-Friendly Health Systems

AHA Center for Health Innovation