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NEJM Catalyst

@nejmcatalyst

Practical innovations in health care delivery.

 Waltham, MA
catalyst.nejm.org
Joined October 2015
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Our November 2026 issue centers on the implementation and impact of the 4Ms of age-friendly care, guest edited by Julia Adler-Milstein and sponsored by The John A. Hartford Foundation. 📖 View the table of contents: nej.md/4jwrMnk
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🧵 During multicampus expansion, Peking University First Hospital faced fragmented repair and materials-management processes, weak links between operational and financial data, and increasing demands for cost stewardship and safety governance. nej.md/4sHdF0P 1/7
The IQEQS Model for Lean Hospital Facility Management: Standardization, Closed-Loop Repair, and...

The IQEQS Model for Lean Hospital Facility Management: Standardization, Closed-Loop Repair, and...

During multicampus expansion, Peking University First Hospital implemented the IQEQS model by standardizing repair and materials-management processes, creating a digital closed loop, linking operat...

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Improved traceability was a core feature of the redesigned workflow, but was not independently quantified as an outcome. 6/7
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The most challenging barriers to transformation are organizational. Cross-department coordination, frontline behavioral change, and vendor compliance require sustained executive leadership, rigorous training, and consistent process discipline. nej.md/4sHdF0P 7/7
The IQEQS Model for Lean Hospital Facility Management: Standardization, Closed-Loop Repair, and...

The IQEQS Model for Lean Hospital Facility Management: Standardization, Closed-Loop Repair, and...

During multicampus expansion, Peking University First Hospital implemented the IQEQS model by standardizing repair and materials-management processes, creating a digital closed loop, linking operat...

catalyst.nejm.org
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A new In Depth highlights the feasibility of a standardized, EMR-based measurement strategy for evaluating adherence to the 4Ms framework and underscores the importance of consistently documenting age-friendly care practices. Read the full article: nej.md/4sgd6eg
A flow diagram titled "Potential Confounders Underlying the Causal Pathway between 4Ms Care Adherence and Patient Outcomes" from NEJM Catalyst. The diagram includes nodes labeled Care Adherence, 4Ms Care Actions, Perceived Risk, Patient Outcomes, Functional Information, Function Decline, and Contextual Information, with arrows indicating connections between them. The colors and layout illustrate relationships, with an emphasis on Patient Outcomes.

ALT A flow diagram titled "Potential Confounders Underlying the Causal Pathway between 4Ms Care Adherence and Patient Outcomes" from NEJM Catalyst. The diagram includes nodes labeled Care Adherence, 4Ms Care Actions, Perceived Risk, Patient Outcomes, Functional Information, Function Decline, and Contextual Information, with arrows indicating connections between them. The colors and layout illustrate relationships, with an emphasis on Patient Outcomes.

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Article: An Implementation Maturity Survey to Support Systemwide Age-Friendly Care nej.md/4yxoP9T
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Image from NEJM Catalyst (@nejmcatalyst)
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New on the Leadership Conversations podcast: Getting Better Faster: Making Partnerships a Strategic Advantage in Health Care. 🎧 Listen here: nej.md/47PPeox
NEJM Catalyst Leadership Conversations podcast cover titled: Getting Better Faster: Making Partnerships a Strategic Advantage in Health Care.' Features two headshots. The NEJM Catalyst logo is at the bottom.

ALT NEJM Catalyst Leadership Conversations podcast cover titled: Getting Better Faster: Making Partnerships a Strategic Advantage in Health Care.' Features two headshots. The NEJM Catalyst logo is at the bottom.

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An initiative from Advocate Health — Wisconsin/Illinois Divisions focused on embedding the 4Ms framework into routine inpatient care to improve the reliability of assessment and intervention while aligning care with patient goals. See the results: nej.md/4jpBSX0
A quote states: "Early cohort implementation surfaced practical barriers, variation in local workflows, limitations in data definitions and measures, and gaps in staff knowledge." Below is a case study citation: “Scaling the Age-Friendly Care 4Ms Framework Across 26 Midwest Hospitals” by Suzanne Ryer, Jonny Macias Tejada, and Ann Gallo. The image has a purple background with "NEJM Catalyst | Innovations in Care Delivery" at the bottom.

ALT A quote states: "Early cohort implementation surfaced practical barriers, variation in local workflows, limitations in data definitions and measures, and gaps in staff knowledge." Below is a case study citation: “Scaling the Age-Friendly Care 4Ms Framework Across 26 Midwest Hospitals” by Suzanne Ryer, Jonny Macias Tejada, and Ann Gallo. The image has a purple background with "NEJM Catalyst | Innovations in Care Delivery" at the bottom.

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A new Perspective highlights the major themes shaping clinical AI in 2026, while identifying priorities for safer and more effective implementation. Read the full Perspective: nejm.ai/4ilMIfD
A table showing themes in clinical AI for 2025–2026 from SAIL year in review. The three columns are "Theme," "Examples," and "Looking Ahead." Themes include "Evaluation: moving up the hierarchy of evidence," "Clinical workflow integration," and "Rise of direct-to-consumer AI."

ALT A table showing themes in clinical AI for 2025–2026 from SAIL year in review. The three columns are "Theme," "Examples," and "Looking Ahead." Themes include "Evaluation: moving up the hierarchy of evidence," "Clinical workflow integration," and "Rise of direct-to-consumer AI."

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Paid Content: By aligning care with older adults’ goals and making a simple set of key evidence-based practices reliable across settings, age-friendly care can reduce preventable harm and utilization, producing measurable results. Read more: nej.md/4BdB1iq
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AGE-FRIENDLY HEALTH SYSTEMS 4MS THEME ISSUE: A survey of the NEJM Catalyst Insights Council finds that the 4Ms — What Matters, Medication, Mentation, and Mobility — are used globally to care for aging adults. Read the latest Insights Report: nej.md/4yZKxEA
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The authors of a new article describe their experience adapting EHR-based 4Ms metrics to advance age-friendly care delivery in an urban academic medical center and the relationships to outcomes. See the results: nej.md/4zFahpo
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In Depth: Ambient AI as a Tool for Returning Time to Care nej.md/3W7jkB8
Image from NEJM Catalyst (@nejmcatalyst)
Image from NEJM Catalyst (@nejmcatalyst)
Image from NEJM Catalyst (@nejmcatalyst)
Image from NEJM Catalyst (@nejmcatalyst)
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Early testing of a survey instrument to capture systemwide status of Age-Friendly Health System implementation reveals challenges and opportunities in generating one continuous measure of progress that can support implementation/outcomes research at scale. nej.md/4yxoP9T
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In a new @NEJMCatalyst article, a @TJUHospital initiative is highlighting how ambient AI can reduce documentation burdens and help return valuable time to patient care. An important look at technology's role in strengthening primary care. ⬇️ catalyst.nejm.org/doi/full/1…
Ambient AI as a Tool for Returning Time to Care

Ambient AI as a Tool for Returning Time to Care

An initiative at Jefferson Health involving 5234 provisioned clinicians and more than 283,000 ambulatory encounters has been associated with reduced time spent and effort expended in documenting pa...

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An operational model for the @CMSGov age-friendly measure, for the efficient deployment of geriatric expertise according to patient need, while supporting universal age-friendly practices and providing care escalation pathways for high-risk patients. 👉 nej.md/4enVcAv
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NEJM Catalyst retweeted
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“We essentially are told to, by default, include age, sex and race into all of our models that accounts for the majority of population health differences.” Shazia Siddique, MD, MSHP, explains how the common belief that race is biological in nature is now being challenged on the grounds that race is instead socially constructed. Watch the full Perspective Roundtable: nej.md/4ivgrCN
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