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4 Ms Framework

This module discusses the 4M framework to develop and promote an Age-Friendly Healthcare System.

Learning Objectives

  • Explore Age-Friendly Health Systems & MIPS
  • Explain the 4 Ms Framework
  • How GWEP applies to the Age-Friendly Health System
  • Implementation of the Age-Friendly Health System


Dayne DuVall.jpg Denise P. Kruszynski, APRN-BC is the Clinical Educator and Trainer for the HRSA funded Geriatrics Workforce Enhancement Program at Nova Southeastern University, Kiran C. Patel College of Osteopathic Medicine. She is a board-certified Advanced Practice Registered Nurse with 5 years' experience with Geriatric patients in the Primary, Cardiology and Urgent Care Medicine setting.

As a registered nurse, she has extensive experience in the care of critically ill and traumatically injured patients having worked at Memorial Regional Hospital’s Level 1 Trauma Center in the Trauma, Neurological, Surgical and Medical ICUs for over 20 years. Her certifications include Advance Cardiac Life Support, National Stroke Certification, Trauma Nurse Certification and Critical Care Certified Registered Nurse. During her time at Memorial Regional Hospital, she had multiple roles as an educator, a member of the Ethics Committee and of the Policy and Procedure Review Committee. She is a member of the Golden Key International Honor Society and Sigma Theta Tau Honor Society.

Denise Kruszynski’s career has been marked by the promotion of healing and wellness throughout the life span through nutrition and fitness. She is currently pursuing a certification in Integrative Medicine.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $3.5M with 25% financed with nongovernmental sources. The contents of this website are those of the author and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.

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