Practical innovations in health care delivery.

Waltham, MA
Joined October 2015
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. 馃摉 View the table of contents: nej.md/4jwrMnk
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A framework developed by the VA and non-VA multidisciplinary leaders offers a roadmap for health care systems to support the design and implementation of a sustainable, evidence-driven care model to support older patients across the full continuum of care. nej.md/4yzBMQC
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NEJM Catalyst retweeted
A new randomized controlled trial evaluated whether AI-generated, layperson-friendly summaries of medical findings provided before outpatient consultations improve physician鈥損atient communication. Learn more: nejm.ai/3W3z9Zy
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An ambient AI 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 patient encounters. Read the latest In Depth: nej.md/3W7jkB8
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From January 2022 to June 2025, a cohort-based implementation model used to integrate 4Ms care delivery was associated with improvement in certain clinical outcomes; the long-term systemwide stretch goal of 95% adherence with all 4Ms has remained unmet. nej.md/4jpBSX0
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A review of 40,411 inpatient encounters at Houston Methodist among adults 70 years of age or older found that only 3% of encounters achieved higher-level compliance with 4Ms care documentation. Read more: nej.md/4sgd6eg
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The articles in our special issue on Age-Friendly Health Systems highlight important benefits realized from AFHS implementation efforts to date and challenges that are critical to address for the movement to fully deliver on its goals: nej.md/4jvMFyS
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Although warmth and competence have been extensively studied within social psychology, the application of these concepts as an operational improvement framework in health care has received comparatively little attention. Learn more: nej.md/4AbKqXt
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