About Age-Friendly Health Systems
Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA).
In March 2020, GEC set the aim for VHA to become the largest integrated health care system in the U.S. to be recognized by the Institute for Healthcare Improvement (IHI) as Age-Friendly. Since then, more than 100 VA medical centers across the country have joined the movement as official Age-Friendly Health Systems Participants.
VA Leadership Team
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Scotte R. Hartronft, MD, MBA, FACP, FACHE, CPE
Executive Director
Office of Geriatrics & Extended Care
Dr. Hartronft assumed the role of Executive Director, Office of Geriatrics and Extended Care (GEC) effective August 18, 2019. As Executive Director, his responsibilities cover the care of Veterans with complex care needs of all ages. GEC programs range in health care settings to include, but not limited to, acute care, home care, extended care, purchased home, hospice and palliative care, community, and facility-based community care. VA GEC programs accounted for over $10 billion in expenditures for FY20. Prior to August 2019, Dr. Hartronft served in senior VA field positions at three different complexity 1a VA Medical Centers since 2006 including Chief of Staff at VA Greater Los Angeles Health Care System, Deputy Chief of Staff VA Puget Sound Health Care System, and Associate Chief of Staff at South Texas Health Care System in San Antonio.
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Marianne Shaughnessy, PhD, AGPCNP-BC, GS-C, FAAN
Director, Geriatric Research, Education and Clinical Center Programs
Office of Geriatrics and Extended Care
Dr. Shaughnessy has served in leadership positions since joining the VA in 2003 as the Associate Director of Education and Evaluation in the Baltimore GRECC. She joined VA Central Office in 2013 and assumed various positions, most recent the National Director of GRECC programs. In this role she is responsible for oversight of the 20 Geriatric Centers of Excellence throughout the U.S., including management of the Geriatrics and Gerontology Federal Advisory Committee.
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Kimberly Wozneak, MS
National Lead for Age-Friendly Health Systems
Office of Geriatrics and Extended Care
Kimberly is the National Lead for Age-Friendly Health Systems (AFHS) with the VA Office of Geriatrics and Extended Care. Since January 2020, she has led AFHS in VA, coaching teams and engaging leaders. Kim oversees strategic planning, communications, partnerships, education, and evaluation for AFHS. From 2021-2022, she received an Age-Friendly Scholarship from The John A. Hartford Foundation and completed the Next Generation Leaders Fellowship with the American Hospital Association. Previously, she was a Presidential Management Fellow with the VA Office of Community Care from 2018-2020 and completed a research fellowship at the National Institutes of Health from 2017-2018.
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Ines Valencia-Mendoza, MPH
Age-Friendly Program Analyst
Office of Geriatrics and Extended Care
Ines is a Program Analyst for Age-Friendly Health Systems with the VA Office of Geriatrics and Extended Care. With a background in administration and clinical operations, she previously served as the business manager for Rehab & Extended Care at the VA Hudson Valley Health Care System. An Army Veteran, Ines completed a year-long deployment to Afghanistan in support of Operation Iraqi Freedom and Operation New Dawn.
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Kayla Lalande, MSW, CISW
Age-Friendly Program Analyst
Office of Geriatrics and Extended Care
Kayla is a Program Analyst for Age-Friendly Health Systems with the VA Office of Geriatrics and Extended Care. With 10 years of social work experience in geriatrics and end-of-life care at the William S. Middleton VA Hospital in Madison, WI, she has also worked in Systems Redesign, Caregiver Support, Oncology, and inpatient social work. Kayla helped develop the national Goals of Care Conversations Train-the-Trainer program with the National Center on Ethics in Health Care.
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Shivani K. Jindal, MD, MPH
Clinical Consultant for Home Care, Community Based and Purchased Care
Office of Geriatrics and Extended Care
Dr. Jindal, a Geriatric Medicine physician at Cincinnati VA Medical Center, serves as Transition of Care Director and Associate Professor of Clinical Medicine at University of Cincinnati College of Medicine. She also consults for VA National Office of Geriatrics & Extended Care, focusing on Home and Community Based Programs. With a residency in internal medicine from University of Cincinnati, she pursued Geriatric Medicine fellowship at Boston University Chobanian & Avedisian School of Medicine and advanced fellowship at VA Boston Healthcare System. Her work spans hospitalist and educator roles across Veterans Health Administration, emphasizing quality care for older adults, care innovations, and humanism in medicine. She focuses on Age-Friendly Health Systems Initiative implementation within VA system and various clinical settings.
Our Partners
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The John A. Hartford Foundation
Learn MoreThe John A. Hartford Foundation invests in aging experts and practice innovations that transform how the care of older adults is delivered. Since 1982, The John A. Hartford Foundation has awarded more than $724 million in grants to enhance the health and well-being of older people.
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The Institute for Healthcare Improvement (IHI)
Learn MoreThe Institute for Healthcare Improvement (IHI) brings awareness of safety and quality to millions, catalyzes learning and the systematic improvement of care, develops solutions to previously intractable challenges, and mobilizes health systems, communities, regions, and nations to reduce harm and deaths.
Frequently Asked Questions (FAQ)
Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA). The goal is to build a social movement so that all care with older adults is Age-Friendly.
IHI recognizes clinical care settings that are working towards reliable practice of evidence-based interventions for all older adults in their care known as the 4Ms (4Ms: What Matters, Medications, Mentation, Mobility). As of August 2021, there are over 2,400 hospitals and health practices that have earned level 1 (Participant) recognition and 615 that have earned level 2 (Committed to Care Excellence) recognition in the Age-Friendly Health Systems movement.
- Level 1 (Participant) teams have successfully developed a plan to implement the 4Ms.
- Level 2 (Committed to Care Excellence) teams have three months of verified data to demonstrate early impact of using the 4Ms.
Learn how to get started in becoming an Age-Friendly Health System.
There is no cost associated with Age-Friendly Health Systems recognition. Thanks to generous support from The John A. Hartford Foundation, IHI offers recognition at no cost to health systems.
VA is working to become the largest integrated Age-Friendly Health System in the U.S. As of April 2024, over 350 VA teams have earned recognition from IHI for their commitment to Age-Friendly care for older Veterans.
When practiced reliably as a set, the 4Ms represent a broad culture shift to focus and align care based on each Veteran’s unique care preferences and health outcome goals. By implementing the 4Ms, VA is taking a high-reliability approach to continuously improve care and achieve zero harm.
Contact Age-Friendly
Want to learn more about becoming an Age-Friendly Health System at VA? Send us a message at agefriendly@va.gov and we'll get back to you as soon as possible. If you have questions about becoming an Age-Friendly Health System outside of VA, please email AFHS@ihi.org.