Marshall Hospital named Age-Friendly Health System

Marshall Hospital has been recognized by multiple national organizations for being an Age-Friendly Health System and its care for the wellbeing of the region's older adults. In early 2026, Marshall was named an Age-Friendly Health System with "Committed to Care Excellence (Level 2)" recognition. The Age-Friendly Health Systems initiative — led by the John A. Hartford Foundation and Institute for Healthcare Improvement, in partnership with theAmerican Hospital Association and the Catholic Health Association of the United States — recognizes health systems that focus care around what is known as "the 4Ms": What Matters, Medication, Mentation and Mobility. The 4Ms are an evidence-based framework designed to deliver age-friendly care that aligns with the goals of older adults, manages medications safely, supports brain health and maintains function. Marshall's Emergency Department has earned Level 3 Geriatric Emergency Department Accreditation from the American College of Emergency Physicians, in collaboration with the Gary and Mary West Health Institute and John A. Hartford Foundation. The designation recognizes hospitals nationally that meet evidence-based best practices for providing specialized emergency care to older adults. "As we age, our healthcare needs become more complex," says Siri Nelson, Marshall's president and CEO. "Older adults deserve care that is not only clinically excellent but also compassionate, respectful and tailored to the unique needs that come with aging. These recent recognitions reflect the work happening across Marshall to ensure that our senior patients receive an elevated care experience close to home, helping them achieve the highest possible level of health and wellbeing." According to the California Department of Aging, more than one-third of El Dorado County's residents are 60 or over, with 20 percent of those living alone. By 2060, it is estimated 1 in 4 Americans will be age 65 or older. Based on the findings of the 2025 Community Health Needs Assessment, Marshall identified several Significant Health Needs, including access to care, coordination of care for chronic conditions and improving health outcomes in vulnerable populations, each of which has a component tied to the county's adult demographic.