The William S. Middleton Memorial VA hospital in Madison has been committed to improving the care for aging Veterans including the support of the Elder Veteran Program (EVP). EVP is a nursing-led approach to deliver inpatient consultative geriatrics care at the hospital. Much of the care provided on EVP already addressed many components of IHI’s Age-Friendly 4Ms, though not consistently. EVP committed to reliably providing the 4Ms to all older adults seen in the program by modifying workflows and documentation using a Plan-Do-Study-Act approach, resulting in improvements in the frequency of documentation of the 4Ms. Overall, the project demonstrates a novel way to integrate the 4M elements into a hospital system by leveraging an existing nursing-led geriatric consult service focused on prevention and education.