Age-Friendly Public Health Systems

Trust for America’s Health (TFAH) is partnering with state and local health departments to implement a public health framework to improve the health and well-being of older adults.

Age-Friendly Public Health Systems website

Access to the COVID-19 Vaccine for Homebound Older Adults

TFAH is working to better understand the challenges, explore potential solutions, and identify innovative vaccine distribution mechanisms for older adults and people with disabilities who are homebound. Please read our policy brief  and one-pager on this issue .


Guide to Innovative Practices

COVID-19 vaccination efforts for those who are homebound continue to be implemented, and there is an ongoing evolution of practices to support them. This guide is designed to assist entities organizing homebound COVID-19 vaccination programs and details innovative practices in use across the country, including the essential role of non-traditional partnerships.


Huddle Calls

In partnership with The John A. Hartford Foundation and the Cambia Health Foundation, TFAH is hosted a series of “Huddle” calls. These 30 minute calls provide just-in-time information on innovative practices, as well as a platform for discussion and brainstorming among participants.

Recordings of previous Huddle calls can be accessed here: Access to the COVID-19 Vaccine for Older Adults who are Homebound



TFAH has completed a successful pilot of the AFPHS framework in partnership with the Florida Department of Health. During this pilot, TFAH worked directly with 37 of Florida’s 67 county health departments as they explored and expanded their roles in older adult health. This effort has included creating and supporting collaborations between the public health and aging sectors, collecting and disseminating data on the state’s older adult population, and ensuring all planning and programming is done with an aging lens. Phase I of this work has been possible with generous funding from The John A. Hartford Foundation. The successes in Florida have been documented in the Florida Summary Report. Phase II of the Florida initiative will focus more deeply on public health’s engagement with local partners, improving emergency preparedness, and mitigating the consequences of social isolation and loneliness on older adults.


In partnership with the Michigan Public Health Institute, and with funding from the Michigan Health Endowment Fund, TFAH will help to facilitate and coordinate Michigan’s AFPHS initiative. Local health departments will work in collaboration with aging sector partners.

Mississippi and Washington

These two states have just been selected as AFPHS Expansion States. With funding from The John A. Hartford Foundation, TFAH will work intensively with the health departments in Mississippi and Washington to further explore public health’s roles in aging, including a deeper focus on addressing health disparities among older adults. This project will continue to provide necessary steps for success that will be shared with public health systems in other states. 

TFAH is also partnering with the U.S. Department of Health and Human Services to help facilitate collaboration among state public health and aging services leaders. This collaboration is crucial to sustain the healthy aging efforts initiated at the 2018 Healthy Aging Summit.

TFAH works with numerous stakeholders and partners to improve older adult health and well-being at the national, state, and local levels. For more information and to engage with TFAH, please contact Megan Wolfe at [email protected].

Recognition Program

TFAH is excited to introduce the AFPHS Recognition Program and invites state and local health departments to enroll. Learn more about this program here: AFPHS Recognition Program

Building Capacity

To help prepare state and local health departments to meet the challenges and leverage opportunities in healthy aging, TFAH will provide learning sessions on the third Thursday of each month at 3:00 pm ET in 2021. These AFPHS trainings will focus on key issues in healthy aging and the public health roles. The current schedule for these trainings and the recordings for past trainings can be viewed here:









Additional Resources

Groups Call for Increased Focus on Older Adults During COVID-19


Webinar: Protecting Older Adults for the Harms of Social Isolation and Providing a Continuum of Care During COVID -19

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Age-Friendly Public Health Case Studies

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