TY - JOUR
T1 - Concepts in Practice
T2 - Geriatric Emergency Departments
AU - Southerland, Lauren T.
AU - Lo, Alexander X.
AU - Biese, Kevin
AU - Arendts, Glenn
AU - Banerjee, Jay
AU - Hwang, Ula
AU - Dresden, Scott
AU - Argento, Vivian
AU - Kennedy, Maura
AU - Shenvi, Christina L.
AU - Carpenter, Christopher R.
N1 - Publisher Copyright:
© 2019 American College of Emergency Physicians
PY - 2020/2
Y1 - 2020/2
N2 - In 2018, the American College of Emergency Physicians (ACEP) began accrediting facilities as “geriatric emergency departments” (EDs) according to adherence to the multiorganizational guidelines published in 2014. The guidelines were developed to help every ED improve its care of older adults. The geriatric ED guideline recommendations span the care continuum from out-of-hospital care, ED staffing, protocols, infrastructure, and transitions to outpatient care. Hospitals interested in making their EDs more geriatric friendly thus face the challenge of adopting, adapting, and implementing extensive guideline recommendations in a cost-effective manner and within the capabilities of their facilities and staff. Because all innovation is at heart local and must function within the constraints of local resources, different hospital systems have developed implementation processes for the geriatric ED guidelines according to their differing institutional capabilities and resources. This article describes 4 geriatric ED models of care to provide practical examples and guidance for institutions considering developing geriatric EDs: a geriatric ED–specific unit, geriatrics practitioner models, geriatric champions, and geriatric-focused observation units. The advantages and limitations of each model are compared and examples of specific institutions and their operational metrics are provided.
AB - In 2018, the American College of Emergency Physicians (ACEP) began accrediting facilities as “geriatric emergency departments” (EDs) according to adherence to the multiorganizational guidelines published in 2014. The guidelines were developed to help every ED improve its care of older adults. The geriatric ED guideline recommendations span the care continuum from out-of-hospital care, ED staffing, protocols, infrastructure, and transitions to outpatient care. Hospitals interested in making their EDs more geriatric friendly thus face the challenge of adopting, adapting, and implementing extensive guideline recommendations in a cost-effective manner and within the capabilities of their facilities and staff. Because all innovation is at heart local and must function within the constraints of local resources, different hospital systems have developed implementation processes for the geriatric ED guidelines according to their differing institutional capabilities and resources. This article describes 4 geriatric ED models of care to provide practical examples and guidance for institutions considering developing geriatric EDs: a geriatric ED–specific unit, geriatrics practitioner models, geriatric champions, and geriatric-focused observation units. The advantages and limitations of each model are compared and examples of specific institutions and their operational metrics are provided.
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U2 - 10.1016/j.annemergmed.2019.08.430
DO - 10.1016/j.annemergmed.2019.08.430
M3 - Article
C2 - 31732374
AN - SCOPUS:85075395980
SN - 0196-0644
VL - 75
SP - 162
EP - 170
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 2
ER -