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Chapter 1 - Making the Case for a Geriatric Emergency Department

Published online by Cambridge University Press:  20 January 2022

John Schumacher
Affiliation:
University of Maryland, Baltimore County
Don Melady
Affiliation:
University of Toronto
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Summary

Provides a definition of a Geriatric Emergency Department: a regular general ED that has made the decision to intentionally implement changes in its people, processes, and place in order to improve the quality of care it provides to older patient. Reviews the principal motivations for a Geriatric ED: shifting demographics and a favorable business case for the hospital. Presents the basics of the business case with a return-on-investment consideration, demonstrating several sample scripts for talking to senior executives. Suggests the importance of involving frontline staff to establish the ground truth in your ED.

Type
Chapter
Information
Creating a Geriatric Emergency Department
A Practical Guide
, pp. 4 - 16
Publisher: Cambridge University Press
Print publication year: 2022

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References

Hwang, U, Dresden, SM, Vargas-Torres, C, et al. Association of a geriatric emergency department innovation program with cost outcomes among Medicare beneficiaries. JAMA Netw Open. 2021 Mar 1;4(3):e2037334e2037334.Google Scholar
Pareja, T, Madrigal, M, Mauleon, C, Hornillos, M, Jimenez, P. Geriatric evaluation unit in the emergency room: clinical benefits and cost effectiveness. J Am Geriatr Soc. 2007 Apr;55(S1):S122.Google Scholar
Pines, JM, Edginton, S, Aldeen, AZ. What we can do to justify hospital investment in geriatric emergency departments. Acad Emerg Med. 2020/05/18ed. 2020 Oct;27(10):1074–6.CrossRefGoogle Scholar
Hwang, U, Morrison, S. The geriatric emergency department. J Am Geriatr Soc. 2007;55(11):1873–6.CrossRefGoogle ScholarPubMed
Schumacher, JG, Hirshon, JM, Magidson, P, Chrisman, M, Hogan, T. Tracking the rise of geriatric emergency departments in the United States. J Appl Gerontol. 2018/ 11/18ed. 2020 Aug;39(8):871–9.CrossRefGoogle ScholarPubMed
Pearl, R. Why major hospitals are losing money by the millions [Internet]. Forbes; 2017 [cited 2021 Mar 1]. Available from: www.forbes.com/sites/robertpearl/2017/11/07/hospitals-losing-millions/?sh=e11dd7b7b50Google Scholar
Grudzen, C, Richardson, LD, Baumlin, KM, et al. Redesigned geriatric emergency care may have helped reduce admissions of older adults to intensive care units. Health Aff. 2015;34(5):788–95.Google Scholar
Kennedy, M, Ouchi, K, Biese, K. Geriatric emergency care reduces health care costs – what are the next steps? JAMA Netw Open. 2021 Mar 1;4(3):e210147e210147.CrossRefGoogle ScholarPubMed
McCusker, J, Ionescu-Ittu, R, Ciampi, A, et al. Geriatric services reduce emergency department (ED) return visits. J Am Geriatr Soc. 2005 Apr;53(4):79.Google Scholar
McCusker, J, Ionescu-Ittu, R, Ciampi, A, et al. Hospital characteristics and emergency department care of older patients are associated with return visits. Acad Emerg Med. 2007 May;14(5):426–33.Google Scholar
Richter, JP, Muhlestein, DB. Patient experience and hospital profitability: is there a link? Health Care Manage Rev [Internet]. 2017;42(3). Available from: https://journals.lww.com/hcmrjournal/Fulltext/2017/07000/Patient_experience_and_hospital_profitability__Is.7.aspxGoogle Scholar
Zaheer, S, Ginsburg, L, Wong, HJ, Thomson, K, Bain, L, Wulffhart, Z. Turnover intention of hospital staff in Ontario, Canada: exploring the role of frontline supervisors, teamwork, and mindful organizing. Hum Resour Health. 2019 Aug 14;17(1):66.Google Scholar
Ortman, J, Velkoff, V, Hogan, H. An aging nation: the older population in the United States, Current Population Reports. US Census Bureau; 2014.Google Scholar
Demographics Research Group [Internet]. [cited 2020 Apr 24]. Available from: https://demographics.coopercenter.org/national-population-projectionsGoogle Scholar
United Nations Population Division. World population prospects: the 2017 revision – key findings and advance tables. Working Paper No. ESA/P/WP/248; 2017.Google Scholar
Pines, JM, Mullins, PM, Cooper, JK, Feng, LB, Roth, KE. National trends in emergency department use, care patterns, and quality of care of older adults in the United States. J Am Geriatr Soc. 2013;61(1):1217.Google Scholar
Rui, P, Kang, K. National hospital ambulatory medical care survey: 2015 emergency department summary tables [Internet]. Centers for Disease Control National Center for Health Statistics; 2016. Available from: www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2015_ed_web_tables.pdfGoogle Scholar
Vincent, G, Velkoff, V. The next four decades: The older population in the United States: 2010 to 2050. Current Population Reports P25-1138. US Census Bureau; 2010. Available from: www.census.gov/prod/2010pubs/p25-1138.pdfGoogle Scholar
Pallin, DJ, Allen, MB, Espinola, JA, Camargo, CA Jr, Bohan, JS. Population aging and emergency departments: visits will not increase, lengths-of-stay and hospitalizations will. Health Aff. (Project Hope). 2013;32(7):1306–12.CrossRefGoogle Scholar
Moore, B, Stocks, C, Owens, P. Trends in emergency department visits, 2006–2014 [Internet]. 2017 [cited 2021 Mar 1]. Available from: www.hcup-us.ahrq.gov/reports/statbriefs/sb227-Emergency-Department-Visit-Trends.pdfGoogle Scholar

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