GERIATRIC ER

Improving Care and Customer Service in The Emergency Department

Christian Caicedo M.D.

Current ER Geriatric Population

Harrisburg campus 16.86% of total ED volume (~64,000 visits/year)

Community campus 19.01% of total ED volume (~36,000 visits/year)

Current Model

Elderly patients are seen along with the rest of our ER population

Triage process is the same regardless of age No early identification of safety issues upon

discharge No identification process of polypharmacy

issues

Benefits of the Geriatric ER

Prevent ER recidivism Alleviate Crowding in ER waiting area Increase patient satisfaction Improve relationships with primary care

doctors Increase market share

Eligibility

Age: >65 years of age Disability criteria: Independent seniors Functional capacity Not intended for ECF patients

HOW

Defined team Finite amount of time during the day Physical changes to the facility, minimal Changes to paperwork and care plan

TEAM

Doctor RN: specialized geriatric training Clinical Pharmacist Case manager

When

Available during peak hours for the department

Have all players in place for those defined hours

Physical Changes

Softer lighting Awareness of noise level by staff Thicker mattresses Non-glare flooring Hand rails along all walls and bathrooms

Care Plan

Evaluate for safety before discharge Evaluate for medication interactions Larger font paperwork Follow up calls Ensuring for recommended follow up Communication with PCP