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Dissemination and implementation of age‐friendly care and geriatric emergency department accreditation at Veterans Affairs hospitals

Dissemination and implementation of age‐friendly care and geriatric emergency department... INTRODUCTIONThe innovation of geriatric emergency departments (GEDs) as a model of care was first introduced in 2007, when no GEDs existed in the United States.1 In 2014, GEDs became a clinical priority for the national specialty that jointly developed the GED guidelines outlining requisite elements of optimal geriatric emergency care.2‐4 In 2018, the American College of Emergency Physicians (ACEP) launched its GED accreditation program recognizing EDs that demonstrate commitment to optimizing emergency care for older patients. The uptake and spread of geriatric emergency care over the past several years since the model was proposed has accelerated with GED accreditation.5 As of 2022, ACEP reports over 350 EDs with GED accreditation (GEDA) in the United States alone, representing 6% of the 5500 U.S. EDs (355/5584).6‐8The Department of Veterans Affairs (VA) is one of the largest integrated health care systems in the United States. Compared to community EDs, VA EDs evaluate almost three times the volume of patients over age 65 years (49.8% vs. 17.9%) and twice as many patients over age 75 years (21.3% vs. 9.6%).9,10 Older Veterans utilizing VA EDs have higher rates of poor physical health, chronic diseases, and complicated social needs and a higher rate of repeat ED visits http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Academic Emergency Medicine Wiley

Dissemination and implementation of age‐friendly care and geriatric emergency department accreditation at Veterans Affairs hospitals

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References (24)

Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
ISSN
1069-6563
eISSN
1553-2712
DOI
10.1111/acem.14665
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONThe innovation of geriatric emergency departments (GEDs) as a model of care was first introduced in 2007, when no GEDs existed in the United States.1 In 2014, GEDs became a clinical priority for the national specialty that jointly developed the GED guidelines outlining requisite elements of optimal geriatric emergency care.2‐4 In 2018, the American College of Emergency Physicians (ACEP) launched its GED accreditation program recognizing EDs that demonstrate commitment to optimizing emergency care for older patients. The uptake and spread of geriatric emergency care over the past several years since the model was proposed has accelerated with GED accreditation.5 As of 2022, ACEP reports over 350 EDs with GED accreditation (GEDA) in the United States alone, representing 6% of the 5500 U.S. EDs (355/5584).6‐8The Department of Veterans Affairs (VA) is one of the largest integrated health care systems in the United States. Compared to community EDs, VA EDs evaluate almost three times the volume of patients over age 65 years (49.8% vs. 17.9%) and twice as many patients over age 75 years (21.3% vs. 9.6%).9,10 Older Veterans utilizing VA EDs have higher rates of poor physical health, chronic diseases, and complicated social needs and a higher rate of repeat ED visits

Journal

Academic Emergency Medicine – Wiley

Published: Apr 1, 2023

Keywords: accreditation; dissemination and implementation; emergency care; geriatric

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