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Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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
Academic Emergency Medicine – Wiley
Published: Apr 1, 2023
Keywords: accreditation; dissemination and implementation; emergency care; geriatric
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