Tracking the Rise of Geriatric Emergency Departments in the United States

John G. Schumacher, Jon Mark Hirshon, Phillip Magidson, Marilyn Chrisman, Terisita Hogan

Research output: Contribution to journalArticle

Abstract

The traditional model of emergency care no longer fits the growing needs of the over 20 million older adults annually seeking emergency department care. In 2007 a tailored “geriatric emergency department” model was introduced and rapidly replicated among hospitals, rising steeply over the past 5 years. This survey examined all U.S. emergency departments self-identifying themselves as Geriatric Emergency Departments (GEDs) and providing enhanced geriatric emergency care services. It was guided by the recently adopted Geriatric Emergency Department Guidelines and examined domains including, GED identity, staffing, and administration; education, equipment, and supplies; policies, procedures, and protocols; follow-up and transitions of care; and quality improvement. Results reveal a heterogeneous mix of GED staffing, procedures, physical environments and that GEDs’ familiarity with the GED Guidelines is low. Findings will inform emergency departments and gerontologists nationwide about key GED model elements and will help hospitals to improve ED services for their older adult patients.

Original languageEnglish (US)
Pages (from-to)871-879
Number of pages9
JournalJournal of Applied Gerontology
Volume39
Issue number8
DOIs
StatePublished - Aug 1 2020

Keywords

  • geriatrics
  • health
  • health services

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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