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)
JournalJournal of Applied Gerontology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Geriatrics
Hospital Emergency Service
Emergency Medical Services
Guidelines
Patient Transfer
Aftercare
Quality Improvement
Education
Equipment and Supplies

Keywords

  • geriatrics
  • health
  • health services

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Tracking the Rise of Geriatric Emergency Departments in the United States. / Schumacher, John G.; Hirshon, Jon Mark; Magidson, Phillip; Chrisman, Marilyn; Hogan, Terisita.

In: Journal of Applied Gerontology, 01.01.2018.

Research output: Contribution to journalArticle

Schumacher, John G. ; Hirshon, Jon Mark ; Magidson, Phillip ; Chrisman, Marilyn ; Hogan, Terisita. / Tracking the Rise of Geriatric Emergency Departments in the United States. In: Journal of Applied Gerontology. 2018.
@article{cd38d712f380438f89ba50fe7502920b,
title = "Tracking the Rise of Geriatric Emergency Departments in the United States",
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.",
keywords = "geriatrics, health, health services",
author = "Schumacher, {John G.} and Hirshon, {Jon Mark} and Phillip Magidson and Marilyn Chrisman and Terisita Hogan",
year = "2018",
month = "1",
day = "1",
doi = "10.1177/0733464818813030",
language = "English (US)",
journal = "Journal of Applied Gerontology",
issn = "0733-4648",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Tracking the Rise of Geriatric Emergency Departments in the United States

AU - Schumacher, John G.

AU - Hirshon, Jon Mark

AU - Magidson, Phillip

AU - Chrisman, Marilyn

AU - Hogan, Terisita

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - geriatrics

KW - health

KW - health services

UR - http://www.scopus.com/inward/record.url?scp=85059071379&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059071379&partnerID=8YFLogxK

U2 - 10.1177/0733464818813030

DO - 10.1177/0733464818813030

M3 - Article

C2 - 30451060

AN - SCOPUS:85059071379

JO - Journal of Applied Gerontology

JF - Journal of Applied Gerontology

SN - 0733-4648

ER -