TY - JOUR
T1 - Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States
AU - Kennedy, Maura
AU - Lesser, Adriane
AU - Israni, Juhi
AU - Liu, Shan W.
AU - Santangelo, Ilianna
AU - Tidwell, Nicole
AU - Southerland, Lauren T.
AU - Carpenter, Christopher R.
AU - Biese, Kevin
AU - Ahmad, Surriya
AU - Hwang, Ula
N1 - Funding Information:
Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org ). This study received funding support from the West Health Institute (La Jolla, CA). The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of West Health. Lauren Southerland is supported by the National Institute of Health (K23AG06128401). Ula Hwang and Christopher Carpenter are supported by the NIH (R33AG058926, R61AG069822). Kevin Biese is supported by the NIH (R61AG069822).
Publisher Copyright:
© 2021 American College of Emergency Physicians
PY - 2022/4
Y1 - 2022/4
N2 - Study objective: The objectives of this study were to describe the reach and adoption of Geriatric Emergency Department Accreditation (GEDA) program and care processes instituted at accredited geriatric emergency departments (EDs). Methods: We analyzed a cross-section of a cohort of US EDs that received GEDA from May 2018 to March 2021. We obtained data from the American College of Emergency Physicians and publicly available sources. Data included GEDA level, geographic location, urban/rural designation, and care processes instituted. Frequencies and proportions and median and interquartile ranges were used to summarize categorical and continuous data, respectively. Results: Over the study period, 225 US geriatric ED accreditations were issued and included in our analysis—14 Level 1, 21 Level 2, and 190 Level 3 geriatric EDs; 5 geriatric EDs reapplied and received higher-level accreditation after initial accreditation at a lower level. Only 9 geriatric EDs were in rural regions. There was significant heterogeneity in protocols enacted at geriatric EDs; minimizing urinary catheter use and fall prevention were the most common. Conclusion: There has been rapid growth in geriatric EDs, driven by Level 3 accreditation. Most geriatric EDs are in urban areas, indicating the potential need for expansion beyond these areas. Future research evaluating the impact of GEDA on health care utilization and patient-oriented outcomes is needed.
AB - Study objective: The objectives of this study were to describe the reach and adoption of Geriatric Emergency Department Accreditation (GEDA) program and care processes instituted at accredited geriatric emergency departments (EDs). Methods: We analyzed a cross-section of a cohort of US EDs that received GEDA from May 2018 to March 2021. We obtained data from the American College of Emergency Physicians and publicly available sources. Data included GEDA level, geographic location, urban/rural designation, and care processes instituted. Frequencies and proportions and median and interquartile ranges were used to summarize categorical and continuous data, respectively. Results: Over the study period, 225 US geriatric ED accreditations were issued and included in our analysis—14 Level 1, 21 Level 2, and 190 Level 3 geriatric EDs; 5 geriatric EDs reapplied and received higher-level accreditation after initial accreditation at a lower level. Only 9 geriatric EDs were in rural regions. There was significant heterogeneity in protocols enacted at geriatric EDs; minimizing urinary catheter use and fall prevention were the most common. Conclusion: There has been rapid growth in geriatric EDs, driven by Level 3 accreditation. Most geriatric EDs are in urban areas, indicating the potential need for expansion beyond these areas. Future research evaluating the impact of GEDA on health care utilization and patient-oriented outcomes is needed.
UR - http://www.scopus.com/inward/record.url?scp=85112495199&partnerID=8YFLogxK
U2 - 10.1016/j.annemergmed.2021.06.013
DO - 10.1016/j.annemergmed.2021.06.013
M3 - Article
C2 - 34389196
AN - SCOPUS:85112495199
VL - 79
SP - 367
EP - 373
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
SN - 0196-0644
IS - 4
ER -