1. GERIATRIC ER Improving Care and Customer Service in The Emergency Department Christian Caicedo M.D.

2. Current ER Geriatric Population Harrisburg campus 16.86% of total ED volume (~64,000 visits/year) Community campus 19.01% of total ED volume (~36,000 visits/year)

3. Current Model Elderly patients are seen along with the rest of our ER population Triage process is the same regardless of age No early identification of safety issues upon discharge No identification process of polypharmacy issues

4. Benefits of the Geriatric ER Prevent ER recidivism Alleviate Crowding in ER waiting area Increase patient satisfaction Improve relationships with primary care doctors Increase market share

5. Eligibility Age: >65 years of age Disability criteria: Independent seniors Functional capacity Not intended for ECF patients

6. HOW Defined team Finite amount of time during the day Physical changes to the facility, minimal Changes to paperwork and care plan

7. TEAM Doctor RN: specialized geriatric training Clinical Pharmacist Case manager

8. When Available during peak hours for the department Have all players in place for those defined hours

9. Physical Changes Softer lighting Awareness of noise level by staff Thicker mattresses Non-glare flooring Hand rails along all walls and bathrooms

10. Care Plan Evaluate for safety before discharge Evaluate for medication interactions Larger font paperwork Follow up calls Ensuring for recommended follow up Communication with PCP