The Hospital Elder Life Program Central Website http://www.hospitalelderlifeprogram.org The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

Central Website Overview of delirium and the HELP program for Older Adults/Caregiver and Clinicians New sites can apply for access into the HELP Private site (there are instructions on the website regarding how to apply) The private site holds all of the HELP materials including manuals, instructional videos, tools and resources On the private site there is also instructions on how to join the HELP Google Group The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

Hamilton Health Sciences HELP Resource Website http://www.hhsc.ca/body.cfm?id=1015 Will include extra resources that have been developed over the years for the program at our site Some examples are Volunteer Assignment sheet Sample Volunteer Training Schedules Sample Patient Education Handouts The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

HELP Manuals The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Organizational and Procedural Manuals: Overview & Structure Manual This manual gives a broad understanding of the program, the key elements of the program, and how they connect Goals of the program Description of staff – their qualifications, FTEs Program costs Administrative structure Quality Assurance Procedures – Intervention adherence; Working Group; Staff Performance Check; Patient/Family Survey; HELP Outcomes Strategies to improve adherence The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

Overview & Structure Manual cont’d Volunteer Component: Role, position description Training Volunteer retention Case Scenarios with suggested responses The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

Organizational and Procedural Manuals: The Clinical Process Manual This manual is the “heart of HELP”, in that it contains the activities from screening through discharge MMSE – ensure that your organization has permission to use the MMSE (at HHS, we utilize the SMMSE) Overview of cognitive screening instruments Screening and enrollment procedures Patient enrollment form Structure of patient assessment; includes scripts for ELS/ELNS The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Clinical Process Manual cont’d ELS Scope of Responsibilities Volunteer coordination Patient care Program operations Patient information package Evaluations to identify risk factors Confusion Assessment Method ELS/Volunteer Intervention Summary Chart The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Clinical Manual cont’d Geriatric Nursing Assessment and Interventions ELNS Protocols (Delirium, Dementia, Psychoactive Meds) ELNS Scope of Responsibilities Patient care Staff education Program operations Additional areas of ELNS assessment (i.e. anxiety, continence, skin) List of top 10 Drug Interactions Beers List The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Clinical Process Manual cont’d Interdisciplinary Interventions Rounds Geriatrician consults Community links Interdisciplinary consultations Discharge & Post-Discharge Planning Patient/family satisfaction surveys The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Clinical Process Manual cont’d Educational interventions to improve geriatric expertise References and resources for all protocols Chaplaincy protocol The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Database Manual Sample forms and worksheets for ELS Patient Enrollment Form – see our version in package ELS intervention worksheet Patient care plan Volunteer assignment form – see our version in package ELS Daily Evaluation Form The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Database Manual cont’d Tracking adherence of volunteer interventions Master tracking log (worksheet) Adherence codes Tracking adherence of nursing interventions Daily assessment (ELNS Patient Profile Sheet) ELNS Interventions Master Tracking Log and Intervention Codes The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Database Manual cont’d Discharge Evaluation Patient discharge assessment form Patient/family satisfaction survey ELNS telephone follow-up Samples of completed forms The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Volunteer Training Manual Overview – program structure chart Program goals Role of the volunteer Training process – classroom and shadowing Separate sections cover each protocol Expectations of the volunteer Importance of documentation The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

The Business Tools Manual Introduction Executive Summary Background research & outcomes Program design & tools Program results – Clinical & Quality; Economic Summary of Potential Business Impact Overview of Potential Cost Savings Financial worksheets Data Collection Questionnaire Power Point Slide Presentation Evaluating the Volunteer Model – value of volunteer time The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH