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

2. 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

3. Hamilton Health Sciences HELP Resource Website
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

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

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

6. 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

7. 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

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

9. 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

10. 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

11. 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

12. 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

13. 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

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

15. 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

16. 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

17. 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

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

19. 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

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

21. 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