Accreditation Levels - Comparison Overview

Staffing

1 MD/DO with evidence of focused education for geriatric EM

1 RN with evidence of focused education for geriatric EM

Physician champion / Medical director

Nurse case manager/transitional care nurse present > 56 hrs/week

Interdisciplinary geriatric assessment team includes at least 2 roles

Interdisciplinary geriatric assessment team includes at least 4 roles

At least 1 executive / administrative sponsor supervising geriatric ED program

Patient advisor/patient council

Education

Staff physician education related to 8 domains of geriatric EM
View PDF: Education Requirement

Nursing education in geriatric emergency care (i.e., GENE, NICHE)

Policies, Guidelines & Procedures

Evidence of a geriatric emergency care initiative (e.g. urinary catheter utilization policy)

At least 10 items from the ED model of care for patients over 65 years
View PDF: ED Model of Care

At least 20 items from the ED model of care for patients over 65 years
View PDF: ED Model of Care

Quality Improvement

Adherence to 10 components listed above based on random chart audit

Adherence to 20 components listed above based on random chart audit

Outcome Measures

Track at least 3 process and outcome metrics for eligible patients
View PDF: Metrics for Outcome Measures

Track at least 5 process and outcome metrics for eligible patients
View PDF: Metrics for Outcome Measures

Equipment and Supplies

Access to mobility aids (canes, walkers)

Access to at least 3 supplies, including mobility aids
View PDF: Equipment & Supplies

Physical Environment

Easy access to food/drink

2 chairs per patient bed

Large analog clock

Enhanced lighting

Efforts at noise reduction

Nonslip floors

Adequate hand rails

High quality signage and wayfinding

Wheelchair accessible toilets

Availability of raised toilet seats

* These are best practices and while not mandatory, we anticipate that many of these will be present in a Level 1 geriatric ED.

GEDA Quick Links