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Accreditation Levels - Comparison Overview

 
Bronze - Level 3 Icon
Silver - Level 2 Icon
Gold - Level 1 Icon
Staffing
1 MD/DO with evidence of focused education for geriatric EM
Bronze - Check Icon
 
 
1 RN with evidence of focused education for geriatric EM
Bronze - Check Icon
 
 
Physician champion / Medical director
 
Silver - Check Icon
Gold - Check Icon
Nurse case manager/transitional care nurse present > 56 hrs/week
 
Silver - Check Icon
Gold - Check Icon
Interdisciplinary geriatric assessment team includes at least 2 roles
 
Silver - Check Icon
 
Interdisciplinary geriatric assessment team includes at least 4 roles
 
 
Gold - Check Icon
At least 1 executive / administrative sponsor supervising geriatric ED program
 
Silver - Check Icon
Gold - Check Icon
Patient advisor/patient council
 
 
Gold - Check Icon
Education
Staff physician education related to 8 domains of geriatric EM
View PDF: Education Requirement
Bronze - Check Icon
Silver - Check Icon
Gold - Check Icon
Nursing education in geriatric emergency care (i.e., GENE, NICHE)
Bronze - Check Icon
Silver - Check Icon
Gold - Check Icon
Policies, Guidelines & Procedures
Evidence of a geriatric emergency care initiative plus the three required standard care processes; urinary catheter retention, NPO status minimization, and physical restraint use. 
Bronze - Check Icon
Silver - Check Icon
Gold - Check Icon
At least 10 items from the ED model of care for patients over 65 years
View PDF: ED Model of Care
 
Silver - Check Icon
 
At least 20 items from the ED model of care for patients over 65 years
View PDF: ED Model of Care
 
 
Gold - Check Icon
Quality Improvement
Adherence to 10 components listed above based on random chart audit
 
Silver - Check Icon
 
Adherence to 20 components listed above based on random chart audit
 
 
Gold - Check Icon
Outcome Measures
Track at least 3 process and outcome metrics for eligible patients
View PDF: Metrics for Outcome Measures
 
Silver - Check Icon
 
Track at least 5 process and outcome metrics for eligible patients
View PDF: Metrics for Outcome Measures
 
 
Gold - Check Icon
Equipment and Supplies
Access to mobility aids (canes, walkers)
Bronze - Check Icon
Silver - Check Icon
Gold - Check Icon
Access to at least 3 supplies, including mobility aids
View PDF: Equipment & Supplies
 
Silver - Check Icon
 
Access to 10 supplies
View PDF: Equipment & Supplies
 
 
Gold - Check Icon
Physical Environment
Easy access to food/drink
Bronze - Check Icon
Silver - Check Icon
Gold - Check Icon
2 chairs per patient bed
 
Silver - Check Icon
Gold - Check Icon
Large analog clock
 
Silver - Check Icon
Gold - Check Icon
Enhanced lighting
 
 
* Gold - Check Icon
Efforts at noise reduction
 
 
* Gold - Check Icon
Nonslip floors
 
 
* Gold - Check Icon
Adequate hand rails
 
 
* Gold - Check Icon
High quality signage and wayfinding
 
 
* Gold - Check Icon
Wheelchair accessible toilets
 
 
* Gold - Check Icon
Availability of raised toilet seats
 
 
* Gold - Check Icon

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

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