JPS Geriatric Service Line JPS Joint Council Julie Idoine-Fries, Geriatric Service Line Administrator

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1 JPS Geriatric Service Line JPS Joint Council Julie Idoine-Fries, Geriatric Service Line Administrator

2 Why Geriatrics? Source: U.S. Administration on Aging

3 Why Geriatrics? Tarrant County 65+ Population N=324, Population N=161, year Tarrant 65+ Population Linear (Tarrant 65+ Population) Source: Texas State Data Center

4 Who are we?

5 JPS Geriatric Service Line JPS Geriatric Service Line Clinical Services Education Research DSRIP Long-Term Care Partnerships Inpatient Care Family Medicine Residency Integration Patient Centered Medical Homes Geriatric Fellowship

6 Mission, Vision and Values Vision: To be the leader in providing accessible and comprehensive healthcare for aging adults and their families Mission: Serving aging adults through innovative, compassionate care Core Values: 1. Innovation 2. Compassion 3. Trust 4. Excellence 5. Teamwork 6. Respect

7 Long-Term Care Partnerships Partner facilities identified» DFW Nursing and Rehab» Sava Downtown Health and Rehab» Sava- Arlington Heights» Sava Interlochen» Kindred Ridgmar» Kindred Mansfield» Kindred Grapevine Initial duration through September 2016

8 Where are we going?

9 GT-55 Program Support (Geriatric Trauma) 7.0 Average Length of Stay: Pre and Post GT-55 Program Implementation Length of Stay: Days Pre Trauma E Jan 1, 2013 Jan 21, 2014 Post Trauma E Jan 22, 2014 Nov 30, 2014 Average Length of Stay

10 Hospital Geriatric Consult Service Geriatric Patient Service URO, 2% VCS, 0% CCL/IR, 2% URG, 2% TRC, 0% TRD, 0% CDU, 7% TRE, 6% SYE, 5% SWH, 4% SUR, 2% CTH, 1% ENT, 0% DAY, 3% ERM, 3% EYE, 1% GYN, 0% ICU, 3% MDA, 2% SRD, 1% STL, 3% SPU, 4% MDB, 3% MDC, 2% MDD, 1% SPK, 4% MDF, 4% MDE, 1% SPEND, 2% SOR, 4% SNU, 3% SGO, 3% SGD, 1% SGR, 4% SGC, 1% SBL, 5% SGB, 1% SBR, 3% SAE, 1% NSG, 0% ORT, 2% POD, 0% PSY, 3% SGA, 2% SADM, 0% OSG, 0% CCL/IR CDU CTH DAY ERM ENT EYE GYN ICU MDA MDB MDC MDD MDE MDF NSG ORT OSG POD PSY SADM SAE SBL SBR SGA SGB SGC SGD SGO SGR SNU SOR SPEND SPK SPU SRD STL SUR SWH SYE TRC TRD TRE URG URO VCS

11 Geriatric Emergency Department Specialized training Improved environment of care Interdisciplinary teamwork

12 HELP Implementation (Hospital Elder Life Program) The Hospital Elder Life Program (HELP) is a comprehensive patient-care program that provides optimal care for older persons in the hospital. The primary goals of the program (Inouye, 2000) are:» Maintaining cognitive and physical functioning of high risk older adults throughout hospitalization» Maximizing independence at discharge» Assisting with the transition from hospital to home» Preventing unplanned hospital readmissions 1999, Hospital Elder Life Program, LLC

13 HELP Program Goals Maintain physical and cognitive functioning throughout hospitalization (through daily interventions) Maximize independence at discharge Assist with the appropriate transition from hospital to home or step-down setting Improve geriatric skills of staff throughout the general medicine units 1999, Hospital Elder Life Program, LLC

14 Why HELP? Very consistent with quality initiatives to reduce adverse effects of drugs, reduce drug errors, reduce falls, etc. Responsive to patient and family needs for more consistent patient support (often for non-clinical tasks) Best management of patient care in our elderly medical admissions may reduce LOS and create capacity for other cases, while reducing costs 1999, Hospital Elder Life Program, LLC

15 HELP at JPS Interdisciplinary team comprised of Volunteer Services, Dietary, PT / OT, Nursing, Sound Physicians, Communications, Patient and Family Centered Care, Geriatric Service Line Pilot on Tower 6; Orthopedics & Stroke Recovery

16 Summary Is an organized, focused intervention with proven results» It reduces the incidence of delirium in hospitalized older adults» It maximizes independence at discharge» It improves the geriatric skills of hospital staff Given the demographics of our population, the special needs and risk factors of older adults, and the priorities of our hospital, this program is timely and appropriate! 1999, Hospital Elder Life Program, LLC

17 Group Charge Patient Advisory Council Members HELP Volunteers Sharing our great work!

18 Thank You! Julie Idoine-Fries Geriatric Service Line Administrator