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Establishing and sustaining an acute care for elders unit: An incremental journey to success.
- Source :
-
Journal of the American Geriatrics Society . Oct2023, Vol. 71 Issue 10, p3031-3039. 9p. - Publication Year :
- 2023
-
Abstract
- Acute Care for Elders (ACE) units reduce hospital‐associated delirium, functional decline, and lengths of stay. However, establishing and sustaining such units have proven difficult. There are only 43 ACE units among the >3500 hospitals in the United States. This study describes an iterative quality improvement process, which allowed us to establish and sustain an ACE unit care model in a modern academic hospital. This continuous process was centered on implementing the key principles of the ACE unit model of care: patient‐centered care assessments, medical care review, specialized prepared environment, early mobilization, physical therapy, and early planning for discharge to home. Quality of care and patient outcomes data for older adults admitted to our ACE unit includes mortality index (observed/expected) consistently <1 (FY22 = 0.86), 30‐day readmission rate of <10% (FY22 9.31%), and length of stay index of ~1 (FY22 1.07). We describe how work on our ACE unit has led to hospital‐wide initiatives, including dementia‐friendly hospital certification. Our hope is that others can use this process to enhance the dissemination of the ACE unit model of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MEDICAL quality control
*LENGTH of stay in hospitals
*ACADEMIC medical centers
*MATHEMATICAL models
*PHYSICAL therapy
*MEDICAL care
*PATIENT-centered care
*PATIENTS
*EARLY ambulation (Rehabilitation)
*HOSPITAL admission & discharge
*CRITICAL care medicine
*HOSPITAL wards
*QUALITY assurance
*THEORY
*DESCRIPTIVE statistics
*RESEARCH funding
*ELDER care
*DISCHARGE planning
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 71
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 172913302
- Full Text :
- https://doi.org/10.1111/jgs.18561