JPS Geriatric Service Line - JPS Health Network Geriatric Service Line JPS Geriatric Service Line ... ORT OSG POD PSY SADM SAE SBL SBR SGA SGB SGC SGD SGO SGR SNU SOR ... Diana …

Serving aging adults through innovative, compassionate care.

JPS Geriatric Service LineJPS Joint CouncilJulie Idoine-Fries, Geriatric Service Line Administrator


Why Geriatrics?

Source: U.S. Administration on Aging


Why Geriatrics?

Source: Texas State Data Center

0

50000

100000

150000

200000

250000

300000

350000

Year2010

Year2011

Year2012

Year2013

Year2014

Year2015

Year2016

Year2017

year2018

Year2019

Year2020

Year2021

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Year2024

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65

+ P

op

ula

tio

n

2010-2026

Tarrant County 65+ Population

Tarrant 65+ Population Linear (Tarrant 65+ Population)

N=161,385

N=324,724


Who are we?


JPS Geriatric Service Line

JPS Geriatric Service Line

Clinical Services

Inpatient Care

Patient Centered Medical Homes

Education

Family Medicine Residency Integration

Geriatric Fellowship

ResearchDSRIP Long-Term Care

Partnerships


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. Innovation2. Compassion 3. Trust4. Excellence5. Teamwork6. Respect


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


Where are we going?


GT-55 Program Support

(Geriatric Trauma)

Pre Trauma EJan 1, 2013 – Jan 21, 2014

Post Trauma EJan 22, 2014 – Nov 30, 2014

Average Length of Stay 6.0 4.8

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

Len

gth

of

Stay

: Day

s

Average Length of Stay: Pre and Post GT-55 Program Implementation


Hospital Geriatric Consult Service

CCL/IR, 2%

CDU, 7%

CTH, 1%

DAY, 3%

ERM, 3%

ENT, 0%

EYE, 1%

GYN, 0%

ICU, 3%

MDA, 2%

MDB, 3%

MDC, 2%

MDD, 1%

MDE, 1%MDF, 4%

NSG, 0%ORT, 2%

OSG, 0%POD, 0%

PSY, 3%

SADM, 0%SAE, 1%

SBL, 5%

SBR, 3%

SGA, 2%SGB , 1%SGC, 1%SGD, 1%

SGO, 3%

SGR, 4%SNU, 3%

SOR, 4%

SPEND, 2%

SPK, 4%

SPU, 4%

SRD, 1%STL, 3%

SUR, 2%SWH, 4%

SYE, 5%

TRC, 0%TRD, 0%

TRE, 6%

URG, 2%

URO, 2% VCS, 0%

Geriatric Patient Service

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


Geriatric Emergency Department

• Specialized training

• Improved environment of care

• Interdisciplinary teamwork


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


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



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



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


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!



Group Charge

• Patient Advisory Council Members

• HELP Volunteers

• Sharing our great work!


Thank You!

Julie Idoine-Fries

Geriatric Service Line Administrator

[email protected]

mailto:[email protected]

JPS Geriatric Service Line - JPS Health Network Geriatric Service Line JPS Geriatric Service Line ... ORT OSG POD PSY SADM SAE SBL SBR SGA SGB SGC SGD SGO SGR SNU SOR ... Diana …

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