Acute Care for Elders (ACE) Program at OHSU Hospital
| Status: | Recruiting |
|---|---|
| Conditions: | Cognitive Studies, Skin and Soft Tissue Infections, Neurology, Psychiatric |
| Therapuetic Areas: | Dermatology / Plastic Surgery, Neurology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/2/2016 |
| Start Date: | January 2014 |
| Contact: | Juliana M Bernstein, MPAS, PA-C |
| Email: | bernstej@ohsu.edu |
| Phone: | 503-494-1088 |
The purpose of this investigation is to assess the effectiveness of a multi-disciplinary
Acute Care for Elders (ACE) program dedicated to the care of patients age 70 and older
admitted to Oregon Health & Science University's hospital medicine service. The ACE program
will aim to improve the quality of care of older patients in the investigators hospital by
implementing focused interventions and recommendations specific to geriatric needs and
syndromes, including: reduced fall rate, decreased incidence and duration of delirium, early
recognition and treatment of impaired mobility and function, careful minimization of
medication use, prevention of unnecessary catheter and restraint use, decreased hospital
readmission rates, improved transitional care following hospital discharge, and high levels
of patient and referring physician satisfaction. Additionally, the ACE program aims to
improve resident and student competence in treating geriatric syndromes, and to improve
staff and learner satisfaction with caring for older adults. ACE programs have been well
studied at other institutions, so the investigators will be implementing a program that is
already standard of care, and studying the elements that are unique to OHSU.
This will be a quality improvement project. Study participants will be a convenience sample
of OHSU faculty, staff, residents and students who are employed by or on rotation with
General Medicine Team 1 of the Medicine Teaching Service. Faculty, staff, and learners (ACE
team members) will receive the ACE training. Study personnel will conduct prospective and
retrospective chart review of patients admitted to the ACE service to determine outcomes as
noted above.
Acute Care for Elders (ACE) program dedicated to the care of patients age 70 and older
admitted to Oregon Health & Science University's hospital medicine service. The ACE program
will aim to improve the quality of care of older patients in the investigators hospital by
implementing focused interventions and recommendations specific to geriatric needs and
syndromes, including: reduced fall rate, decreased incidence and duration of delirium, early
recognition and treatment of impaired mobility and function, careful minimization of
medication use, prevention of unnecessary catheter and restraint use, decreased hospital
readmission rates, improved transitional care following hospital discharge, and high levels
of patient and referring physician satisfaction. Additionally, the ACE program aims to
improve resident and student competence in treating geriatric syndromes, and to improve
staff and learner satisfaction with caring for older adults. ACE programs have been well
studied at other institutions, so the investigators will be implementing a program that is
already standard of care, and studying the elements that are unique to OHSU.
This will be a quality improvement project. Study participants will be a convenience sample
of OHSU faculty, staff, residents and students who are employed by or on rotation with
General Medicine Team 1 of the Medicine Teaching Service. Faculty, staff, and learners (ACE
team members) will receive the ACE training. Study personnel will conduct prospective and
retrospective chart review of patients admitted to the ACE service to determine outcomes as
noted above.
Inclusion Criteria (ACE faculty, health care providers and students):
- employed by OHSU or enrolled in one of OHSU's schools (medicine, nursing, pharmacy)
- share in the care of older adults on the General Medicine Team 1 service.
Inclusion Criteria (patients):
- admitted to the internal medicine service during the time frame of the study
- age 70 or older at time of hospital admission
Exclusion Criteria (ACE faculty, health care providers and students):
- non-English-speaking
Exclusion Criteria (patients):
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