The Implementation of Geriatric Emergency Department Accreditation (GEDA) in Rural Critical Access Hospitals

Chair(s)

• EF

  Ellen Flaherty, PhD, APRN, AGSF

  VP Dartmouth Health Geriatric Center of Excellence
  Medicine
  Dartmouth Hitchcock Medical Center
  Norwich, Vermont, United States

Discussant(s)

• 

  Kevin Biese, MD, MAT

  Co-Director, Division of Geriatric Emergency Medicine, Vice-Chair, Academic Affairs, Department of Emergency Medicine
  Medicine
  University of North Carolina
  Chapel Hill, North Carolina, United States

Individual Symposium Abstract First Author(s)

• SR

  Scott Rodi, MD

  Chair, Emergency Medicine
  Emergency Medicine
  Dartmouth-Hitchcock Medical Center
  Lebanon, New Hampshire, United States
• JR

  Jennifer Raymond

  Project Manager
  Emergency Medicine
  Dartmouth-Hitchcock Medical Center
  Lebanon, New Hampshire, United States
• KF

  Kristie Foster, RN, BSN

  ED Manager/Educator
  Emergency Medicine
  Alice Peck Day Memorial Hospital
  Lebanon, New Hampshire, United States
• LM

  Lee Morissette, DMSc, PA-C, CAQ-EM

  Emergency Department Chief Physician Assistant
  Emergency Medicine
  Mount Ascutney Hospital
  Windsor, Vermont, United States

The largely rural setting of Northern New England offers unique challenges to implementing improved acute care for the growing geriatric population. Northern New England is one of the United States’ most rapidly aging regions, with Vermont and New Hampshire being the second and third oldest US states respectively by median age (U.S. Census 2017). There is a need to expand innovations in geriatric emergency medicine to reach older adults in rural areas such as Northern New England. Dartmouth-Hitchcock Medical Center and the West Health are collaborating on a project leveraging telehealth to extend the reach of a GED to rural hospitals, as well as investigate the opportunities for scaling and sustaining this concept to other rural facilities across Northern New England and throughout the country. This symposium will focus on our experience implementing a hub and spoke model to achieve our goal of improving the care of older adults in rural emergency departments.

Presentations:

• 12:00 PM – 1:30 PM ET

  Leveraging the Strength of Unique Partners to Improve Geriatric Emergency Care in Rural Critical Access Hospitals
  

  Individual Symposium Abstract First Author: Scott Rodi, MD – Dartmouth-Hitchcock Medical Center
• 12:00 PM – 1:30 PM ET

  Aligning Geriatric Emergency Care With the 4Ms of the Age-Friendly Health System Framework
  

  Individual Symposium Abstract First Author: Jennifer Raymond – Dartmouth-Hitchcock Medical Center
• 12:00 PM – 1:30 PM ET

  Safe Transitions: Post-ED Discharge From a Rural Critical Access Hospital
  

  Individual Symposium Abstract First Author: Kristie Foster, RN, BSN – Alice Peck Day Memorial Hospital
• 12:00 PM – 1:30 PM ET

  Enhanced Communication Between a Rural Critical Access Hospital, a Residential Care Facility, and Primary Care
  

  Individual Symposium Abstract First Author: Lee F. Morissette, DMSc, PA-C, CAQ-EM – Mount Ascutney Hospital