Onboarding of Cohort #2
Thank you to our 33 sites who attended the 2nd VA Summit on May 6th, 2021. Below you can find video recordings, links, and other resources. Expand each list item for videos, links, and downloads.
Please complete the post-summit survey. Your input will inform how we can best support you in the coming months.
Check back here for details on upcoming office hours and webinars. In the meantime, please block off the last Tuesday of each month from 3:00-4:00 PM EST* for follow up meetings.
*Dates for meetings subject to change based on our expert speakers’ availability.
Meeting Resources
Videos, summary notes, and links for each topic covered in the meeting can be viewed by expanding each list item below.
3 Takeaways from AFHS:
- Age-Friendly Health Systems follow an essential set of evidence-based practices knows as the 4Ms – What Matters, Medication, Mentation, and Mobility.
- The 4Ms are practiced as a set, but driven by What Matters. This is a Veteran-centric approach to care.
- The 4Ms are a framework to improve care and they can be applied and customized in any care setting, including the emergency department.
Links
3 Takeaways for standardizing our GED assessments:
- If starting a new GED initiative, you are highly encouraged to use one of these 7 assessments
- Goal of measuring assessments the same way across VA GEDs
- Goal of a national dashboard that will help your site track performance (a GEDA criteria)
3 Takeaways for Mentation:
- Delirium is missed up to 75% of the time in older adults.
- Consider DTS and bCAM for screening delirium,
- Persons with dementia are at greater risk for delirium, so screening for cognitive impairment is important.
Links
Delirium Implementation Toolkit
Our partner, West Health, drew our attention to their Delirium Prevention in the ED Toolkit, available on the GEDC website.
Delirium Change Package and Toolkit
In order to pilot test the Change Package and Toolkit in three EDs, it was created as a part of a research project to improve delirium recognition, prevention, and management in the ED setting. The full package is available on the GEDC website.
3 Takeaways for GED Workflow:
- Identifying High Risk Adults whether in triage or bedside
- Develop a process to address positive screens
- Follow up to the recommendations to address the positive screens
Links
3 Takeaways for pharmacy BEERS Medication Review:
- ISAR flags patient’s for a more critical review of medication reconciliation by ED Pharmacist
- A note to identify BEERs medications, which serves as communication tool for ED pharmacist to relay findings and suggestions to PCP
- Ability to track findings and outcomes to prevent future emergencies and potentially improve QOL
3 Takeaways EQUIPPED:
- Program to help educate provider prescribing
- Program to identify PIMS
Program to help build safe geriatric prescribing menus
Links
Sequential implementation of EQUIPPED program as a LHS
VIONE Pocket Card
PowerPoint document
VIONE Resource Sheet
Word document
Includes challenge, innovation, how to use VIONE dashboard, and system-wide impact of this innovation.
3 takeaways for Caregiver Support:
- VA Has a Caregiver Support Program to help family caregivers of Veterans
- Every VA has a Caregiver Support Coordinator who can provide direct assistance
- There is a National Caregiver Support Line (1-855-260-3274) that can be contacted for additional information
Links
The Department of VA Caregiver Support Program
3 takeaways for Caregiver Support:
- VA Has a Caregiver Support Program to help family caregivers of Veterans
- Every VA has a Caregiver Support Coordinator who can provide direct assistance
- There is a National Caregiver Support Line (1-855-260-3274) that can be contacted for additional information
Links
The Department of VA Caregiver Support Program
GEDA Level 3 Sample Application
This document has been prepared to help EDs interested in achieving Level 3 GEDA Accreditation.
GEDA Level 2 Mock Application
Practice form available for sites seeking Level 2 GEDA Accreditation.
GEDA Level 1 Mock Application
Practice form available for sites seeking Level 1 GEDA Accreditation.