INPATIENT GERIATRIC EVALUATION AND MANAGEMENT UNITS - ORGANIZATION AND CARE PATTERNS IN THE DEPARTMENT-OF-VETERANS-AFFAIRS

Authors
WIELAND D HEDRICK SC RUBENSTEIN LZ BUCHNER DM REUBEN DB HARKER JO
Citation
D. Wieland et al., INPATIENT GERIATRIC EVALUATION AND MANAGEMENT UNITS - ORGANIZATION AND CARE PATTERNS IN THE DEPARTMENT-OF-VETERANS-AFFAIRS, The Gerontologist, 34(5), 1994, pp. 652-657
Citations number
22
Categorie Soggetti
Geiatric & Gerontology
Journal title
The Gerontologist → ACNP
ISSN journal
00169013
Volume
34
Issue
5
Year of publication
1994
Pages
652 - 657
Database
ISI
SICI code
0016-9013(1994)34:5<652:IGEAMU>2.0.ZU;2-Y
Abstract
Geriatric evaluation and management units (GEMs) are designed to impro ve the functional health and placement of frail elderly hospital inpat ients. We surveyed Department of Veterans Affairs (VA) GEMs to describ e their care patterns and organization. GEMs meeting consensus standar ds (n = 46) varied considerably. Hospital, GEM, and patient-admission factors (e.g., hospital psychiatric mix, GEM location, proportion of G EM admissions from nursing homes) predicted length-of-stay, readmissio n rate, and discharge status. Ongoing monitoring may improve the effec tiveness of VA GEMs systemwide.