The clinical program for the Section of Geriatric Medicine at Cedars-Sinai involves ambulatory care, in which geriatric fracture patients are seen after hospital discharge for both fall prevention and bone-health assessment by a geriatrician.
"The inpatient special program hospitalist team was chosen because of its already well-established care transitions program at nursing homes and the extensive network of outpatient primary and specialty care providers," said study co-author Sonja Rosen, MD, chief of Geriatric Medicine at Cedars-Sinai and associate professor of Medicine. "Having these factors already in place significantly reduced the amount of time required to conceptualize and implement the program."
"Our medical center has a variety of subspecialty services available, but nothing was more valuable than our departmental and division leadership who were passionate about establishing the geriatric fracture program care model and who were willing to devote time, energy, funding and personnel to ensure its success," said Lin.
Cedars-Sinai investigators showed that a geriatric-orthopaedic co-management model can be successfully implemented without an inpatient geriatric service, utilizing the pre-existing resources in a complex environment, according to Breda. She said there are plans to expand the program to include additional groups of patients.
The successful Geriatric Fracture Program was an integral part of Cedars-Sinai recently being designated as an Age-Friendly Health System – Committed to Care Excellence. This distinction is part of a national initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the United States.
"This important recognition signals that Cedars-Sinai is part of a national movement to help ensure that we are taking the best possible care of older people using multidisciplinary geriatric models of care,” Rosen said.