8th Annual Emergency Department

Management Conference

Sydney 20-21 July 2016

Geriatric Emergency Department Intervention

GEDIDr Elizabeth (EJ) Marsden FACEM

Andrea Taylor CNC GEDI

Presenting on behalf of the CEDRiC team

Care Coordination through Emergency Department Residential Aged Care

and Primary Health Intervention

Acknowledgements

Partner organisations:• Sunshine Coast Hospital and Health Service

• Sundale

• University of the Sunshine Coast

• PHN Central Queensland, Wide Bay and Sunshine Coast

• QUT – AusHSI

• Griffith University

People:Andrea Taylor, Kaye Coates, Professor Marianne Wallis, Dr Alison Craswell, Dr

Marc Broadbent, Colleen Johnson, Associate Professor Julia Crilly, Kim-Huong

Ngyuen, Adrian Barnett

Funding:Department of Health – Aged care Service Improvement and Healthy Ageing

THE GREY TSUNAMI

WHO CARES… THEY’RE OLD?

FRAILTY

GEDI

Culture shift and imbedding into “tribes”

Death by inaction

Data accuracy and research hiccups

DONABEDIAN FRAMEWORK

Structures and processes = observational and

qualitative interviewing

GEDI Outcomes = multivariate modelling

controlling for confounding variables

Health economics GEDI = individual level costs

TOTAL RETURN ON INVESTMENT

FOR THE GEDI MODEL OF CARE

~ $4,198,092.52 in 6 months

Nursing Research

• Predictive validity of geriatric risk screening for

representations at 28 days post ED discharge

• Advanced nursing assessment in the ED

• Development of an advanced nursing

assessment tool for the ED

THE FUTURE

QUESTIONS?