Acknowledgments The authors would like to thank all supporters of AIM and Generational Health, including nurse practitioners, coordinators, managers, therapists, chaplains, social workers and HCPs. Clinical Informatics, Quality, and Finance departments at Sharp HealthCare were instrumental for AIM dashboard creation, maintenance and financial expertise. A special thanks to the Gary and Mary West Institute for investing their time and effort into geriatric programmatic development and growth, as well as to the Sachs family for providing the philanthropic investment to the Sharp HealthCare Foundation, through which the John M. Sachs Family Center for Generational Health was created and now dedicated. For curriculum requests, please email [email protected]. Resources 1 Allison 2nd, R.; Assadzandi, S.; Adelman, M. “Frailty: Evaluation and Management.” Am Fam Physician. 2021 Feb 15;103(4):219-226. PMID: 33587574. 2 Dent, E.; Martin, F. C.; Bergman, H.; Woo, J.; Romero-Ortuno, R.; Walston, J. D. “Management of frailty: opportunities, challenges, and future directions.” Lancet. 2019 Oct 12;394(10206):1376-1386. DOI: 10.1016/S0140-6736(19)31785-4. PMID: 31609229. 3 Walston, J.; Buta, B.; Xue, Q. L. “Frailty Screening and Interventions: Considerations for Clinical Practice.” Clin Geriatr Med. 2018 Feb;34(1):25-38. DOI: 10.1016/j.cger.2017.09.004. PMID: 29129215; PMCID: PMC5726589. 4 Westphal, E. C; Alkema, G.; Seidel, R.; Chernof, B. “How to Get Better Care with Lower Costs? See the Person, Not the Patient.” J Am Geriatr Soc. 2016 Jan;64(1):19-21. DOI: 10.1111/ jgs.13867. Epub 2015 Dec 7. PMID: 26639104. 5 Huckfeldt, P. J.; Reyes, B.; Engstrom, G.; Yang, Q.; Diaz, S.; Fahmy, S.; Ouslander, J. G. “Evaluation of a Multicomponent Care Transitions Program for High-Risk Hospitalized Older Adults.” J Am Geriatr Soc. 2019 Dec;67(12):2634-2642. DOI: 10.1111/jgs.16189. Epub 2019 Oct 1. PMID: 31574164. 6 Young, L. J.; George, J. “Do guidelines improve the process and outcomes of care in delirium?” Age and Ageing. 2003 Sep;32(5):525-8. DOI: 10.1093/ageing/afg094. PMID: 12958002. 7 Ellis, G.; Sevdalis, N. “Understanding and improving multidisciplinary team working in geriatric medicine.” Age and Ageing. 2019 Jul 1;48(4):498-505. DOI: 10.1093/ageing/afz021. PMID: 30855656. 8 Elsawy, B.; Higgins, K. E. “The geriatric assessment.” Am Fam Physician. 2011 Jan 1;83(1):48-56. PMID: 21888128. 9 Shenvi, C.; Kennedy, M.; Austin, C. A; Wilson, M. P.; Gerardi, M.; Schneider, S. “Managing Delirium and Agitation in the Older Emergency Department Patient: The ADEPT Tool.” Ann Emerg Med. 2020 Feb;75(2):136-145. DOI: 10.1016/j.annemergmed.2019.07.023. Epub 2019 Sep 26. PMID: 31563402; PMCID: PMC7945005. 10 Lee, S.; Chen, H.; Hibino, S.; Miller, D.; Healy, H.; Lee, J. S.; Arendts, G.; Han, J. H.; Kennedy, M.; Carpenter, C. R. “Can we improve delirium prevention and treatment in the emergency department? A systematic review.” J Am Geriatr Soc. 2022 Jun;70(6):1838-1849. DOI: 10.1111/jgs.17740. Epub 2022 Mar 11. PMID: 35274738; PMCID: PMC9314609. 11 van Loveren, K.; Singla, A.; Sinvani, L.; Calandrella, C.; Perera, T.; Brave, M.; Becker, L.; Li, T. “Increased Emergency Department Hallway Length of Stay is Associated with Development of Delirium.” West J Emerg Med. 2021 Apr 9;22(3):726-735. DOI: 10.5811/westjem.2021.1.49320. PMID: 34125053; PMCID: PMC8202999. 12 Lee, S.; Howard 3rd, M. A.; Han, J. H. “Delirium and Delirium Prevention in the Emergency Department.” Clin Geriatr Med. 2023 Nov;39(4):535-551. DOI: 10.1016/j.cger.2023.05.006. Epub 2023 Jun 14. PMID: 37798064; PMCID: PMC10719942. 13 Shih, R. D.; Carpenter, C. R.; Tolia, V.; Binder, E. F.; Ouslander, J. G. “Balancing Vision With Pragmatism: The Geriatric Emergency Department Guidelines-Realistic Expectations From Emergency Medicine and Geriatric Medicine.” J Emerg Med. 2022 May;62(5):585-589. DOI: 10.1016/j.jemermed.2021.12.017. Epub 2022 Feb 15. PMID: 35181186. 14 Hanlon, J. T.; Schmader, K. E.; Ruby, C. M.; Weinberger, M. “Suboptimal prescribing in older inpatients and outpatients.” J Am Geriatr Soc. 2001 Feb;49(2):200-9. DOI: 10.1046/j.1532- 5415.2001.49042.x. PMID: 11207875. 15 Parker, S. G.; McCue, P.; Phelps, K.; McCleod, A.; Arora, S.; Nockels, K.; Kennedy, S.; Roberts, H.; Conroy, S. “What is Comprehensive Geriatric Assessment (CGA)? An umbrella review.” Age and Ageing. 2018 Jan 1;47(1):149-155. DOI: 10.1093/ageing/afx166. PMID: 29206906. 16 Yao, S.; Zheng, P.; Ji, L.; Ma, Z.; Wang, L.; Qiao, L.; Wan, Y.; Sun, N.; Luo, Y.; Yang, J.; Wang, H. “The effect of comprehensive assessment and multi-disciplinary management for the geriatric and frail patient: A multi-center, randomized, parallel controlled trial.” Medicine (Baltimore). 2020 Nov 13;99(46):e22873. DOI: 10.1097/MD.0000000000022873. PMID: 33181655; PMCID: PMC7668452. 17 Zietlow, K. E.; Wong, S.; Heflin, M. T.; McDonald, S. R.; Sickeler, R.; Devinney, M.; Blitz, J.; Lagoo-Deenadayalan, S.; Berger, M. “Geriatric Preoperative Optimization: A Review.” Am J Med. 2022 Jan;135(1):39-48. DOI: 10.1016/j.amjmed.2021.07.028. Epub 2021 Aug 18. PMID: 34416164; PMCID: PMC8688225. 18 Pimentel, C. B.; Snow, A. L.; Carnes, S. L.; Shah, N. R.; Loup, J. R.; Vallejo-Luces, T. M.; Madrigal, C.; Hartmann, C. W. “Huddles and their effectiveness at the frontlines of clinical care: a scoping review.” J Gen Intern Med. 2021 Sep;36(9):2772-2783. DOI: 10.1007/s11606-021-06632-9. Epub 2021 Feb 8. PMID: 33559062; PMCID: PMC8390736. 19 Maxwell, C. A.; Dietrich, M. S.; Miller, R. S. “The FRAIL Questionnaire: A Useful Tool for Bedside Screening of Geriatric Trauma Patients.” J Trauma Nurs. 2018 Jul/Aug;25(4):242-247. DOI: 10.1097/JTN.0000000000000379. PMID: 29985858. 20 Wintz, D.; Schaffer, K. B.; Wright, K.; Nilsen, S.L. “EMPOWERING END-OF-LIFE CONVERSATIONS: The Role of Specialized Nursing Teams in Facilitating Code Status Changes at Discharge.” J Palliat Care. 2024 Sep 19:8258597241283303. DOI: 10.1177/08258597241283303. Epub ahead of print. PMID: 39295506. 21 Metrics apply to the American College of Surgeons Geriatric Verification published requirements 28
