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dc.contributor.authorRubin, Fred H.
dc.contributor.authorNeal, Kelly
dc.contributor.authorFenlon, Kerry
dc.contributor.authorHassan, Shuja
dc.contributor.authorInouye, Sharon
dc.date.accessioned2017-08-15T16:16:50Z
dc.date.issued2011
dc.identifierQuick submit: 2014-12-19T22:51:46-05:00
dc.identifier.citationRubin, Fred H., Kelly Neal, Kerry Fenlon, Shuja Hassan, and Sharon K. Inouye. 2011. “Sustainability and Scalability of the Hospital Elder Life Program at a Community Hospital.” Journal of the American Geriatrics Society 59 (2) (February): 359–365. doi:10.1111/j.1532-5415.2010.03243.x.en_US
dc.identifier.issn0002-8614en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:33750343
dc.description.abstractThe Hospital Elder Life Program (HELP), an effective intervention to prevent delirium in older hospitalized adults, has been successfully replicated in a community teaching hospital as a quality improvement project. This article reports on successfully sustaining the program over 7 years and expanding its scale from one to six inpatient units at the same hospital. The program currently serves more than 7,000 older patients annually and is accepted as the standard of care throughout the hospital. Innovations that enhanced scalability and widespread implementation included ensuring dedicated staffing for the program, local adaptations to streamline protocols, continuous recruitment of volunteers, and more-efficient data collection. Outcomes include a lower rate of incident delirium; shorter length of stay (LOS); greater satisfaction of patients, families, and nursing staff; and significantly lower costs for the hospital. The financial return of the program, estimated at more than $7.3 million per year during 2008, comprises cost savings from delirium prevention and revenue generated from freeing up hospital beds (shorter LOS of HELP patients with and without delirium). Delirium poses a major challenge for hospital quality of care, patient safety, Medicare no-pay conditions, and costs of hospital care for older persons. Faced with rising numbers of elderly patients, hospitals can use HELP to improve the quality and cost-effectiveness of care.en_US
dc.language.isoen_USen_US
dc.publisherWiley-Blackwellen_US
dc.relation.isversionofdoi:10.1111/j.1532-5415.2010.03243.xen_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pubmed/21314654en_US
dash.licenseLAA
dc.subjectdeliriumen_US
dc.subjectHospital Elder Life Program (HELP)en_US
dc.subjectinterventionen_US
dc.subjectpreventionen_US
dc.subjecthospital careen_US
dc.subjectsustainabilityen_US
dc.titleSustainability and Scalability of the Hospital Elder Life Program at a Community Hospitalen_US
dc.typeJournal Articleen_US
dc.date.updated2014-12-20T03:51:46Z
dc.description.versionAccepted Manuscripten_US
dc.rights.holderRubin FH, Neal K, Fenlon K, Hassan S, Inouye SK
dc.relation.journalJournal of the American Geriatrics Societyen_US
dash.depositing.authorInouye, Sharon
dc.date.available2017-08-15T16:16:50Z
dc.identifier.doi10.1111/j.1532-5415.2010.03243.x*
dash.contributor.affiliatedInouye, Sharon


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