
Photo: Banc d’Imatges Infermeres via Flickr
Millions of Medicare beneficiaries are admitted to the hospital each year because they cannot be safely discharged to go home. Such hospitalizations come with an increased risk of infection, falls, delirium, functional decline and death. They also come with increased costs to the patient, provider and payer. A recent study found a significant reduction in the total cost of care when these older adults were treated in a geriatric emergency care department instead of a more traditional ED.
According to the study published Marh 1 on JAMA Network Open, this specialized geriatric emergency care can lower Medicare expenditures by up to $3,200 per beneficiary. Yet, there are only about 200 specialized geriatric emergency departments in the U.S., according to the American College of Emergency Physicians (ACEP), which accredits geriatric EDs. So, if patients fare better and it costs less, why aren’t more hospitals establishing geriatric EDs? Continue reading