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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?
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