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Making your geriatric and palliative programs a strength: TQIP guideline implementation and the VRC perspective
Vanessa P Ho1, Sasha D Adams2, Kathleen M O'Connell3
1Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA.
Trauma Surgery & Acute Care Open
|August 2, 2021
Summary
Geriatric trauma patients have high mortality rates. Implementing palliative care and geriatrics quality metrics, through education and screening tools, can improve trauma care and verification.
Area of Science:
- Trauma Surgery
- Geriatric Medicine
- Palliative Care
Background:
- Older adults represent 30% of US trauma patients but account for nearly 50% of trauma deaths.
- The American College of Surgeons (ACS) published guidelines for geriatric trauma (2013) and palliative care (2017) to standardize care.
- Quality metrics for palliative care and geriatrics can enhance trauma verification and performance improvement.
Purpose of the Study:
- To discuss the integration of palliative care and geriatrics quality metrics into trauma verification.
- To provide practical strategies for implementing these quality metrics in clinical practice.
Main Methods:
- Review of ACS Verification, Review, and Consultation viewpoints.
- Analysis of three institutional case studies on implementing geriatric and palliative care quality metrics.
- Discussion of practical tips and takeaways for successful implementation.
Main Results:
- Implementation strategies include targeted educational initiatives.
- Development of institutional resource-based consultation tools.
- Application of nurse-led frailty screening tools.
Conclusions:
- Specialized care is crucial for vulnerable geriatric trauma patients.
- Program implementation can be adapted to various institutional settings.
- Quality metrics serve as a strength for trauma verification.
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