ArticleJournal of the American Geriatrics Society2025
A public health/hospital partnership to improve Emergency Department transitions of care for vulnerable older adults.
Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Geriatric team support in the emergency department-a randomised trial investigating the effects on hospital admission and community care in older adults (GerED-21).Age and ageing · 2026Trial
- Emergency Departments Leading the Transformation of Alzheimer's and Dementia Care: Emergency Care Redesign.Journal of the American Geriatrics Society · 2026Article
- Caring for older adults' social needs in emergency departments: Where to draw the line?Journal of the American Geriatrics Society · 2025Article
- A public health/hospital partnership to improve Emergency Department transitions of care for vulnerable older adults.Journal of the American Geriatrics Society · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundCommunity-dwelling older adults are at high risk for unmet social service needs. We describe a novel partnership embedding county services case managers in the Emergency Department (ED) to connect older adults to community services alongside their medical care.
methodsSetting: A medium-sized urban ED with 55,000 patient visits a year.
interventionCase managers from the Franklin County, Ohio Office on Aging (OA) were embedded within the ED. The OA team worked with the ED social work team to identify community-dwelling older patients, perform an in-person intake assessment, and initiate needed community services (including home-delivered meals, emergency response systems, house repairs, and transportation). Program logic model and development are reported in detail.
resultsFrom June to December 2023, there were 7284 ED visits for adults ≥60 years old. Referrals to the OA case manager ranged from 1 to 13 per day. The OA case managers performed 252 full intake assessments on unique patients. The population was 51% men. Only 11% (n = 28) were currently connected to OA services, and of those already connected 29% (n = 8) needed increased services. Of the remaining unconnected patients (n = 224), 8% (n = 20) were not county residents and the OA team connected them with other county OAs. Half 53% (n = 120) were accepting of services and had services from the OA or other community health programs initiated during the ED visit. The OA team made three new Adult Protective Services referrals and one referral to the long-term care ombudsman. The program did not increase ED length of stay or hospital admission rates.
conclusionsEmbedding county service enrollment within a community ED is a cost neutral intervention that reached a population without previous services. Future plans include expansion of the program and evaluation of the program's ability to detect elder mistreatment and self-neglect.
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