A public health/hospital partnership to improve Emergency Department transitions of care for vulnerable older adults.

ABSTRACT:

Background

Community-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.

Methods

Setting: A medium-sized urban ED with 55,000 patient visits a year.

Intervention

Case 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 i

SUBMITTER: Southerland LT 

PROVIDER: S-EPMC11734087 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature