http:// the hospital elder life program © 2000, sharon k. inouye, md, mph
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The Hospital Elder Life Program Central Website
http://www.hospitalelderlifeprogram.org The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
Central WebsiteOverview of delirium and the HELP program
for Older Adults/Caregiver and CliniciansNew sites can apply for access into the HELP
Private site (there are instructions on the website regarding how to apply)
The private site holds all of the HELP materials including manuals, instructional videos, tools and resources
On the private site there is also instructions on how to join the HELP Google Group
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
Hamilton Health Sciences HELP Resource Website
http://www.hhsc.ca/body.cfm?id=1015Will include extra resources that have been
developed over the years for the program at our site
Some examples are Volunteer Assignment sheet Sample Volunteer Training Schedules Sample Patient Education Handouts
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Organizational andProcedural Manuals:
Overview & Structure ManualThis manual gives a broad understanding of the program,
the key elements of the program, and how they connectGoals of the programDescription of staff – their qualifications, FTEsProgram costsAdministrative structureQuality Assurance Procedures – Intervention adherence;
Working Group; Staff Performance Check; Patient/Family Survey; HELP Outcomes
Strategies to improve adherenceThe Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
Overview & Structure Manual cont’d
Volunteer Component: Role, position descriptionTrainingVolunteer retentionCase Scenarios with suggested responses
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
Organizational and Procedural Manuals: The Clinical Process ManualThis manual is the “heart of HELP”, in that it
contains the activities from screening through discharge
MMSE – ensure that your organization has permission to use the MMSE (at HHS, we utilize the SMMSE)
Overview of cognitive screening instrumentsScreening and enrollment proceduresPatient enrollment formStructure of patient assessment; includes
scripts for ELS/ELNSThe Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Clinical Process Manual cont’d ELS Scope of Responsibilities
Volunteer coordinationPatient careProgram operations
Patient information packageEvaluations to identify risk factorsConfusion Assessment MethodELS/Volunteer Intervention Summary
ChartThe Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Clinical Manual cont’d
Geriatric Nursing Assessment and InterventionsELNS Protocols (Delirium, Dementia, Psychoactive
Meds)ELNS Scope of Responsibilities
Patient careStaff educationProgram operations
Additional areas of ELNS assessment (i.e. anxiety, continence, skin)
List of top 10 Drug InteractionsBeers List
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Clinical Process Manual cont’d
Interdisciplinary InterventionsRoundsGeriatrician consultsCommunity linksInterdisciplinary consultations
Discharge & Post-Discharge Planning Patient/family satisfaction surveys
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Clinical Process Manual cont’d
Educational interventions to improve geriatric expertise
References and resources for all protocols
Chaplaincy protocol
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Database ManualSample forms and worksheets for ELS Patient Enrollment Form – see our version in
packageELS intervention worksheetPatient care plan
Volunteer assignment form – see our version in package
ELS Daily Evaluation Form
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Database Manual cont’d
Tracking adherence of volunteer interventionsMaster tracking log (worksheet)Adherence codes
Tracking adherence of nursing interventionsDaily assessment (ELNS Patient Profile Sheet)ELNS Interventions Master Tracking Log and
Intervention Codes
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Database Manual cont’d
Discharge EvaluationPatient discharge assessment formPatient/family satisfaction surveyELNS telephone follow-upSamples of completed forms
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Volunteer Training ManualOverview – program structure chartProgram goalsRole of the volunteerTraining process – classroom and shadowing
Separate sections cover each protocolExpectations of the volunteerImportance of documentation
The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH
The Business Tools ManualIntroductionExecutive Summary
Background research & outcomesProgram design & toolsProgram results – Clinical & Quality; EconomicSummary of Potential Business Impact
Overview of Potential Cost SavingsFinancial worksheetsData Collection QuestionnairePower Point Slide PresentationEvaluating the Volunteer Model – value of volunteer
timeThe Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH