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Accreditation Levels - Comparison Overview

 
Bronze - Level 3 Icon
Silver - Level 2 Icon
Gold - Level 1 Icon
Staffing
EM physician champion with the following hours of CME
4
6
8
Nurse champion with evidence of focused education in geriatric EM
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Additional EM physician champion leadership responsibilities
 
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Additional nurse champion leadership responsibilities
 
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Nurse case manager or transitional care nurse present ≥ 56 hrs/wk (up to 28 hours/wk can be covered by a social worker)
 
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Additional required geriatric team member roles
 
2
4
Executive or administrative sponsor
 
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Patient advisor or patient council
 
 
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Care Processes
Required care processes, A.1 – A.3
3
3
3
Additional selected care processes
1
7
17
Required education dissemination plan
 
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Required metrics and QI plan with 3 months of demonstrated tracking
 
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Workflow and Metrics
Submission of process map/workflow
 
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Submission of GED Dashboard
 
 
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Submission of ED boarding metrics
 
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Submission of 3 months of evidence for the 4 metrics related to ED boarding
 
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Submission of 3 months of evidence for the following # of additional metrics
 
3
5
Required Resources
Access to mobility aids (canes and walkers) 24/7
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Access to free food and drink 24/7
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Additional Recommended Resources
Low beds, reclining armchairs, non-slip socks, pressure-ulcer reducing mattresses and pillows, blanket warmer, hearing assist devices, bedside commodes, condom catheters
 
O
O
Physical Environment Enhancements
Ample seating for visitors and family (at least 2 seats per room)
 
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Large-face analog clock in each patient room
 
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Efforts at noise reduction (e.g., separate, enclosed rooms)
 
O
O
Enhanced lighting (e.g., natural light, windows, artificial skylight, light box, dimmable lights)
 
O
O
Adequate handrails
 
O
O
Non-slip floors
 
O
O
High-quality signage and wayfinding
 
O
O
Wheelchair-accessible toilets
 
O
O
Availability of elevated toilet seats
 
O
O

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