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Accreditation Process FAQs

What is GEDA?  

A geriatric ED may be either a separate space designated for older adults, or more likely, the integration of best practices for older adults into an existing ED. It includes:

  • Recognized staff including an MD/DO champion and an RN champion
  • Supplementary education for all staff about older ED patients
  • Screening for high-risk conditions specific to older people
  • Processes, protocols, or procedures that enhance care of older people
  • An interdisciplinary team (eg, nurses, social workers, pharmacists, physio- and occupational therapists, physician assistants, physicians) to improve assessment of older adults.

Additional resources equipment (eg, food, chairs, mobility aids, hearing assists, clocks, enhanced lighting) and enhanced strategies for transitions of care for older patients into and out of the ED.

What is Geriatric Emergency Department Accreditation?  

The Geriatric Emergency Department Accreditation (GEDA) program is an ACEP-governed national accreditation organization which strives to improve the care of older people presenting to the emergency department. This accreditation system promotes the goals quality of care for older people: enhanced staffing and education; geriatric-focused policies and protocols including transitions of care; quality improvement and metrics; and optimal preparation of the physical environment.

Three levels of accreditation with increasing requirements are available. Level 3 is within reach of every hospital. With a little more effort and dedication to quality care for seniors, Level 2 and Level 1 can be reached. Hospitals will start at the level that is most appropriate for their current resources and strive to reach a higher level over time.

Who runs GEDA?  

The program was developed by leaders within the ACEP Geriatric Emergency Medicine Section with the support of the ACEP Board of Directors. The leaders within GEDA were appointed by the ACEP Board of Directors to the GEDA Board of Governors. The Board of Governors consist of national and international leaders in geriatric emergency medicine.

Why should I seek GEDA accreditation?  

Becoming a geriatric ED will improve the care provided to older people in your ED, will ensure the resources to provide that care are available, and signal to the public that your institution is focused on the highest standards for providing care to your community’s older citizens.

Accreditation is an excellent way to convey to your patients, colleagues, and community that your ED cares about the service they provide to older patients. Today, 20 million seniors visit our nation’s EDs. With the number of older adults growing rapidly, there is a critical need for more geriatric-focused care. Preparing for accreditation allows the hospital and ED to focus on the needs of this complex and growing population and to ensure that the resources available to the ED meet the needs of the patients they serve.

Early data from existing models of geriatric emergency care – models that promote best clinical practices and create a more positive and sensitive physical environment – show they have the potential to improve health outcomes, coordinate care more effectively, and reduce costs.

What are the levels of accreditation and what are the requirements?  

The following criteria outline the minimum standards for accreditation of a Geriatric Emergency Department in three levels.

Level Three Icon - Bronze

Level 3 accreditation is represented by one or more geriatric-specific initiatives that are reasonably expected to elevate the level of elder care in one or more specific areas. Additionally, personnel to implement these efforts are identified and trained.

Level Two Icon - Silver

Level 2 accreditation identifies sites that have integrated older adult initiatives into daily operations. They demonstrate interdisciplinary cooperation for delivery of senior-friendly services. They have an established supervisor or director coordinating the people who are tasked with the daily performance of these services.

Level One Icon - Gold

Level 1 accreditation defines an ED with a comprehensive care system in place for improving the care of older adults, including but not limited to: senior-specific policies, guidelines, procedures, interdisciplinary staff (both within the ED and throughout the institution), outcome measurements and evaluation efforts. Additionally, they may have physical facility enhancements designed to improve older adult care.

Compare Accreditation Levels  

Who can apply?  

GEDA is currently accepting applications from hospitals with geriatric emergency departments.

How long does accreditation last?  

Accreditation lasts three years.

Can we have multiple applications from the same health care systems but for different facilities or different departments?  

Each GED must submit their own application, regardless of their affiliation with a health care system, as their resources, processes, quality plans and personnel will likely differ by facility.

How long does the application process take?  

Once you have submitted a completed application, it will be reviewed by two ACEP-appointed expert geriatric emergency physicians. You may be asked additional questions to clarify parts of your application. If you are applying for a Level 1 geriatric ED, a one-day site visit will be required. If you are applying for a Level 2 geriatric ED and there are questions about your application, then you may be asked to arrange a one-day site visit. Level 3 accreditation does not require a site visit.

Following the site visits, if needed, your application must be approved by the GEDA Board of Governors. The entire process is anticipated to take approximately 14-16 weeks, depending on application level.

I deleted my application and need to have it reinstated, what should I do?  

If you deleted your application and have changed your mind contact us via email . Applications that are older than five months will not be reinstated.

How much does it cost?  

Current online application fees:

Level 1: $15,000 Level 2: $7,500 Level 3: $2,500

Level 1 requires a site visit and a reviewer can request a site visit for Level 2. Applicants are responsible for arranging and reimbursing the site visitor for travel, lodging and expenses related to the visit. Accreditation will be granted for 3 years.

How do I apply for accreditation?  

In addition to the application itself, there are a number of documents that will be required to complete your application. You can visit the Getting Started page for a list of sample documents to get you started.

What documents will I need to apply?  

Please review the sample documents page and gather these required elements before starting your online application.

Does the use of Telehealth qualify for GEDA?  

Use of Telehealth to meet Level 1 & 2 GEDA Requirements. (Download PDF)

Do you have any geriatric design information?  

Yes! Read about Geriatric Emergency Departments (PDF). Reproduced with permission from ACEP’s Emergency Department Design: A Practical Guide to Planning for the Future, 2nd Ed., by Jon Huddy, AIA

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