American College of Emergency PhysiciansAccreditation Levels - Comparison Overview
Staffing
EM physician champion with the following hours of CME
4
6
8
Nurse champion with evidence of focused education in geriatric EM
Additional EM physician champion leadership responsibilities
--
Additional nurse champion leadership responsibilities
--
Nurse case manager or transitional care nurse present ≥ 56 hrs/wk (up to 28 hours/wk can be covered by a social worker)
--
Additional required geriatric team member roles
--
Executive or administrative sponsor
--
Patient advisor or patient council
--
--
Care Processes
--
--
--
Required care processes, A.1 – A.3
3
3
3
Additional selected care processes
1
7
17
Required education dissemination plan
--
Required metrics and QI plan with 3 months of demonstrated tracking
--
Workflow and Metrics
--
--
--
Submission of process map/workflow
--
Submission of GED Dashboard
--
--
Submission of ED boarding metrics
--
Submission of 3 months of evidence for the 4 metrics related to ED boarding
--
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
Access to free food and drink 24/7
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
--
0
0
Physical Environment Enhancements
--
--
--
Ample seating for visitors and family (at least 2 seats per room)
--
Large-face analog clock in each patient room
--
Efforts at noise reduction (e.g., separate, enclosed rooms)
0
0
Enhanced lighting (e.g., natural light, windows, artificial skylight, light box, dimmable lights)
--
0
0
Adequate handrails
--
0
0
Non-slip floors
--
0
0
High-quality signage and wayfinding
--
0
0
Wheelchair-accessible toilets
--
0
0
Availability of elevated toilet seats
--
0
0