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

HELP Manuals

The Hospital Elder Life Program © 2000, Sharon K. Inouye, MD, MPH

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

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 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 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 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