The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 2
HELP Project Planning Tool In this section think about. What
qualifications would be required for each of the HELP roles? What
would the job descriptions for each of these roles in your setting
be? What orientation would be appropriate for new HELP employees?
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 3
HELP Staff Recommended Full Time Equivalents (FTE)
Qualifications Role Descriptions Job Orientation Modifications at
HHS The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 4
HELP Staff Program Director Elder Life Specialist Elder Life
Nurse Specialist Geriatrician The Hospital Elder Life Program 2000,
Sharon K. Inouye, MD, MPH
Slide 5
Program Director FTE- 0.1 recommended Role Description Oversees
the entire program and is key to provide overall leadership This
role can be assumed by the Geriatrician or HELP CNS Oversees
program metrics Modifications at HHS- Clinical Manager who manages
several Seniors Health services oversees day to day operations
including budget, staffing, etc. The Hospital Elder Life Program
2000, Sharon K. Inouye, MD, MPH
Slide 6
Elder Life Specialist (ELS) FTE- 1.0 recommended
Qualifications- Bachelors Degree -registration in regulatory
college experience with older adult population supervisory
experience communication skills organizational skills computer
skills The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 7
Elder Life Specialist Role Responsibilities Daily interaction
with volunteers, patients Volunteer recruitment, training and
mentoring Linking of patient, health care team and volunteers
Patient screening and enrollment Reviewing patients clinical status
Rounding Ensuring adherence to volunteer interventions Tracking of
patient data The Hospital Elder Life Program 2000, Sharon K.
Inouye, MD, MPH
Slide 8
Job Orientation (ELS) Corporate Orientation Orientation to HELP
Job shadowing of HELP staff Performing the ELS role with
supervision Shadowing interdisciplinary team members on HELP units
(PT, OT, Dietitian, SW, Charge Nurse, Pharmacist, SLP) The Hospital
Elder Life Program 2000, Sharon K. Inouye, MD, MPH
Slide 9
Elder Life CNS FTE -0.5 recommended Qualifications Masters
prepared Advanced Practice Nurse 3-5 years experience with older
adult population Expert clinician in gerontological nursing or
willingness to become an expert clinician The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 10
Elder Life CNS Role Description Reviews patients clinical
status daily Collaborates with health care providers Provides
education to patients, families, and nursing staff Identifies
systems issues participates in quality improvement initiatives
Liaises with community agencies to facilitate discharge planning
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 11
PROGRAM OPERATIONS Record and maintain progress notes Serve as
a liaison between the program and nursing administration Track and
address quality assurance Provide clinical and administrative
support for ELS and volunteers The Hospital Elder Life Program
2000, Sharon K. Inouye, MD, MPH
Slide 12
Geriatrician FTE- 0.1 recommended Qualifications- Certified
Geriatrician Role Description Participates in HELP rounds Provides
consultation upon request Provides education to physicians Serves
as liason with hospital medical staff The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 13
Recruitment Training and Retention The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 14
HELP Project Planning Tool In this section think about. How
will you go about recruiting volunteers What qualifications will
you set for the volunteer role?(age, personal attributes, previous
experience, time commitment, police check, health clearance) How
will you go about training the volunteers? What strategies will you
use to help retain volunteers? The Hospital Elder Life Program
2000, Sharon K. Inouye, MD, MPH
Slide 15
Recruitment Work closely with Volunteer Resources -provides
volunteer recruitment, screening and general training. They also
identify hospital volunteers who seem suited to undertake the
additional training to become a HELP volunteer. While the program
seeks volunteers of all backgrounds, it has become a sought-after
experience for many college/ university students, especially those
interested in the health care field. Look for a mixture of
different types of volunteers. If you only draw from the student
population you will struggle with covering shift during student
downtimes like exams The Hospital Elder Life Program 2000, Sharon
K. Inouye, MD, MPH
Slide 16
Volunteer Qualifications Reliable and caring; enjoy working
with older people Understand the boundaries of patient /volunteer
relationship Mature in judgment Discreet, empathetic behavior and
ability to exercise diplomacy Comfortable talking to patients,
patients family and staff Ability to relate with sensitivity to all
patients Ability to work independently and assume responsibility
Ability to refer questions to others as needed Minimum time
commitment of 1 shift per week for 6 months The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 17
Training Training should be done a minimum of three times a
year Volunteers attend 8 hours of classroom training which includes
An overview of the Volunteer Manual and HELP videos Guest speakers
which could include Physiotherapist, Dietician, Speech Language
Pathologist, a member of the Alzheimer Society 12 hours of ward
training which includes a detailed tour of the environment-where to
find supplies and how to get information shadowing experienced
volunteers during their shifts The Hospital Elder Life Program
2000, Sharon K. Inouye, MD, MPH
Slide 18
Retention Consistent and ongoing support and mentorship from
HELP staff Volunteer Recognition The Hospital Elder Life Program
2000, Sharon K. Inouye, MD, MPH
Slide 19
http://www.hospitalelderlifeprogram.org The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 20
Central Website Overview of delirium and the HELP program for
Older Adults/Caregiver and Clinicians New 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
Slide 21
Hamilton Health Sciences HELP Resource Website
http://www.hhsc.ca/body.cfm?id=1015 Includes 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
Slide 22
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 23
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 24
The Organizational and Procedural Manuals: Overview &
Structure Manual This manual gives a broad understanding of the
program, the key elements of the program, and how they connect
Goals of the program Description of staff their qualifications,
FTEs Program costs Administrative structure Quality Assurance
Procedures Working Group; Staff Performance Check; Patient/Family
Survey; HELP Outcomes; Intervention adherence The Hospital Elder
Life Program 2000, Sharon K. Inouye, MD, MPH
Slide 25
Overview & Structure Manual contd Volunteer Component:
Role, position description Training Volunteer retention Case
Scenarios with suggested responses The Hospital Elder Life Program
2000, Sharon K. Inouye, MD, MPH
Slide 26
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 27
Organizational and Procedural Manuals: The Clinical Process
Manual This 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 instruments Screening and
enrollment procedures Patient enrollment form Structure of patient
assessment; includes scripts for ELS/ELNS The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 28
The Clinical Process Manual contd ELS Scope of Responsibilities
Volunteer coordination Patient care Program operations Patient
information package Evaluations to identify risk factors Confusion
Assessment Method ELS/Volunteer Intervention Summary Chart The
Hospital Elder Life Program 2000, Sharon K. Inouye, MD, MPH
Slide 29
The Clinical Manual contd Geriatric Nursing Assessment and
Interventions ELNS Protocols (Delirium, Dementia, Psychoactive
Meds) ELNS Scope of Responsibilities Patient care Staff education
Program operations Additional areas of ELNS assessment (i.e.
anxiety, continence, skin) List of top 10 Drug Interactions Beers
List The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 30
The Clinical Process Manual contd Interdisciplinary
Interventions Rounds Geriatrician consults Community links
Interdisciplinary consultations Discharge & Post-Discharge
Planning Patient/family satisfaction surveys The Hospital Elder
Life Program 2000, Sharon K. Inouye, MD, MPH
Slide 31
The Clinical Process Manual contd 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
Slide 32
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 33
The Database Manual Sample forms and worksheets for ELS Patient
Enrollment Form see our version in package ELS intervention
worksheet Patient 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
Slide 34
The Database Manual contd Tracking adherence of volunteer
interventions Master tracking log (worksheet) Adherence codes
Tracking adherence of nursing interventions Daily assessment (ELNS
Patient Profile Sheet) ELNS Interventions Master Tracking Log and
Intervention Codes The Hospital Elder Life Program 2000, Sharon K.
Inouye, MD, MPH
Slide 35
The Database Manual contd Discharge Evaluation Patient
discharge assessment form Patient/family satisfaction survey ELNS
telephone follow-up Samples of completed forms The Hospital Elder
Life Program 2000, Sharon K. Inouye, MD, MPH
Slide 36
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 37
The Volunteer Training Manual Overview program structure chart
Program goals Role of the volunteer Training process classroom and
shadowing Separate sections cover each protocol Expectations of the
volunteer Importance of documentation The Hospital Elder Life
Program 2000, Sharon K. Inouye, MD, MPH
Slide 38
The Hospital Elder Life Program 2000, Sharon K. Inouye, MD,
MPH
Slide 39
The Business Tools Manual Introduction Executive Summary
Background research & outcomes Program design & tools
Program results Clinical & Quality; Economic Summary of
Potential Business Impact Overview of Potential Cost Savings
Financial worksheets Data Collection Questionnaire Power Point
Slide Presentation Evaluating the Volunteer Model value of
volunteer time The Hospital Elder Life Program 2000, Sharon K.
Inouye, MD, MPH