The goal is to reduce inpatient length-of-stay in post-surgical patients by implementing Pre-op choice of Home Health Agency or SNF. This is currently initiated post-op. Patients more likely to need post-acute care (identified via e-FI preoperatively) will also improve other decisions related to pre-habilitation, post-op care, and whether or not surgery is the best option. Desired outcomes include: reduced length of stay, improved patient and provider satisfaction, and improved use of time in the SNC™.
The Aging and Alzheimer’s and Surgical Navigation Center Clinical-Academic Interface will:
- Increase access by reducing bed-days for Medicare beneficiaries undergoing elective surgery;
- Promote safe, high quality, leading-edge care for older adults, optimizing cognitive and physical function:
- Function First in the Surgical Navigation Center (FF-SNC™) will prevent delirium and promote mobility in older adults undergoing surgery;
- This will reduce LOS (cost per-case) and improve surgical outcomes
- Increase research participation through studies in CHAAP
- Expand identification of at-risk older adults across WFBHS service lines and implement new Function First pathways:
- FF-SNC™ will serve as a paradigm for scaling to additional service lines
- To refine risk prediction modeling for older adults at-risk for post-operative delirium
- To assess feasibility and acceptability of physical, cognitive, and biomarker testing for delirium
Did You Know?
- Delirium is more common in older adults with cognitive impairment, AND Delirium is a modifiable risk factor for cognitive impairment and dementia