@article{4686a6655cba4d64ab35478c95d0c44f,
title = "Inpatient Geriatric Evaluation and Management Units: Organization and Care Patterns in the Department of Veterans Affairs",
abstract = "Geriatric evaluation and management units (GEMs) are designed to improve the functional health and placement of frail elderly hospital inpatients. We surveyed Department of Veterans Affairs (VA) GEMs to describe their care patterns and organization. GEMs meeting consensus standards (n = 46) varied considerably. Hospital, GEM, and patient-admission factors (e.g., hospital psychiatric mix, GEM location, proportion of GEM admissions from nursing homes) predicted length-of-stay, readmission rate, and discharge status. Ongoing monitoring may improve the effectiveness of VA GEMs systemwide.",
keywords = "Geriatric assessment, Health services research, Nursing home placement",
author = "Darryl Wieland and Hedrick, {Susan C.} and Rubenstein, {Laurence Z.} and Buchner, {David M.} and Reuben, {David B.} and Harker, {Judith O.}",
note = "Funding Information: 1This work was supported in part by the Health Services Research and Development Service and the Cooperative Studies in Health Services Program of the Department of Veterans Affairs (CSHS No. 012). The authors also thank Dr. Thomas Yoshikawa, Marsha Goodwin, and Carolyn Babich, Geriatrics and Extended Care, VA Central Office, for supplying some of the data reported here and commenting on earlier versions of the manuscript. 2Address correspondence to Dr. Darryl Wieland, GRECC (11E), Sepulveda VA Medical Center, 16111 Plummer Street, Sepulveda, CA 91343. 3Multicampus Program in Geriatric Medicine and Gerontology, UCLA School of Medicine, Los Angeles, California. 4Health Services Research and Development Field Program, Seattle VA Medical Center, and the Department of Health Services, University of Washington.",
year = "1994",
month = oct,
doi = "10.1093/geront/34.5.652",
language = "English (US)",
volume = "34",
pages = "652--657",
journal = "Gerontologist",
issn = "0016-9013",
publisher = "Oxford University Press",
number = "5",
}