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Abstract

Several models of specialized geriatric care in the Emergency Department (ED) have been developed since the American College of Emergency Physicians (ACEP) began accrediting geriatric EDs in 2018. There is considerable variability in terms of both design and efficacy in regard to screening older patients in the ED and determining proper interventions The John A. Hartford Foundation and Institute for Healthcare Improvement (IHI) have developed the 4M Model for Creating Age-Friendly Health Systems which aims to provide high quality care to older patients by addressing four critical elements: Mentation, Mobility, Medication, What Matters. This article describes a screening tool for older patients based on the 4M model that has been developed and implemented by a Level 1 geriatric ED, as accredited by the ACEP. The purpose of this article is to highlight how this screening tool has helped facilitate care and follow up for older patients presenting to the ED and to discuss the possible implementation of this screening tool in other geriatric ED sites.

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