Featured Publications
Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries
Hwang U, Dresden SM, Vargas-Torres C, Kang R, Garrido MM, Loo G, Sze J, Cruz D, Richardson LD, Adams J, Aldeen A, Baumlin KM, Courtney DM, Gravenor S, Grudzen CR, Nimo G, Zhu CW, Abraham G, Amoko C, Genes N, Morano B, Nassisi D, Ortiz J, Rivera-Reyes L, Sanon M, Shapiro J, Winkel G, Malik S, Rosenberg M, Christensen M, Karounos M, Schultz R, Sumberg D. Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries. JAMA Network Open 2021, 4: e2037334. PMID: 33646311, PMCID: PMC7921898, DOI: 10.1001/jamanetworkopen.2020.37334.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCost SavingsCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalFee-for-Service PlansGeriatric AssessmentHealth Services for the AgedHospital CostsHospitalsHumansMedicarePatient CareReferral and ConsultationSocial WorkTransitional CareUnited StatesConceptsTransitional care nursesFirst ED visitIndex ED visitED visitsMAIN OUTCOMEMedicare feeMedicare beneficiariesService beneficiariesEmergency department programComparison groupCross-sectional studyUnique Medicare beneficiariesLower Medicare expendituresMost patientsMean ageCare nursesVisit encountersCare programGeriatric treatmentCost outcomesPatient careMedicare expendituresHealth systemMean savingsPatients
2019
Concepts in Practice: Geriatric Emergency Departments
Southerland LT, Lo AX, Biese K, Arendts G, Banerjee J, Hwang U, Dresden S, Argento V, Kennedy M, Shenvi CL, Carpenter CR. Concepts in Practice: Geriatric Emergency Departments. Annals Of Emergency Medicine 2019, 75: 162-170. PMID: 31732374, PMCID: PMC6980991, DOI: 10.1016/j.annemergmed.2019.08.430.Peer-Reviewed Original Research
2017
An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department
Moss JM, Bryan WE, Wilkerson LM, King HA, Jackson GL, Owenby RK, Van Houtven CH, Stevens MB, Powers J, Vaughan CP, Hung WW, Hwang U, Markland AD, Sloane R, Knaack W, Hastings SN. An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department. Journal Of Pharmacy Practice 2017, 32: 167-174. PMID: 29277130, PMCID: PMC6533068, DOI: 10.1177/0897190017747424.Peer-Reviewed Original ResearchMeSH KeywordsAgedClinical CompetenceDrug PrescriptionsEducation, MedicalEmergency MedicineEmergency Service, HospitalHealth Services for the AgedHumansInappropriate PrescribingInternship and ResidencyInterprofessional RelationsPhysiciansPotentially Inappropriate Medication ListQuality ImprovementSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsQuality improvement projectAcademic detailingEmergency departmentOlder adultsPIM ratesBeers criteriaPhysician residentsResident cohortVeterans Affairs emergency departmentInappropriate medication prescribingAcademic detailing interventionDrug-disease interactionsImprovement projectSelf-perceived barriersInappropriate medicationsMedication prescribingED populationAppropriate medicationOlder veteransSelf-reported confidenceCohortEducational interventionRate ratioSignificant decreaseSelf-rated confidence
2015
Redesigned Geriatric Emergency Care May Have Helped Reduce Admissions Of Older Adults To Intensive Care Units
Grudzen C, Richardson LD, Baumlin KM, Winkel G, Davila C, Ng K, Hwang U, investigators T. Redesigned Geriatric Emergency Care May Have Helped Reduce Admissions Of Older Adults To Intensive Care Units. Health Affairs 2015, 34: 788-795. PMID: 25941280, DOI: 10.1377/hlthaff.2014.0790.Peer-Reviewed Original ResearchConceptsGeriatric emergency careMount Sinai Medical CenterPalliative care principlesIntensive care unitEmergency careCare unitEmergency departmentCare principlesHigh-risk patientsED triage nursesSinai Medical CenterWise programED nurse practitionersED visitorsED revisitsED admissionHospital readmissionMedical CenterNurse practitionersTriage nursesHigh riskHospice careAdmissionOlder adultsStudy period
2013
Transforming Emergency Care For Older Adults
Hwang U, Shah MN, Han JH, Carpenter CR, Siu AL, Adams JG. Transforming Emergency Care For Older Adults. Health Affairs 2013, 32: 2116-2121. PMID: 24301394, PMCID: PMC4070367, DOI: 10.1377/hlthaff.2013.0670.Peer-Reviewed Original ResearchMeSH KeywordsAgedEmergency Service, HospitalHealth Services for the AgedHealth Services Needs and DemandHumansModels, OrganizationalOrganizational InnovationQuality ImprovementUnited StatesConceptsEmergency departmentEmergency careHealth care systemOlder adultsCare systemComprehensive discharge planningUS emergency departmentsPatient health outcomesGeriatric emergency careGeriatric Emergency DepartmentBroader health care systemED visitsInitial hospitalizationDischarge planningCare coordinationHealth outcomesObservation unitCareAdultsLengthy evaluationRehospitalizationHospitalizationPatientsVisits
2009
Quality Indicators for Geriatric Emergency Care
Terrell KM, Hustey FM, Hwang U, Gerson LW, Wenger NS, Miller DK, Force O. Quality Indicators for Geriatric Emergency Care. Academic Emergency Medicine 2009, 16: 441-449. PMID: 19344452, DOI: 10.1111/j.1553-2712.2009.00382.x.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder patientsQuality improvement effortsPain managementNursing homesCognitive AssessmentCandidate quality indicatorsGeriatric emergency carePotential quality indicatorsTask ForceED usersTransitional careMedical recordsEmergency physiciansAmerican CollegeEmergency careVulnerable subsetPatient careSystematic reviewHealth care environmentPatientsEmergency practiceImprovement effortsQuality indicatorsAnnual Meeting
2007
The Geriatric Emergency Department
Hwang U, Morrison RS. The Geriatric Emergency Department. Journal Of The American Geriatrics Society 2007, 55: 1873-1876. PMID: 17916122, DOI: 10.1111/j.1532-5415.2007.01400.x.Peer-Reviewed Original ResearchConceptsSpecial care needsEmergency departmentOlder patientsCare needsGeriatric Emergency Department InterventionOlder adultsEmergency Department InterventionGeriatric Emergency DepartmentSubtle clinical signsMultiple comorbiditiesAcute illnessGeriatric patientsCare modificationsClinical signsRapid triageCognitive impairmentPatientsHealthcare systemCareAdultsDepartmentPolypharmacyComorbiditiesSymptomsIllness
2006
Geriatric Emergency Medicine and the 2006 Institute of Medicine Reports from the Committee on the Future of Emergency Care in the U.S. Health System
Wilber ST, Gerson LW, Terrell KM, Carpenter CR, Shah MN, Heard K, Hwang U. Geriatric Emergency Medicine and the 2006 Institute of Medicine Reports from the Committee on the Future of Emergency Care in the U.S. Health System. Academic Emergency Medicine 2006, 13: 1345-1351. PMID: 17071799, DOI: 10.1197/j.aem.2006.09.050.Peer-Reviewed Original Research