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Table 1 In-ED procedures for intervention patients

From: GAPcare: the Geriatric Acute and Post-acute Fall Prevention Intervention—a pilot investigation of an emergency department-based fall prevention program for community-dwelling older adults

Personnel Description Administration
Pharmacist assessment and medication-related action plan
 Pharmacist The pharmacist study protocol consists of the following steps:
• Review the research staff obtained medication list [20].
• Perform motivational interviewing with the patient and/or caregiver to identify 1–3 medication recommendations, such as cessation or tapering of medication that increase fall risk.
• Communicate the medication-related action plan (MRAP) in writing to the patient and ED treatment team. A facsimile copy of the MRAP is sent to the primary care provider (PCP) at the end of the visit via the newly created EHR structure.
• 20 min
• In-person evaluation
Physical therapy assessment and action plan
Physical therapist The PT has the following responsibilities:
• Performs a gait, balance, and lower extremity strength assessment.
• Assesses the patient’s ability to function independently on discharge and assists with discharge planning.
• Recommends outpatient services/referrals, such as referral to outpatient or home PT and occupational therapy, a home-safety evaluation, community fall prevention programs, or if necessary direct admission to a skilled nursing facility.
• Communicates the PT action plan (PTAP) in writing and in person to the patient and ED treatment team. A facsimile copy of the PTAP is sent to the PCP at the conclusion of the visit via the newly created EHR structure.
• 20–30 min
• In-person evaluation
  1. MRAP medication-related action plan, PCP primary care provider, PT physical therapist, PTAP physical therapy action plan, EHR electronic health record