Table 1 In-ED procedures for intervention patients
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 |