http://www.hospitalelderlifeprogram.org
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Central Website
 Overview of delirium and the HELP program for Older
Adults/Caregiver and Clinicians
 New sites can apply for access into the HELP Private
site (there are instructions on the website regarding
how to apply)
 The private site holds all of the HELP materials
including manuals, instructional videos, tools and
resources
 On the private site there is also instructions on how to
join the HELP Google Group
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Hamilton Health Sciences HELP
Resource Website
http://www.hhsc.ca/body.cfm?id=1015
 Will include extra resources that have been developed
over the years for the program at our site
 Some examples are
 Volunteer Assignment sheet
 Sample Volunteer Training Schedules
 Sample Patient Education Handouts
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Organizational and
Procedural Manuals:
Overview & Structure Manual
 This manual gives a broad understanding of the program,
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the key elements of the program, and how they connect
Goals of the program
Description of staff – their qualifications, FTEs
Program costs
Administrative structure
Quality Assurance Procedures – Intervention adherence;
Working Group; Staff Performance Check; Patient/Family
Survey; HELP Outcomes
Strategies to improve adherence
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Overview & Structure Manual
 Volunteer Component:
 Role, position description
 Training
 Volunteer retention
 Case Scenarios with
suggested responses
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Organizational and Procedural Manuals:
The Clinical Process Manual
 This manual is the “heart of HELP”, in that it contains
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the activities from screening through discharge
MMSE – ensure that your organization has permission
to use the MMSE (at HHS, we utilize the SMMSE)
Overview of cognitive screening instruments
Screening and enrollment procedures
Patient enrollment form
Structure of patient assessment; includes scripts for
ELS/ELNS
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Clinical Process Manual
 ELS Scope of Responsibilities
 Volunteer coordination
 Patient care
 Program operations
 Patient information package
 Evaluations to identify risk factors
 Confusion Assessment Method
 ELS/Volunteer Intervention Summary Chart
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Clinical Manual
cont’d
 Geriatric Nursing Assessment and Interventions
 ELNS Protocols (Delirium, Dementia, Psychoactive Meds)
 ELNS Scope of Responsibilities
 Patient care
 Staff education
 Program operations
 Additional areas of ELNS assessment (i.e. anxiety, continence,
skin)
 List of top 10 Drug Interactions
 Beers List
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Clinical Process Manual
 Interdisciplinary Interventions
 Rounds
 Geriatrician consults
 Community links
 Interdisciplinary consultations
 Discharge & Post-Discharge Planning
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Patient/family satisfaction surveys
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Clinical Process Manual
 Educational interventions to
improve geriatric expertise
 References and resources for all
protocols
 Chaplaincy protocol
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Database Manual
 Sample forms and worksheets for ELS
 Patient Enrollment Form – see our version in package
 ELS intervention worksheet
 Patient care plan
 Volunteer assignment form – see our version in package
 ELS Daily Evaluation Form
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Database Manual
cont’d
 Tracking adherence of volunteer interventions
 Master tracking log (worksheet)
 Adherence codes
 Tracking adherence of nursing interventions
 Daily assessment (ELNS Patient Profile Sheet)
 ELNS Interventions Master Tracking Log and
Intervention Codes
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Database Manual
 Discharge Evaluation
 Patient discharge assessment form
 Patient/family satisfaction survey
 ELNS telephone follow-up
 Samples of completed forms
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Volunteer Training Manual
 Overview – program structure chart
 Program goals
 Role of the volunteer
 Training process – classroom and shadowing
 Separate sections cover each protocol
 Expectations of the volunteer
 Importance of documentation
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Business Tools Manual
 Introduction
 Executive Summary
 Background research & outcomes
 Program design & tools
 Program results – Clinical & Quality; Economic
 Summary of Potential Business Impact
 Overview of Potential Cost Savings
 Financial worksheets
 Data Collection Questionnaire
 Power Point Slide Presentation
 Evaluating the Volunteer Model – value of volunteer time
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH