Principles of comanagement and the geriatric fracture center.
This article describes the principles of comanagement in an optimized geriatric fracture center. This is a collaborative model of care that uses patient-centered, protocol-driven care to standardize the care for most patient fragility fractures. This model also uses shared decision making and frequent communication to improve clinically relevant outcomes. The orthopedic and medical teams are equally responsible from admission to discharge and are responsible for daily evaluation and clinical management of the patient.
Highland Hospital, Department of Medicine, 1000 South Avenue, Box 58, Rochester, NY 14620, USA. Electronic address: daniel_mendelson@urmc.rochester.edu.
Daniel Ari
DA
Mendelson
Highland Hospital, Department of Medicine, 1000 South Avenue, Box 58, Rochester, NY 14620, USA.
Susan M
SM
Friedman
D000368:Aged; D000369:Aged, 80 and over; D002985:Clinical Protocols; D003142:Communication; D015897:Comorbidity; D003657:Decision Making; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D016330:Frail Elderly; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D010348:Patient Care Team / Q000458:organization & administration*; D010351:Patient Discharge; D018802:Patient-Centered Care / Q000458:organization & administration*; D017749:Total Quality Management / Q000458:organization & administration
Comanagement; Geriatric fracture center; Hip fracture; Hip fracture protocol; Interdisciplinary care