title: Benefits of an older persons' assessment and liaison team in acute admissions areas of a general hospital.
abstract: OBJECTIVE
  To analyze and describe the operational benefits that followed the introduction of a multiprofessional older person assessment and liaison service (OPAL) into the acute admissions areas of a general hospital. OPAL delivered comprehensive geriatric assessment and a range of early medical, nursing, therapy, and social interventions to all eligible elderly and frail patients.
  
  
  METHODS
  A mix of numeric data, case note narrative, historic comparison, and staff opinion was used to reach a reliable view of the impact that OPAL had on a number of key indicators pertaining to the timing of assessments, treatments, and discharge planning.
  
  
  RESULTS
  We found that the new service reduced the time required to achieve several critical interventions including medical, nursing, and therapy reviews. We were also able to show that OPAL activity played a critical role in reducing the length of hospital stay of frail older people and made available the equivalent of 9-16 beds per day (8%-14% of acute admission area beds).
  
  
  CONCLUSIONS
  OPAL was shown to be effective as a medium for timely review and intervention of frail elderly patients in an acute medical setting, and as a mechanism for reducing length of stay.
authors: The Royal Bournemouth Hospital, Bournemouth, Dorset, United Kingdom.
authors: Stephen
authors: S
authors: Allen
authors: The Royal Bournemouth Hospital, Bournemouth, Dorset, United Kingdom.
authors: Tom
authors: T
authors: Bartlett
authors: The Royal Bournemouth Hospital, Bournemouth, Dorset, United Kingdom.
authors: Joanna
authors: J
authors: Ventham
authors: The Royal Bournemouth Hospital, Bournemouth, Dorset, United Kingdom.
authors: Cherry
authors: C
authors: McCubbin
authors: The Royal Bournemouth Hospital, Bournemouth, Dorset, United Kingdom.
authors: Andrew
authors: A
authors: Williams
keywords: early supported discharge; elderly; flexible working; frail; multiprofessional; older persons