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. . . . . Acute Care for Elders (ACE) unit was developed in 1995.A ten bed, ACE unit opened at Aurora Sinai Medical Center in 2000.Unable to disseminate the ACE unit model broadly.Electronic health record was common to all hospitalized seniors.Developed software to provide a real-time report to review each patient's plan of care.This computer-generated checklist is available at all med-surg units of all Aurora hospitals..
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1. ACE Tracker and e-Geriatrician new models of care Michael Malone, MD
Aurora Health Care
University of Wisconsin School of Medicine
& Public Health
Milwaukee, WI
5. Challenges and Next Steps: There is no mechanism to automatically tell the health care worker what to do if there is a vulnerability.
There is no baseline functional status, prior to the hospital admission.
We need a tool that can be used to track the patient’s functional status across the sites of care.
We need to develop further collaboration among multiple health systems.
Incorporate a mechanism to automatically guide the health care worker what to do.
Track the patient’s functional trajectory across the sites of care.
Assess the feasibility and the effectiveness of methods to identify seniors at risk , as they move from one site to another.
Develop a standardized ACE Tracker software across a network of three health care systems (21 hospitals) in Wisconsin.