Table 4.
Structure indicators for geriatric co-management programmes
| Indicators | Median score (IQR) | |
| All structure indicators were appropriate and feasible* | Appr | Feas |
| A geriatrician, treating physician of the ward, registered nurse or nurse practitioner with geriatric expertise, nursing staff of the ward, physical therapist, occupational therapist and social worker/discharge or case manager is a core member of the geriatric co-management programme. | 7.8 (1.5)† | 8 (2) |
| A member of the geriatrics team is available on a daily basis for patients included in the geriatric co-management programme. | 8 (1) | 8 (1.8) |
| Team meetings for reviewing the performance on indicators associated with the geriatric co-management programme are organised at least once yearly with the aim of evaluating the current performance and formulating strategic improvement plans. | 8 (1) | 8 (1) |
| An educational programme or sessions are organised or facilitated at induction of every new staff member, and at least once a year for all current hospital staff participating in a geriatric co-management programme, focusing on the identification and management of geriatric syndromes. | 8 (2) | 8 (2) |
| A validated screening tool or objective criteria to select patients for the geriatric co-management programme is available to all hospital staff. | 8.5 (1) | 8 (2.8) |
| A multidisciplinary care pathway is available detailing the roles and responsibilities of all hospital staff participating in the geriatric co-management programme. | 9 (1) | 8 (1.8) |
| Evidence-based protocols for the prevention and/or management of cognitive impairment, delirium, depression, hospital-acquired infections, pressure ulcers, incontinence, urinary retention, constipation, pain, palliative care, polypharmacy, malnutrition, falls, osteoporosis, sleep deprivation, functional impairment/mobility and frailty are available to hospital staff participating in the geriatric co-management programme. | 8.3 (1.6)† | 8 (1) |
| Standard geriatric order sets (eg, laboratories, technical investigations) are available to hospital staff participating in the geriatric co-management programme. | 9 (3) | 8 (1) |
*Appropriateness and feasibility was determined by a disagreement index: see online appendix for all indicators that were considered not appropriate or feasible.
†Scores have been averaged for all response options (see text in italic for the different response options): see online appendix for the raw scores.
Appr, appropriateness; Feas, feasibility.