Geriatrics
Flushing Hospital Medical Center


Department of Geriatrics

The Geriatrics Division at Flushing Hospital Medical Center was established in 1987 and has since evolved from an acute in-patient unit of a few beds to a comprehensive program that now includes fellowship training program affiliated with Downstate Medical Center.

The Geriatric Unit:

The Division of Geriatrics operates a 32-bed acute in-patient unit in the hospital. Patient care is delivered through care planning of an interdisciplinary team, which consists of geriatricians, a case manager and social worker, nursing management and staff, fellows and resident physicians, and a physical therapist, speech therapist, pharmacist and nutritionist. Members of the team are educated and sensitive to the needs of patients in the unit. Assessing patients early in their care has resulted in timely intervention and reduction of complications, as well as significant reduction in length of stay compared to other Medicare beds in the hospital. Admission to the unit is based on strict criteria and will be facilitated using a "Fast-Track Admissions" protocol.

Critical programs that have successfully conducted on the unit include weekly Decubitus and Skin Rounds, a Falls Prevention Program, Restraints Minimization Program, and an Advance Directive Recruitment Program.

 

Consultation Service:

Any physician can utilize the consultation service and have care provided to their patient, even if outside of the Geriatric Unit.

Geriatric Ambulatory Care:

Geriatric ambulatory care consists of the following services:
A Geriatric Clinic, which is open to both private and indigent elderly community patients.
A Memory Disorders Clinic that provides geriatric based services to demented patients.
An Ambulatory Clinic at Flushing House that provides outpatient services in an Article 28 system that was set up in a 345-bed adult home close to Flushing Hospital. Further arrangements to recruit other Article 28 geriatric sites are in progress.

Home Visit Program:

Fellows, resident physicians in internal medicine, and supervising faculty members conduct weekly home visits to homebound patients referred to the division. Coordinated efforts to keep these patients healthy and functional in the home environment minimize hospitalization. Patients requiring skilled home care services are referred to Jamaica Hospital’s Home Care Agency and those who are eligible for long-term home care are referred to the Lombardi Programs of the affiliated agencies.

Nursing Home Affiliations:

The following nursing homes have a formal affiliation with the hospital and the Fellowship Program:
Flushing Manor Nursing Home
Flushing Manor Care Center
William Benenson Rehabilitation Center

In these facilities, faculty members admit patients, while hospital fellows manage their disease and long-term care. The division has also recruited several other nursing homes to participate in the Nursing Home Advisory Board, which gives feedback on the quality of care for patients they’ve admitted to the geriatric unit.

 

Research:

The division actively participates in various academic and clinical research studies with the hope of finding new ways to diagnose and treat elderly patients. Faculty members and fellows are members of and attend annual and periodic meetings of the American Geriatric Society, Metropolitan American Geriatric Society, and the Gerontological Society of America.

Fellowship Program:

The Graduate Medical Education Accreditation Committee approved four positions for fellowship training in geriatric medicine in 1997. The division graduated two fellows for the academic year 1997~1998 and currently, there are four fellows in training that are completing a one year program. Areas of training include: Acute In-Patient Care Service, Consultation Service, Ambulatory Care Service, Long Term Service, Home Care Service and Research. There are three full-time faculty and four part-time faculty members.

 

Internal Medicine Residency Program:

All residents in the internal medicine training program gain experience in geriatric medicine by participating in a one-month rotation in the acute geriatric unit in post-graduate levels I and II. Another month of subspecialty rotation is offered in the P.G.Y. III level.