ACEP Geriatric ED Guidelines 
Saturday, April 20, 2024; 11:30 a.m. - 12 p.m.
Charles Maddow, MD, FACEP

Seniors represent a disproportionate share of the growing ED census, and as a group have a higher acuity, require more resources, and have longer lengths of stay. This older patient population stresses the traditional model of care with frequent comorbidities, polypharmacy, and complex biopsychosocial factors that affect patient presentation, management, and disposition. ACEP launched the Geriatric Emergency Department Accreditation program in response to these challenges. The GEDA provides criteria for accreditation from the entry-level Level III to the complex, multidisciplinary Level I, based on the adoption of best practices for personnel; facilities and resources; and processes. This presentation reviews these criteria and offers a roadmap for establishing an Accredited Geriatric Emergency Department at your institution.


  1. Recognize the opportunities presented by Geriatric ED Accreditation
  2. Understand the differences between the three levels of Geriatric ED Accreditation and what their criteria entail
  3. Acquire key takeaways for implementation
  4. Envision a plan for developing, maintaining, and growing an accredited Senior-Friendly Emergency Department.



Charles Maddow, MD, FACEP

Dr. Charles Maddow is an Associate Professor, the Wyatt Ranches Distinguished Professor in Geriatric and Palliative Medicine, and the Director of Emergency Geriatrics for the Department of Emergency Medicine at McGovern Medical School at the University of Texas Health Science Center at Houston, which operates two Accredited Geriatric Emergency Departments. He is also core faculty for the National Collaboratory to Address Elder Mistreatment.