Program for the Care of the Older Surgical Patient Program for the Care of the Older Surgical Patient Program for the Care of the Older Surgical Patient
Program for the Care of the Older Surgical Patient
Program Overview

Our primary goal is to optimize preoperative status, with the overarching aim of enhancing quality of life for older adult patients.

Due to the physiological changes of aging and development of age-related illness, older adults are at increased risk of poor surgical outcomes and more complicated decisions surrounding surgery and quality of life. Our solution: deliver age-friendly, high-quality perioperative services, resources, and palliative care tailored for older adults.

Our Program Goals:

  • Align surgical care with each patient’s personal health goals and preferences
  • Optimize patients preoperatively to improve surgical outcomes and recovery 

Target population for care:

  • Adults aged 75 years and older
  • Individuals who are considering or have been recommending for surgical intervention
Program for the Care of the Older Surgical Patient
How the program works
  • Step 1: Evaluation in Surgical Clinic

    Patients are automatically screened in the surgical clinic to identify if they are candidates for our program

  • Step 2: Referral to Geriatric Program

    If you are identified as a potential candidate for surgery, our patient navigator will contact you and help you get scheduled for an appointment with one of our geriatricians

  • Step 3: Comprehensive Geriatric Assessment

    During your visit, our geriatrician will work with you to clarify your goals of care, risks and benefits of surgery, and identify factors that may impact your recovery

  • Step 4: Care Planning and Optimization

    Based on your care plan, goals, and health status, we may offer:

    • Surgical clearance and care coordination with your team
    • Nutrition support
    • Pre-surgery optimization and mobility support
    • Palliative care resources
What does it mean to deliver "Age-Friendly" surgical care?

Developed by the John A. Hartford Foundation, Age-Friendly health systems and hospitals follow a set of evidence-based practices in planning their courses of treatment for older adults known as the "4 Ms":

  • What Matters
    • Alignment of care with personal health outcome goals and preferences
  • Medication
    • Using only age-friendly medication that does not interfere with the older adult's goals, mentation, or mobility
  • Mentation
    • Integrating prevention and management of dementia, depression, and delirium across care settings
  • Mobility
    • Incorporate mobility and exercise into care, ensuring that older adults maintain the function necessary to achieve their health outcome goals
4 M's
The "4Ms" of Age-Friendly Care
Leadership Team

Leadership Team

Heather Yeo, M.D., M.B.A., M.S.
Mark Steven Lachs, M.D., M.P.H.
Veerawat Phongtankuel, M.D.
Claire Davenport's Headshot
Claire Davenport, M.D.
Marguerite Hoyler, M.D.
Julianna Brouwer's Headshot
Julianna Brouwer, M.P.H.
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