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 Geriatric Evaluation & Management Program (GEM) Fairlawn's Geriatric Evaluation and Management Program (GEM) is designed to assist older individuals who have experienced a change in their functional abilities. These may include mobility, communication, memory, continence, bathing, eating, and other activities of daily living. 
Goals Fairlawn's GEM Program is specifically designed to: How The Program Works The GEM Program process takes place during a ten-day inpatient stay at Fairlawn. It begins with a pre-admission appointment* at which a referral specialist meets with the patient and family, completes a pre-admission screening, explains the program, and identifies the patient/family goals. Within 24 to 48 hours, the patient receives notification of program acceptance. Admission Day: Patient is introduced to treatment team and oriented to the program. Patient/family goals are identified, team assessments initiated, and discharge planning for return to the community begins. Medical Assessments: Physicians evaluate the patient's medical/functional status and needs. Nursing assessment is completed, and self-medication program begins. 
Care Plan Developed: Physical, occupational, and speech therapy, dietary, case management, and pharmacy assessments are completed. Assessment areas include daily living skills, communication skills, cognitive abilities, continence, and mobility/balance.
Home Visit: Team members visit the patient's home to evaluate safety and accessibility and recommend adaptations or specialized equipment. Team Conference: Team members discuss/evaluate the care plan. Medical intervention and patient education continue. Additional medical consults may be ordered (i.e., cardiology, orthopedics, neurology, oncology, psychology, podiatry). Family Conference: Treatment team and family meet to discuss patient's progress, goals, and any modifications to the comprehensive care plan. Family Teaching: Family may participate in advanced teaching about adaptive equipment, mobility training, and medication. Discharge Plan: Plans for discharge are finalized with patient and family. Case manager obtains therapeutic equipment and, if necessary, referrals are made for community services. Discharge Day: Arrangements for continuing care in the community are implemented. Patient and referring physician or agency receive written discharge plan with team's recommendations. Follow-Up Appointment: A follow-up appointment is made for 30 days after discharge to determine progress in the community and need for further intervention. * GEM Program referrals may be made by a physician, social worker, family member, or community agency. The program is covered in full or part by many insurance plans, including Medicare and Medicaid. | ||||||||