The Mobile Acute Care for the Elderly Unit (MACE)
MACE is an interdisciplinary, team-based, patient-centered model of acute care for Coffey Geriatrics Associates at the Martha Stewart Center for Living (MSCL) and Jewish Home Lifecare patients admitted to Mount Sinai Hospital, regardless of their geographic location within the hospital.
The Mobile Ace is comprised of the following members:
- Geriatrics Attending
- Geriatrics Fellow
- Geriatrics Nurse Coordinator
- Social Worker
- Occasional medical student/resident/visiting physician rotating in the Department of Geriatrics
MACE Rotation Goals
- To offer a first-hand experience in taking care of hospitalized geriatric patients
- To increase the fellows' awareness of the hazards of hospitalization and the cognitive and functional decline that can occur in hospitalized older adults and learn tangible tools to mitigate these risks.
- To offer reviews of the latest, evidence based, medical knowledge regarding diagnosis and treatment of common inpatient diseases, such as pneumonia, uti, anemia, transfusions, sepsis, etc. With a focus on what is specific for a geriatric patient.
- To learn, via a multidisciplinary approach, specific geriatric issues of transitions of care.
- To learn specific communication skills used in the care of the geriatric patients, such as early family meetings, addressing goals of care, etc.
- To learn key bioethics principles, commonly encountered in the care of the geriatric hospitalized patient.
- To learn about how hospitals are paid under the inpatient prospective payment system and physicians under Medicare Part B professional billing.
- To understand pay for performance initiatives, hospital-acquired conditions, never events, and the link between clinical documentation, coding, reimbursement, and publicly-reported quality data.
Geriatric Fellow's Role
- To function as a junior attending for all hospitalized patients on the MACE.
- To teach the house-staff teams regarding the geriatric issues for our hospitalized patients, with an emphasis on hazards of hospitalization, specific geriatric aspects of common diseases and transitions of care.
- To regularly communicate with patient’s families.
Fellowship Academic Coordinator
Brookdale Department of Geriatrics and Palliative Medicine
One Gustave L. Levy Place
New York, NY 10029-6574