OBJECTIVESAcute hip fracture is common and leads to significant morbidity and mortality. Co‐management programs, such as American Geriatric Society (AGS) CoCare: Ortho®, that optimize perioperative care of older adults, have demonstrated improved outcomes. Yet there is substantial variation in hip fracture care nationally. Our objective was to describe the implementation of AGS CoCare: Ortho® across a large integrated health system.DESIGNProgram implementation of four phases.SETTINGLarge integrated health system.PARTICIPANTSOne tertiary and three community hospitals.MEASUREMENTSThe first two phases were communication and system‐level planning. The communication phase consisted of getting health system leadership buy‐in, creating an interdisciplinary steering committee, and building a business model. The planning phase consisted of choosing process and outcome measures, ensuring accurate and timely data collection, and creating standardized order sets and physician documentation.RESULTSThe second two phases were hospital‐level planning and implementation. The planning phase consisted of identifying sites and developing the co‐management structure. The implementation phase consisted of identifying and engaging frontline staff, rolling out the program, optimizing workflow, and educating providers.CONCLUSIONThe program was implemented at four diverse sites. Major lessons learned included the need for an engaged steering committee to oversee the program; the importance of standardizing order sets and documentation; the utilization of hospitalists as co‐managers; the benefit of developing and actively using a data dashboard; the challenge of ensuring wide uptake of education modules; and the need to take proactive steps to improve multidisciplinary communication. J Am Geriatr Soc 68:1706‐1713, 2020.
Radio Frequency (RF) communications are essential for aircraft and satellite operation. The current generation of Software Defined Radios (SDRs) has increased the capabilities of equipment at a cost that brings this technology in reach for economically disadvantaged institutions and
students. Labs are designed to provide immediate feedback to accelerate experimentation and learning. The novelty and technology associated with aerospace platforms can stimulate students' interest and motivation. These lessons can be applied to other attack surfaces such as automotive and
5G communications.
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