Clinical and executive leadership
Developing clinical leadership Limited executive leadership Limited coordination (e.g. planning, monitoring, linkages)
Respected and involved consumers
Established systems for protecting decision making and advance care planning Limited involvement of older person in care planning and feedback
Skilled and compassionate staff
Limited training of hospital staff in care of older people Limited graduate education across all disciplines
Evidence-based assessment and management
Established systems for recognising and preventing pressure injuries, falls, adverse drug reactions and malnutrition Developing systems for integrated assessment, care planning and discharge planning Limited systems for recognising and preventing functional decline and delirium
Connected systems
Established systems for referral to subacute and post-acute care Poor communication between emergency department and residential care facilities
Well-designed physical environments
Developing use of older person friendly design principles in specialist units Limited use at organisational level