Age-Friendly Emergency Department (AFED)



About Us

The UCSF Emergency Department, in partnership with the Division of Geriatrics, operates an Age-Friendly Emergency Department Program (AFED). The AFED is accredited by the American College of Emergency Physicians (ACEP) as Level 1, which signifies the highest status and testifies to an exemplary experience for older adults. An Advanced Practice Provider, Pharmacist and Social Worker comprise an interprofessional team that works in concert with age-friendly care pathways in the ED to moderate hazards of acute care hospitalization, detect geriatric syndromes, intervene during medication reconciliation, and engage connections to the health system and community partners. 

Geriatric EDs embrace a variety of best practices including:

  • Ensuring geriatric-focused education and interdisciplinary staffing
  • Providing standardized approaches to care that address common geriatric issues
  • Ensuring optimal transitions of care from the ED to other settings (inpatient, home, community-based care, rehabilitation, long-term care)
  • Promoting geriatric-focused quality improvement and enhancements of the physical environment and supplies


Ensure a patient-valued older adult emergency department experience through high quality resource optimization, community relationships, diversity of engaged health professionals, respecting the patient desire to attain their desired level of independence and function.

Create a comprehensive and age-friendly care model tailored to the older adult patient and their caregivers in the emergency department focusing on those at risk for cognitive dysfunction, unrecognized or pre-existing dementia, or challenged functional capacity.

Age-friendly, optimized independence, patient-valued with a sensitivity to diversity and caregiver support.